Infusion Nurse, 24 Hours

STAFF NURSE/24 HOURS/PART TIME/VARIABLE/ROTATING SHIFT/BWH INFUSION DEPARTMENT

Excellent Care to Patients and Families The Best Staff In the Safest Environment

• Providing care for patients (Ambulatory Infusion area)
• Registered Nurse work locations include, but not limited to, Main Campus Boston, 850 Boylston in Chestnut Hill and other off site locations, and to be determined by clinical and staffing needs.
• Working collaboratively to provide excellent care to patients and families in the safest environment.

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. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for.

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. If you want an enormously fulfilling career, there's no better place to be.

The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse 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 patient care and is directly responsible to a designated nurse manager, or supervisor.

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. We have a dedicated focus on equity. 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.

PRINCIPAL DUTIES AND RESPONSIBILITIES

CLINICAL PRACTICE

A. Organization of Patient Care

• Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment.
• Sets priorities when organizing care for patients with varying acuity.
• Maintain continuity through clear and concise (verbal and written) communication.
• Demonstrates appropriate knowledge of growth and development of the adult and geriatric patient. In areas, such as the NICU and Obstetrics the principals of growth and development are applicable to the neonate.

B. Quality of Care

• Documents patient care in a manner that is clear, complete, concise and in compliance with nursing documentation standards.
• Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
• Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department's documentation standards.
• Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
• Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
• Participates actively in the unit-based and organizational quality management and/or quality improvement programs.
• Provides a safe environment for patients, staff, family and visitors.
• Administers medication safely according to established policies and procedures.
• Performs nursing procedures safely and efficiently.
• Uses equipment safely and efficiently.
• Demonstrates awareness of potential/actual risks of infection and modes of transmission.
• Utilizes universal precautions in nursing practice.

C. Coordination/Collaboration

• Interacts with patients, families, and colleagues in a professional manner.
• Collaborates with other discipline(s).
• Develops, utilizes and evaluates unit-specific standards of care.
• Upholds the A.N.A. code of ethics and acts as a role model to other staff members.
• Participates in determining and implementing goals and objectives for the unit.
• Participates in determining goals and objectives in the periodic review and evaluation.
• Serves on unit-based and organizational committees and disseminates information to peers.

D. Education

• Assumes responsibility for personal and professional growth through identification of own learning needs.
• Shares knowledge and experience with colleagues.
• Participates in unit-based and organizational educational programs.
• Seeks and accepts guidance for additional learning needs.

E. Research

• Utilizes nursing research findings in clinical practice.
• Contributes to nursing and/or medical research endeavors by supporting investigators.

F. Budget

• Utilizes time and materials in an effective and economical manner.
• Provides suggestions which support the delivery of cost-effective health care.
• Assesses patient's acuity accurately when making decisions regarding staffing, transfers and assignments.
• Demonstrates awareness of the need to manage within established budgetary boundaries.

G. Personnel

• Participates in the orientation of new staff members, students and others as appropriate.
• Provides input into the clinical evaluation of other staff, as appropriate.
• Assumes responsibility for the unit in the absence of leadership personnel.
• Adheres to hospital and nursing policies and aids in their interpretation to others.
• Recommends change in policies and procedures through appropriate channels.
• Participates in the cooperative effort and peer support required for the smooth running of the unit, eg, flexibility in relation to patient assignments, shift assignment, or work schedule.

• Graduate of an approved school of nursing with current registration in Massachusetts.
• For newly licensed nurses a Bachelor of Science Degree in Nursing is required.

• Current, proficient IV skills required.
• Current, experience with Central Lines required.
• At least 1 year Medical Surgical Experience, Emergency Department or Critical Care required.
• A minimum of 6 months experience in an Ambulatory Infusion Center required.
• EPIC experience preferred.
• Previous experience in ambulatory setting preferred.

SKILLS AND ABILITIES REQUIRED

The RN must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills and the ability to set priorities. Must be able to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.

WORKING CONDITIONS

Works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation. Work entails walking and lifting.

Lifting, Pushing and Pulling Policy Statement (effective 3/7/20111): The Department of Nursing has adopted the National Institute for Occupational Safety and Health (NIOSH)-recommended maximum weight limit of 35 lbs. for lifting, and a reasonably comparable standard for pushing and pulling, as part of the physical requirements for this position.

SUPERVISORY RESPONSIBILITY

Functionally responsible for the supervision of other RNs, technical and support personnel.

• Membership in professional organizations is recommended and certification in a specialty area is encouraged.

• Must be able to work weekend rotation per MNA contract.