Staff Nurse Per Diem Days - Bwh Allergy Clinic 850 Boylston

GENERAL OVERVIEW: 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 Departments 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 director or supervisor. PRINCIPAL DUTIES AND RESPONSIBILITIES: CLINICAL PRACTICE: A. Organization of Patient Care 1. Accountable for assessing planning implementing and evaluating a plan of care for a specific patient assignment. 2. Sets priorities when organizing care for patients with varying acuity. 3. Maintain continuity through clear and concise (verbal and written) communication. 4. 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: 1. Documents patient care in a manner that is clear complete concise and in compliance with nursing documentation standards. 2. 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 intraagency referral and previous medical records. 3. Develops a comprehensive educational plan for the patient and family utilizing appropriate resources and documents according to the departments documentation standards. 4. Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources. 5. 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. 6. Participates actively in the unitbased and organizational quality management and/or quality improvement programs. 7. Provides a safe environment for patients staff family and visitors. 8. Administers medication safely according to established policies and procedures. 9. Performs nursing procedures safely and efficiently. 10. Uses equipment safely and efficiently. 11. Demonstrates awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice. C. Coordination/Collaboration: 1. Interacts with patients families and colleagues in a professional manner. 2. Collaborates with other discipline(s). 3. Develops utilizes and evaluates unitspecific standards of care. 4. Upholds the A.N.A. code of ethics and acts as a role model to other staff members. 5. Participates in determining and implementing goals and objectives for the unit. 6. Participates in determining goals and objectives in the periodic review and evaluation. 7. Serves on unitbased and organizational committees and disseminates information to peers. D. Education: 1. Assumes responsibility for personal and professional growth through identification of own learning needs. 2. Shares knowledge and experience with colleagues. 3. Participates in unitbased and organizational educational programs. 4. Seeks and accepts guidance for additional learning needs. E. Research: 1. Utilizes nursing research findings in clinical practice. 2. Contributes to nursing and/or medical research endeavors by supporting investigators. F. Budget: 1. Utilizes time and materials in an effective and economical manner. 2. Provides suggestions which support the delivery of cost effective health care. 3. Assesses patients acuity accurately when making decisions regarding staffing transfers and assignments. 4. Demonstrates awareness of the need to manage within established budgetary boundaries. G. Personnel: 1. Participates in the orientation of new staff members students and others as appropriate. 2. Provides input into the clinical evaluation of other staff as appropriate. 3. Assumes responsibility for the unit in the absence of leadership personnel. 4. Adheres to hospital and nursing policies and aids in their interpretation to others. 5. Recommends change in policies and procedures through appropriate channels. 6. Participates in the cooperative effort and peer support required for the smooth running of the unit e.g. flexibility in relation to patient assignments shift assignment or work schedule. Day Shift.This is a Per diem position.Weekend Rotation per MNA Contract.QUALIFICATIONS: A. Education: 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. B. Experience: Prior experience not required unless specified for certain specialty areas. C. Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged. 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 team work 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. GENERAL SUMMARY/OVERVIEW STATEMENTThe RN is a professional nurse registered in Massachusetts who is responsible and accountable for a specified group of patients in the Allergy Department at 850 Boylston Street Chestnut Hill. Demonstrates initiative knowledge and clinical skills in caring of patients with complex needs. Demonstrates the ability to effectively manage patients by assuming full responsibility for assessment planning implementation and evaluation of patient care. The RN is directly responsible to the Medical Director and Practice Manager. The RN is responsible for administration of allergen immunotherapy/desensitization allergy testing oral challenge techniques mixing and dilution of allergen extracts patient education of allergen environmental control measures and the use of metered dose inhalers breath activated inhalers spacers etc. performing pre and post bronchodilator spirometry. RN is responsible for telephone call triage and contacting patients for changes in management. This position is also responsible for maintaining the departments perpetual inventory of samples and dispensing such samples per the direction of the physicians.PRINCIPAL DUTIES AND RESPONSIBILITIES:CLINICAL PRACTICEA. Organization of Patient Care1. Accountable for assessing planning implementing and evaluation a plan of care for a specific patient assignment Sets priorities when organizing care for patients with varying acuity which includes primary and associate patients. Continuity is maintained through clear and concise communication (verbal and written). B. Quality of Care1. Documentation is clear complete concise and in compliance with nursingdocumentation 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 intraagency referral and previous medical records. Plan of care includes education for the patient and family utilizing appropriate resources. Specifically advising patient and family regarding allergen environmental control measures and us of metered dose inhalers breath activated inhalers breath activated inhalers spacers etc. Accurately communications the physicians instructions to the patient. Follows office protocol and physician direction when calling prescriptions to pharmacies as well as with all other practice procedures. Plan of care reflects discharge planning utilizing appropriate resources and referrals including community resources. As ordered by the physician discharge care includes blood tests skin tests pulmonary function test and reversal EKG immunotherapy and/or Xrays. 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. Patricipates actively in the departmental and organization quality management and/or quality improvement programs. Is responjsible for maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetual inventory of samples for the department. Provides a safe environment for patients staff family and visitors. Administers medication safely according to established policies and procedures. Administers allergen immunotherapy/desensitization allergy testing oral challenge testing. Prepares dilutes and mixes allergen extracts according to established policies and procedures. Takes vital signs and performs PFTs (pulmonary function tests). Performs nursing procedures safely and efficiently. Uses equipment safely and efficiently. Performs pre and post bronchodilator spirometry. Demonstrates awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice. Accurately performs all nursing functions necessary in the ambulatory practice including the administration of medication and injections and other procedures that require a nursing license. Triages patient telephone calls and accurately relays information to the appropriate physician PROFESSIONAL ATTRIBUTESCLINICAL PRACTICEA. Professional Nursing Behavior1. Interacts with patients families and colleagues in a professional manner.2. Collaborates with other discipline(s)3. Develops utilizes and evaluates departmentspecific standards of care.4. Participates in the departmentbased and organization quality assurance.5. Participates in determining and implementing goals and objectives for the department. Upholds the ANA code of ethics and acts as a role model to the other staff members. Participates in determining goals and objectives in the periodic review and evaluation. Serves on the departmental and organization committees and disseminates information to peers. Treats all patients with dignity compassion and respect. B. Education1. Assumes responsibility for personal and professional growth through identification of own learning needs2. Shares knowledge and experience with colleagues.3. Participates in departmental and organization education programs.4. Seeks and accepts guidance for addition learning needs.C. Research1. Utilizes nursing research findings in clinical practice.2. Contributes to nursing and/or medical research endeavors by supporting investigations.PARTICIPATORY MANAGEMENTA. 1. Utilize time and materials in an effective and economical manner Keep all patient care and procedure equipment clean an in good working order and report equipment problems to supervisor. Keeps inventory of necessary supplies and equipment: notifies supervisor when items are needed. Properly stocks patient care area and makes cost effective use of supplies equipment and other resources. Keeps all patientcare areas and work areas neat and clean. Accurately utilizes all equipment and supplies. Provides suggestions that support the delivery of cost effective health care. Demonstrates awareness of the need to manage within established budgetary boundaries. B. Personnel1 Participates in the orientation of new staff members students.2. Provides input into the clinical evaluation of other staff as appropriate.3. Assumes responsibility for the department 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 department e.g. flexibility in relations to patient assignment or work schedule. Promotes collaborative work relationships and influences other to work collaboratively. Bases decisions and actions on understanding the perspective of others. Is a role model to other in service standards. Interacts professionally with fellow employees and other ancillary departments. Is supportive of fellow employees and uses initiative in helping others Is an effective TEAM PLAYER! Follows instructions of and assists supervisory staff as required. Maintains good communication with and reports problems to supervisor. Performs all duties and tasks as requested by the supervisor to ensure the efficient overall performance of the facility. Attends all required staff meetings. Is reliable and dependable. Must have flexibility with schedule. QUALIFICATIONSA. Education: Graduate of an approved school of nursing with current registration in Massachusetts.B. Knowledge and Experience of;1. Knowledge and experience in administration of allergen immunotherapy/ desensitization. Knowledge and experience in methods of allergy testing (patch/puncture Scratch intradermal) Knowledge and experience in oral challenge technique. Oral challenges include foods as well as medications. Knowledge and experience in preparation and mixing of allergen extracts. Knowledge and experience in dilution of allergen extracts. Knowledge and experience in patient education regarding allergen environmental control measures and use of metered dose inhalers spacers etc. Knowledge and experience in the performance of pre and post bronchodilator spirometry. Knowledge and experience with chemotherapeutic skin tests including by not limited to carboplatin cisplatin cytoxan taxol oxaliplatin and avastin. Knowledge and experience with mixing venoms and skin testing to venoms. Knowledge and experience with penicillin skin tests. Knowledge and experience with aspirin desentizations C. Other: Must maintain annual competencies related to practice protocol Must attend mandatory annual inservices Maintain current licensure by completing educational requirements needed for renewal. Must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills. Brigham and Womens Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race sex color religion national origin sexual orientation protected veteran status or on the basis of disability.