RN I, Clinical Nurse Ambulatory

Job Profile Summary 

​This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders.  In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed.  Provides professional nursing care to patients. Requires a nursing license.   A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs.  The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education.   An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience.  Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts, policies and practices. 

Hours: 40 hours weekly, day shifts, flexible hours

Location: 310 Broadway, Suite 300, Revere, MA 02151

Minimum Qualifications: 

1. Massachusetts RN Licensure. 

2. Two (2) years of clinical nursing experience. 

3. Current Basic Life Support (BLS) Certification. 

Preferred Qualifications: 

1. Bachelor of Science in Nursing (BSN). 

2. Three (3) years of clinical nursing experience. 

3. Department Specific: Certification(s) relevant to the department and the type of patient care being provided. 

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list.  Other duties and responsibilities may be assigned. 

1. Performs nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to, vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel. 

2. Shows respect for patients/family dignity and privacy in all patient/family interactions. Establishes and maintains mutual trust within the nurse-patient/family relationship.   

3. Assesses and identifies expected patient outcomes based on diagnosis, data, and patient’s concerns.  

4. Listens and acknowledges patients/family knowledge of self and engages their participation in care.  Identifies cultural needs (i.e. language, etc) to develop a care plan that enhances the health care experience. Recognizes patient/family rights through support of their informed decisions and advanced directives. 

5. Develops and implements individualized outcomes-based care plans incorporating the patient and family’s readiness and barrier to learning. Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health. 

6. Utilizes evidence-based interventions and treatments specific to the diagnosis or problem. 

7. Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. Documents the implementation and any modifications, including changes or omissions, of the identified plan. 

8. Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards 

9. Safely administers and assesses the patient response to medication utilizing essential knowledge of pharmacology and Hospital and Department Standards of Care 

10. Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes including patient response and if desired outcomes have not been achieved. 

11. Develops, communicates, and coordinates a comprehensive discharge plan utilizing appropriate resources and referrals to community resources to ensure a seamless transition for the patient and their family. 

12. Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department’s documentation standards. 

13. Participates in hospital and/or unit based patient safety, quality improvement, and process improvement activities to support and improve patient outcomes.  Activities may include data collection, analysis and evaluation. 

14. Provides leadership at the bedside as a delegator, collaborator, facilitator, and communicator. 

15. Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment. 

16. Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds. 

17. Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities 

18. Identifies and treats both internal and external customers with courtesy, respect and caring behavior. Acknowledges cultural differences that exist among staff and patients. 

19. Participates in lifelong learning activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals. 

20. Incorporates new knowledge and strategies to initiate change in nursing care practices 

21. May assume charge nurse functions in collaboration with unit leadership 

22. Precepts and mentors newly hired staff and nursing students 

23. Seeks out advanced certification opportunities and ongoing education opportunities 

24. Investigates available technology and resources to apply evidence based practice and research into daily professional activities 

25. Promotes unit and organizational growth through a shared governance model 

26. Attends and actively participates in staff meetings.  Accepts responsibility for reading staff meeting minutes when not able to attend. 

27. Practices in accordance with the Massachusetts Nurse Practice Act, American Nurses Association scope and Standards of Practice, Quality Caring framework and professional practice model at Lowell General Hospital. 

What We Offer: 

• Competitive salaries
• Medical, dental, vision insurance that start on day one
• 403(b) retirement plan with company match
• Generous earned time benefits
• Tuition reimbursement
• Clinical mobility tracks
• Free on-campus parking

About MelroseWakefield Hospital:

MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston.  MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians.

Core to our values, MelroseWakefield Hospital’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.

The RN I, Clinical Nurse Ambulatory role involves delivering professional nursing care to patients in accordance with physician orders, assessing their needs and implementing individualized care plans. This position requires an RN license, along with clinical nursing experience, and involves oversight and coordination of care within a healthcare setting. The nurse promotes a therapeutic environment for patients and collaborates with healthcare teams to ensure optimal patient care and outcomes.

Clinical Nurse, Registered Nurse, Patient Care, Healthcare, Nursing, Nursing License, BLS Certification, Patient Assessment, Care Plans, Health Education