Community-Health Nursing

STAFF NURSE - PRIMARY CARE/ Per Diem/ Rotating Shifts (mainly days)/ FLOAT TEAM/ BWH

* Excellent Care to Patients and Families • The Best Staff • In the Safest Environment
* In this Float - Staff Nurse job, you will care for patients at 15 Primary Care practices, which include Family Medicine, Health Centers, Pediatric Care and Adult Internal Medicine.
* The teams at each practice may vary but the goal is still the same: to provide high quality care for patients whether you are conducting a nurse only visit in clinic or providing care telephonically.

Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. At BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care in an inclusive environment. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment.

Just as we have been able to reinvent health care, we have also transformed health care careers. Whether measured in terms of lives saved, awards earned, or the personal satisfaction of stretching your talents - a career with BWH is unlike any other in the health care field. Here you'll find a workplace where collaboration and teamwork are the norm, not the exception - physicians, nurses, technicians, staff and management form a close-knit bond, based on mutual respect and devotion to our patients. The Primary Care Registered Nurse (staff RN) is an important member of the primary care multi-disciplinary team. Patients, families and the health care team work best as partners with shared goals for attaining optimal health and wellness. The RN is integral to providing the support and care necessary to achieving such goals. The primary responsibility of the staff RN is to provide excellent care to patients and families. The role requires the provision of care that is comprehensive and compassionate, delivered to a diverse, medically and socially vulnerable population. Patient Care Organization

* May perform all duties as described in the Brigham and Women's Registered Nurse Job Description to meet direct care requirements of the role.
* Functions effectively and safely within the scope of practice of the Registered Nurse to strengthen the practice and provide patient centered care.
* Provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels.
* Triages all urgent calls and assists with walk-ins. Sets priorities when organizing care based upon the acuity. Is aware of clinic flow and re-arranges provider schedules to accommodate the urgent care needs
* Assesses the care needs of patients with routine and chronic illnesses. Develops implements and re-evaluates an individualized nursing plan of care (PoC).
* Uses a variety of modalities to engage patients including nurse visits, telephonic and electronic communication (Gateway/Telehealth).
* Operating from a Human Caring framework, the RN implements a wide range of interventions/skills including coaching, education, counseling, motivational interviewing, referral and advocacy to services and resources as appropriate to promote health and wellness.
* Demonstrates knowledge of community resources and assists staff, patients, and families to effectively utilize them.
* Ensures effective coordination of care across the care continuum. Works with Partners, Brigham Health and Community partners including; home care, outpatient clinics, emergency/urgent care and hospital settings.
* Knowledge base should include basic health teaching, family planning education, and how to care for common pediatric/ adult illnesses.
* Facilitates the advanced care planning process, assisting patients and families to consider options and goals for future healthcare decisions. Documents advanced care goals in the EHR.

Team Based Care

* Serves as a resource person to other members of the team around the care needs of patients and provides support to other members of the clinical and administrative team in an accessible, open manner. Willing to educate and mentor clinical support staff as needed. Is able to delegate safely and effectively to support staff tasks that are within scope of practice.
* Coordinates care across members of the team in accordance with patient care needs, team member capabilities and qualifications, utilizing team members strategically to provide safe and effective care at the top of licensure, education and training.
* Evaluates effectiveness of care given by the multi-disciplinary care team, identifies problems and guides members toward solutions promoting health. Facilitates the improvement of the patient's ability to self-manage prevention and behavioral health issues and placing emphasis on transitional care, prevention, and wellness.
* Communicates effectively and clearly with members of the care team regarding patient status and needs.

BWH Professional Practice Model Qualities:

BWH Primary Care Registered Nurses practice from a Human Caring framework using the Caritas Processes and demonstrating the tenants of the Professional Practice Model:

* Scholarship
* Relationship Based Care
* Utilizes time and materials in an effective and economical manner.
* Provides suggestions which support the delivery of cost effective healthcare to patients and families.
* Is familiar with accountable care regulations and demands.

At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Graduate of an approved school of nursing or currently enrolled in a direct entry MSN program, with current registration in Massachusetts.
* For newly licensed nurses a Bachelor of Science Degree in Nursing or BSN equivalency in a direct entry Master of Science Nursing program is required. Recent Telephone Triage experience required (recent is within 3 years).
* Recent Ambulatory Care experience required (Surgical/Procedural excluded).
* At least 2 years Primary Care nursing experience required.
* Adult Ambulatory patient experience required.
* Pediatric Ambulatory patients experience preferred.
* Bilingual Spanish/English preferred.

Demonstrated knowledge of both hospital-based and community-based care and resources required.
* Clinical knowledge and expertise includes basic health teaching, family planning education, knowledge of advanced care directives, care for common illnesses.
* Motivational interviewing/Health Coach Certificate preferred /willing to achieve within two years of hire.
* Technical dexterity, in addition to Epic, must possess a demonstrated ability to work with a variety of information systems and databases, including but not limited to: MS, Access, Excel - required.
* Ability to be flexible and maintain equanimity in a fast paced, rapidly changing clinical setting - required.
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