RN/Registered Nurse
3 weeks ago
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**Date Posted:** 08/08/2024
**Requisition Number:** 6603
**Location:** CHA Cambridge Hospital
**Work Days:** 7:00am-3:30pm and 3:00pm-11:30pm, Every Other Weekend
**Category:** Registered Nurse
**Department:** Professional Psych Cahill 4
**Job Type:** Full time
**Work Shift:** Evening / Nights
**Hours/Week:** 36.00
**Union:** Yes
**Union Name:** MNA Cambridge
**DEPARTMENT DESCRIPTION:**
Cahill 4 is an adult Psychiatric locked unit. There are 18 beds available on this inpatient unit of which we see various types of psychiatric illnesses such as Schizophrenia bi-polar and affective disorders, Personality disorders, Duel diagnosis, Adjustment disorder, Psychosis, and use DBT/CBT Group Therapy. According to DMH we have a lower than average restraint rate, use sensory approach to de-escalating patients, and all staff are educated in trauma informed care with provides each patient with individualized care.
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 ava
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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