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STAFF NURSE- ALLERGY CLINIC/ PER DIEM Rotating/ BWH- CHESTNUT HILL

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

Job Summary

GENERAL SUMMARY/OVERVIEW STATEMENT

The RN is a professional nurse registered in Massachusetts who is responsible and accountable for a specified group of patients in Allergy and Clinical Immunology at 850 Boylston Street Chestnut Hill and other off-site locations including but not limited to Brigham Medical Specialties at the Brigham Main Campus Foxboro Medical Specialties Faulkner Medical Specialties and Hale Rheumatology.

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 Nurse 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.

Typical Schedule and Locations:

** Days are 8 hours. Clinical Hours of Operations Monday - Friday generally 7:30 - 5:00
** Will work at Allergy clinics at various off site locations.

PRINCIPAL DUTIES AND RESPONSIBILITIES:
CLINICAL PRACTICE
A. Organization of Patient Care
for assessing planning implementing and evaluation a plan of care for a specific patient assignment.
priorities when organizing care for patients with varying acuity which includes primary and associate patients.
is maintained through clear and concise communication (verbal and written).
B. Quality of Care
is clear complete concise and in compliance with nursing documentation standards.
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.
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.
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 X-rays.
the effectiveness of the plan of care and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
actively in the departmental and organization quality management and/or quality improvement programs. Is responsible for maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetual inventory of samples for the department.
a safe environment for patients staff family and visitors.
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).
nursing procedures safely and efficiently.
equipment safely and efficiently. Performs pre and post bronchodilator spirometry.
awareness of potential/actual risks of infection and modes of transmission. Utilizes universal precautions in nursing practice.
performs all nursing functions necessary in the ambulatory practice including the administration of medication and injections and other procedures that require a nursing license.
patient telephone calls and accurately relays information to the appropriate physician.
PROFESSIONAL ATTRIBUTES
CLINICAL PRACTICE
A. Professional Nursing Behavior
with patients families and colleagues in a professional manner.
with other discipline(s).
utilizes and evaluates department-specific standards of care.
in the department-based and organization quality assurance.
in determining and implementing goals and objectives for the department.
the ANA code of ethics and acts as a role model to the other staff members.
in determining goals and objectives in the periodic review and evaluation.
on the departmental and organization committees and disseminates information to peers.
all patients with dignity compassion and respect.
B. Education
responsibility for personal and professional growth through identification of own learning needs.
knowledge and experience with colleagues.
in departmental and organization education programs.
and accepts guidance for addition learning needs.
C. Research
nursing research findings in clinical practice.
to nursing and/or medical research endeavors by supporting Investigations.
PARTICIPATORY MANAGEMENT
A. Budget
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.
inventory of necessary supplies and equipment: notifies supervisor when items are needed.
stocks patient care area and makes cost effective use of supplies equipment and other resources.
all patient-care areas and work areas neat and clean.
utilizes all equipment and supplies.
suggestions that support the delivery of cost effective health care.
awareness of the need to manage within established budgetary boundaries.
B. Personnel
in the orientation of new staff members students.
input into the clinical evaluation of other staff as appropriate.
responsibility for the department in the absence of leadership personnel.
to hospital and nursing policies and aids in their interpretation to others.
change in policies and procedures through appropriate channels.
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.
collaborative work relationships and influences other to work collaboratively.
decisions and actions on understanding the perspective of others.
a role model to other in service standards.
professionally with fellow employees and other ancillary departments.
supportive of fellow employees and uses initiative in helping others.
an effective TEAM PLAYER!
instructions of and assists supervisory staff as required. Maintains good communication with and reports problems to supervisor.
all duties and tasks as requested by the supervisor to ensure the efficient overall performance of the facility.
all required staff meetings.
reliable and dependable.
have flexibility with schedule.

Education:

• 1. Current or recent experience in an ambulatory outpatient office visitsetting required.

• 2. Current or recent pediatric experience required.

• 3. Current or recent experience in Allergy required.

• 4. Current or recent Procedural experience required.

• 5. Current knowledge and experience with telephone triage required.

• 6. Current experiencewith the following skills preferred:

• 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 desensitizations.

• Knowledge and experience with McKesson medication ordering.

• Knowledge and experience with entering charges for Allergy testing.

AdditionalJobDescription

Onsite

850 Boylston Street

0

Per Diem

Rotating (United States of America)

The Brigham and Womens Hospital Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a 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. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .

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