Nurse Specialist

3 weeks ago


Brighton, Michigan, United States Mass General Brigham Full time
Job Summary

Mass General Brigham is seeking a skilled Registered Nurse to join our team in Brighton, MA.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Shift: 8 hours, nights
  • Employment Type: Staff

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. When determining base pay, we take a comprehensive approach that considers your skills, relevant experience, education, certifications, and other critical factors.

The Registered Nurse renders highly professional and technical nursing care to assigned patients. The Registered Nurse provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). Oversees other assigned team members and collaborates with a multidisciplinary team to provide population-specific care in accordance with the BORN regulations and professional standards of care.

The STAT Registered Nurse supports the care of unstable and critically ill patients throughout the Hospital when census and/or acuity dictate. The Device Clinic RN performs a variety of patient care and technical duties in our outpatient Device Clinic, including interrogation and programming; trans-telephonic pace-maker follow-up; and follow-up of patients participating in research studies and clinical trials in cardiac pacing.

Key Responsibilities
  • CAREfirst Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building.
  • Follows departmental policies and procedures.
  • Contributes to the overall quality of services.
  • Assumes responsibility for keeping informed about changes.
  • Makes independent decisions within the scope of nursing practice.

The Registered Nurse uses the nursing process and evidence-based practice to ensure quality patient care is provided throughout the episode of care. The Registered Nurse assesses the patient's physical, psychological, spiritual, cultural, and social needs. Provides competent and compassionate care specific to the unique needs of the individual patients and populations served.

The Registered Nurse individualizes care in consideration of the patient's age, developmental, or physical abilities (including obesity); spiritual, religious or cultural practices; economic status; literacy skills; communication skills; cognitive abilities; and gender or sexual orientation. Updates knowledge and skill of populations served to meet patient care needs.

The Registered Nurse applies knowledge of illness, injury, and disease in the assessment process and recognizing those symptoms that need immediate intervention. Individualizes a plan of care based on assessments and in collaboration with the patient/family/significant other, as well as, appropriate resources and multidisciplinary team members.

The Registered Nurse engages patient/family/significant others as partners in caring. Updates plan of care and nursing documentation based on continuing assessments. Implements clinical and technical aspects of care and physicians' orders in compliance with standards of practice and standards of care.

The Registered Nurse evaluates the patient/family/significant other's responses to established goals and interventions and revises the plan of care based upon this evaluation. Demonstrates the ability to set priorities when planning and implementing patient care. Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan.

The Registered Nurse recognizes change in patient's physical and mental status and informs physician and/or another health care professional. Collaborates with Case Managers to anticipate discharge needs and address barriers. Identifies person primarily responsible for care at home and includes them in patient teaching and discharge planning.

The Registered Nurse creates and maintains a safe and therapeutic environment for patients, self, and co-workers. Uses two patient identifiers to match the correct patient with the correct care, treatment, or services. Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures.

The Registered Nurse safeguards the rights of patients and hospital personnel to privacy by judiciously protecting information of a confidential manner. Provides patient comfort and hygiene. Demonstrates proper use of equipment and supplies according to established procedures.

The Registered Nurse assesses the patient's need prior to application of restraints and utilizing alternative measures for restraints when appropriate. Demonstrates proper technique and calibration of equipment when performing point of care testing. Assures equipment is operational and safe or removed from service.

The Registered Nurse responds appropriately to emergency situations. Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices. Treats patients and family in a non-judgmental respectful manner. Takes the initiative to advocate for the patient.

The Registered Nurse makes patient aware of his rights and responsibilities. Provides emotional, psychological, and spiritual support to patient and family needs. Assures quality of nursing practice through participation in performance improvement activities.

Incorporates performance improvement recommendations into daily practice. Controls patient care cost through efficient management of supplies and services. Participates in performance improvement activities by evaluating outcomes of patient care and making recommendations for appropriate revisions to the individualized plan of care.

The Registered Nurse ensures complete, accurate, and timely written communication of patient information. Completes consistently all parts of the documentation system per hospital/unit policies. Ensures appropriate documentation on or in patient's discharge instructions.

The Registered Nurse documents patient's progress or lack of progress in a chronologically accurate and organized format. Provides safe, accurate, and timely medication and IV administration. Consistently uses the '5 rights' when administering medication to patients.

Scans patient, medication, and self barcodes where applicable. Demonstrates knowledge of drug action and appropriate nursing interventions for adverse drug reactions. Verifies or rectifies patient medication record per unit protocols.

The Registered Nurse demonstrates critical assessment of correct drug, appropriate dose, and correct pump settings when caring for patients with continuous large volume infusion, PCA, or Epidural. Demonstrates/verbalizing appropriate recognition, reporting of medication variances and problems with the medication process.

Verifies and analyzes appropriateness of medication/IV fluid orders. Ensures correct infusion rates when administering medications using the infusion.



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