NEW Registered Nurses Only

Location: CHA Everett Hospital 

Work Days:  7:00am-3:30pm & 3:00pm-11:30pm, Rotating Weekends and Holidays.  

Category: Registered Nurse  

Department: Psych EH Lewis 2 Nursing  

Job Type: Full time  

Work Shift: Day / Evenings 

Hours/Week: 40.00 

Union: Yes 

Union Name: MNA Everett

DEPARTMENT DESCRIPTION:

Lewis 2 is a 22 bed Geri Psych/Behavioral Health Unit for patient population 55+. We provide a vibrant activities program along with special group sessions and programming to provide support. A special group room houses musical instruments, art supplies and other items to engage individual patient strengths and interests. Patients are cared for by an entire team consisting of: Psychiatrists, Registered Nurses, Social Workers, Case Managers, Milieu Therapists and Nursing Assistants.   

Summary:
The Registered Nurse is responsible and accountable for planning and providing patient care for patients in accordance with established Nursing Standards of Care. He/she demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of nursing care and is directly reports to a designated nurse manager and/or clinical manager / off shift manager.

Responsibilities:
Collaboration:
• Identifies own strengths, limitations, and values in functioning as a member
• Elicits others advice and perspectives including that of the patient and participates fully in interdisciplinary forums that promote an integrated approach to patient care, e.g. multidisciplinary rounds, team meetings
• Access appropriate resources to advocate for and optimize patient care considers the interests of all team members, making choices that best benefit patient family Advocacy and Moral Agency
• Understands the concepts of accountability for own nursing practice able to recognize basic ethical
• Recognizes tensions between professional autonomy and systems factors demonstrates professional comportment behaviors including attention to appearance demeanor, respect for self and others and attention to professional boundaries among patients, families, and caregivers
• Recognizes the need for using an ethical decision making framework for clinical situations and obtains assistance in solving ethical dilemmas as needed
Caring Practices:
• Expresses empathy and compassion for patients and families treats everyone with courtesy, dignity and respect consistently participates in patient rounding/ huddle/ use of white boards/ bedside
• Demonstrates emotional intelligence, i.e., the capacity to perceive, assess, and manage the emotions of one’s self and others
• Demonstrates meaningful connections by “knowing” the patients they serve
• Provides patient centered care with sensitivity and respect for the diversity of human experience
• Communicates patient values, preferences and expressed needs to health care team
• Assesses the impact of cultural beliefs and systems on patient responses to care
• Develops interventions that take into consideration individual beliefs, customs, and practices
• Demonstrates use of proactive communication and interpersonal skills in response to patient needs and concerns
Clinical Judgment:
• Consistently collects and interprets patient data from all available sources
• Applies knowledge to clinical presentation to make decisions and evaluate clinical outcomes
• Sets plan of care priorities based on identified patient needs and uses appropriate technologies in the process of assessing and monitoring patients and documenting care collaborates with interdisciplinary team to plan for multiple complex patient care
Clinical Inquiry:
• Follows evidence based standards and guidelines
• Recognizes changing patient conditions and responds immediately
• Describes reliable sources for locating research, evidence reports and clinical guidelines relevant to clinical practice area
• Tailors standards and guidelines to the needs of individual patients
• Uses QI tools and methodologies to assess performance and identify gaps between current unit & best practice related to key clinical outcome measures
Systems Thinking:
• Considers system resources available in the practice area when developing the plan of care for a patient or group of patients
• Brings issues of concern at the practice area level to the attention of others when assistance is needed to facilitate resolution
• Demonstrates understanding that care and services are delivered in a variety of settings along a care continuum
• Recognizes how to obtain resources beyond those of the unit and does so on behalf of patients/families as needed Identifies and works to remove barriers that block the delivery of reliable customer service
Facilitation of Learning:
• Initiates independent learning based on identified needs and reflective practices
• Actively engages as a “super user” or “unit champion” during roll out of new products equipment, processes, e.g., EPIC, rounding, code chill, etc .
• Seeks out opportunities to learn, teach and positively influence others and advance practice using quality improvement methodologies and current evidence/data
• Based on learning needs assessment, effectively uses teach back methodology, motivational interviewing, and self-management goals to provide meaningful patient/family education
Leadership:
• Embraces continuous improvement, is flexible and open to new ideas
• Participates in activities that help formulate solutions to unit ineffectiveness and/or failures that impact patient care, e.g., recommends change in policies and procedures through appropriate
• Participates in change process to improve patient care, the work environment, and patient and staff satisfaction
• Seeks out opportunities to serve as change leader in practice area
• Acts as an effective role model and resource for students and ancillary staff
Professionalism:
• Demonstrates engagement in lifelong learning and self-assessment of ongoing professional development needs
• Known as a “relationship builder” in the practice area – champions working together and creating synergy
• Participates in development of innovative solutions to clinical issues
• Practices as an autonomous clinical decision maker
• Is an effective steward of available clinical resources, e.g., accurate assessment of patient acuity when making decisions regarding staffing, transfers and assignments
Customer Service:
• Creates positive impressions that consistently demonstrate actions associated with CHA service standards and professionalism
• Consistently “manages up” other co-workers, departments, providers, and
Patient Safety:
• Adheres to established safety practices, e.g., National Patient Safety goals and evidence based guidelines / protocols to prevent adverse patient outcomes
• Adheres to regulatory requirements, e.g., DPH, TJC, DMH, Medicare, etc
• Adheres to the five rights of medication administration, and related documentation standards
• Adheres to department documentation standards and uses data from electronic record to guide patient care
• Uses available technologies to support and enhance patient care, e.g., smart pumps, call bell system, EPIC reports, smart phrases, acuity tools, etc
Technical and Procedural Skills
• Demonstrates appropriate procedural /technical competence specific to practice area ( Unit / Clinic Specific Competencies & required certifications and work experience)

MINIMUM QUALIFICATIONS:

Other information:
BSN preferred
Licensure: MA. RN Licensure required
Certifications: Maintains current Basic Life Support "C" certification
AHA or ARC BLS Healthcare Provider

 
In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.
 

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