Critical Care Nurse jobs at Beth Israel Lahey Health

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. REGISTERED NURSE-Intensive Care Unit New England Baptist Hospital -Boston Opportunity for an experienced Critical Care Nurse to join our 10 Bed ICU supporting post op Orthopedic/ Spine patient population. *****NEW HOURLY RATES Job Description: REGISTERED NURSE ICU - Per Diem Position Summary: The Registered Nurse supporting the ICU assures competent, compassionate and individualized nursing care for a group of patients within a unit or other primary area of practice. Ensures that care is safe, efficient, effective, timely, and meets the cultural, spiritual, and ethnic needs of patients and their families consistent with New England Baptist Hospital's mission and core values. Collaborates with other members of the patient care team to plan and coordinate patient care goals and achieve optimal patient outcomes. Recognizes patient care needs and works to establish a comprehensive plan of care. Responsible for maintaining patient confidentiality and privacy, ensuring compliance with HIPAA and New England Baptist Hospital standards, policies and procedures. Consistently meets the NEBH Clinical Nursing I and Clinical Nursing II Competencies. Job Requirements Education/Licensure and Certifications: BSN required. Current/Valid Nursing professional license in the Commonwealth of Massachusetts required. American Heart Association Basic Life Support (BLS) Certification and ACLS Required. Experience and Skills: Current ICU experience required. Pay Range: $37.00 - $95.37 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** The Cardiac ICU (CCU) is an 15-bed cardiac intensive care unit that uses advanced therapies and technologies to care for acute patient populations. The staff works together to address complex patient needs in a supportive environment. We are seeking candidates interested in advancing their nursing practice and learning alongside outstanding clinical mentors. As a multidisciplinary unit within a major academic medical center, extensive training is provided to our nurses to grow their skills via a phased approach. The team works with patients with acute coronary syndromes, arrhythmias, and those who've experienced cardiac arrest. The CCU is also involved in caring for individuals with congestive heart failure, including patients implanted with a ventricular assist device (VAD) or other heart pumps. Mechanical circulatory support in the CCU includes IABP, Impella, and the use of VA ECMO. In addition, CCU nurses manage patients requiring invasive monitoring, vasoactive medications, continuous renal replacement therapies, and ventilator support. The unit is located in the Klarman Building, a state-of-the-art patient care environment. The spectacular new space is designed to optimize the experience for patients and providers and includes a rooftop healing garden for patients, families, and caregivers. This is a full time position, 36 hours per week, rotating day and night schedule. **Job Description:** **Job Summary:** The BIDMC Nursing Mission is to build on a legacy of nursing excellence by caring with compassion, advancing the art & science of nursing, and advocating for the health of patients, families, and communities. The Clinical Nurse II utilizes the nursing process as the frame of reference for practice as a professional registered nurse and provides direct nursing care to patients and families. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department. **Essential Responsibilities:** 1. Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically assessing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation. Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients 2. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their families. Demonstrates the ability to identify resources necessary to implement the plan of care. 3. Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families. Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. 4. Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates in activities that contribute to professional development of self May participate in quality improvement activities. 5. Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety **Required Qualifications:** 1. Graduate from an accredited Nursing Program required. Baccalaureate degree in Nursing strongly preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. 3. 1-3 years related work experience required. 4. Basic familiarity with computers. Ability to navigate at a basic level within web-based applications. **Preferred Qualifications:** 1. Experience in a teaching hospital and specialty area expertise **Competencies:** 1. Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. 2. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. 3. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. 4. **Written Communications:** Ability to communicate clearly and effectively in written English with internal and external customers. 5. **Oral Communications:** Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. 6. **Knowledge:** Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. 7. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. 8. **Customer Service:** Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. **Age based Competencies:** Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. **Physical Nature of the Job:** Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. **Pay Range:** $38.00 - $98.19 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Registered Nurse ICU/CCU 36 Hours NightsSign-on Bonus of $3,500. 00 available for experienced RN's (2 + years of experience required) Job Description:RN Cardiac ICU/Intensive Care ICU LHMCSign-on Bonus of $3,500. 00 available for experienced RN's (2 + years of experience required) About JobLahey believes that the nurse-patient relationship, continuity of care and personal accountability are central to the delivery of individualized high quality patient care. Our exceptional nurses provide extraordinary care to our patients. As Lahey continues to grow, we are seeking experienced and qualified nurses for our Coronary Care Unit (CCU) and Intensive Care Unit (ICU). The CCU/ICU is a 16-bed acute critical care area that focuses on the care of patients with cardiac disorders, hemodynamic challenges, cardiac arrest, respiratory failure, and hepato-renal failure. The CCU/ICU Nurses are a highly trained team that specializes in cardiac devices, ventilatory support and life-saving measures. Additionally, patients may require therapeutic hypothermia, intracranial pressure monitoring, CVVH, Intra-aortic Balloon Pump, and Ventricular Assistance. The CCU/ICU nurses are adept at titrating multiple drips and are keen observers of minute changes in their patients' status. The nursing team works collaboratively with the Pulmonary Critical Care and Cardiology teaching services, to provide cutting edge treatments and high quality patient care. Lahey Hospital & Medical Center utilizes EPIC for computerized charting and medication administration. Computerized self-scheduling is available along with every third weekend rotation. QualificationsBSN preferred At least 1 year of previous of Nursing experience in acute care or sub-acute setting required Critical Care and Telemetry experience preferred Current Massachusetts registered Nurse license required. Current American Heart Association Healthcare Provider BLS certification required ACLS certification with American Heart Association preferred Demonstrate critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC skills Lifting 75 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs Pay Range: $37. 00 - $95. 37The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. :Job DescriptionJoin Anna Jaques Hospital (AJH), a distinguished not-for-profit community hospital nestled in the picturesque coastal community of Newburyport, Massachusetts. Since 1884, AJH has been a cornerstone of healthcare excellence in the Merrimack Valley, North Shore, and Southern New Hampshire regions, renowned for our commitment to high-quality care and exceptional patient satisfaction. Located just 35 miles northeast of Boston, AJH offers the perfect blend of a supportive community hospital environment and the vast opportunities that come with being part of Beth Israel Lahey Health, one of the largest healthcare systems in the region. As a member of our team, you'll be part of a network of over 39,000 caregivers and staff dedicated to providing extraordinary care to more than 1. 7 million people from 150+ cities and towns across Eastern Massachusetts and Southern New Hampshire. Discover a rewarding career at AJH, where you can make a meaningful impact within a close-knit community while advancing your professional growth within a thriving healthcare system. Are you ready to become a part of our dynamic Critical Care team?Responsibilities include but are not limited to: Utilizes critical thinking skills and the teaching of evidence-based practice. Utilizes Standard Universal Precautions. Advocates for patients and families to ensure positive patient care outcomes. Documents all changes as well as relevant information regarding patient's response to intervention, therapeutic regimens, and patient progress as it relates to plan of care and patient's response to teaching. Responds to patient needs in a timely manner, including answering call lights. Considers the impact of a critical illness and the critical care environment on the patient and family. Completes admission and on-going assessments based on patient needs within appropriate time frame. Demonstrates clinical competency and follows standards of care, policies and procedures. Continually insures patient safety by compliance with, but not limited to, hospital policies and procedures, HIPPA, the Joint Commission Patient Safety Goals and Universal protocol. Acts in accordance with Critical Care Nursing Standards. Utilizes appropriate clinical decisions in a rapidly changing environment. Monitors hemodynamic status. Demonstrates clinical proficiency in caring for the critically ill patient. Responds appropriately in an emergency situation. Scheduled Hours: 36 hr/wk, rotating weekend/holiday coverage. Work Shift: Night - 7p - 7aEducation Required: Must be a graduate of an accredited nursing program. BSN preferred. Licenses, Registrations, Certifications Required:State of Massachusetts RN licensure (or eligibility) BLSACLSExperience: Previous experience in critical care preferred. Previous hospital experience preferred. Benefits working at Anna Jaques Hospital:Tuition ReimbursementCareer Development and OpportunitiesFree On-Site ParkingDiscounts/Savings on various businesses. Health and Wellness activities Apply today and learn more! Pay Range: $35. 85 - $77. 82This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

LAHEY BURLINGTON IS A LEVEL 1 TRAUMA CENTERAs we continue to grow, we are seeking experienced and qualified nurses for our Emergency Department. The experienced and highly skilled nurses in the ED provide care to patients that have been in accidents or have medical emergencies that need immediate attention. There is nothing our ED Nurses cant do. Our new spacious, state-of-the-art Emergency Department has: 44 beds in over 45,000 square feet Completely new entrances with a sun-filled reception area A convenient imaging suite Pharmacy Fast-track area Behavioral health suite Private treatment rooms Family waiting area and a family consultation room.At Lahey Hospital & Medical Center we utilize complete computerized charting (EPIC) for patient assessment and care documentation, and to electronically record medication administration for the delivery of all medications provided to their patients. Along with excellent critical thinking skills, a desire to exceed patient expectations and good interpersonal skills, we require: + State of Massachusetts RN licensure + At least one year of nursing experience in the ED is preferred + BLS Required (AHA or American Red Cross) + ACLS preferred **Pay Range:** $37.00 - $95.37 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Emergency Department RN 24 hours (nights) Job Description:LAHEY BURLINGTON IS A LEVEL 1 TRAUMA CENTERAs we continue to grow, we are seeking experienced and qualified nurses for our Emergency Department. The experienced and highly skilled nurses in the ED provide care to patients that have been in accidents or have medical emergencies that need immediate attention. There is nothing our ED Nurses cant do. Our new spacious, state-of-the-art Emergency Department has: 44 beds in over 45,000 square feet Completely new entrances with a sun-filled reception area A convenient imaging suite Pharmacy Fast-track area Behavioral health suite Private treatment rooms Family waiting area and a family consultation room. At Lahey Hospital & Medical Center we utilize complete computerized charting (EPIC) for patient assessment and care documentation, and to electronically record medication administration for the delivery of all medications provided to their patients. Along with excellent critical thinking skills, a desire to exceed patient expectations and good interpersonal skills, we require:State of Massachusetts RN licensure At least one year of nursing experience in the ED is preferred BLS Required (AHA or American Red Cross) ACLS preferred Pay Range: $37. 00 - $95. 37The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Join our 15-bed Neuroscience Intermediate Care Unit in the Rosenberg Building at BIDMC Boston, a world-renowned medical center and accredited Comprehensive Stroke Center, as part of The Brain Aneurysm Institute. Our nurse residency program provides a strong foundation in nursing while preparing you to care for a diverse Neuroscience patient population, including post-operative neurosurgery, stroke, neuromuscular disorders, traumatic brain injury, neuro-oncology, and epilepsy. You'll develop specialized skills to manage intermediate care patients requiring advanced monitoring-such as post-thrombectomy and TPA cases-along with caring for external ventriculostomy drains and initiating select vasoactive infusions. As a Clinical Nurse I, you'll participate in an innovative, evidence-based orientation designed to build clinical competence and confidence in Neuroscience nursing. Through a structured onboarding process, you'll gain expertise in caring for complex patients and strengthen your ability to deliver safe, high-quality care. In addition, you will be enrolled in our Transition to Practice Program-a year-long, hospital-wide initiative led by our Professional Development team. This program focuses on supporting new nurses throughout their first year, offering mentorship, education, and resources to ensure a successful transition into professional practice. Our success is rooted in teamwork. You'll collaborate with unit-based educators, clinical nurse specialists, rehabilitative support staff, and physician providers in a dynamic environment that values compassion-for patients and for each other. We're looking for candidates eager to advance their Neuroscience nursing practice, learn from outstanding mentors, and thrive in a multidisciplinary academic setting. Extensive training is provided through a phased approach to support your growth. Join us during this exciting time and be part of our evolving Neuroscience program!Job Description:Essential Responsibilities: Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically assessing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation. Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates initial awareness of environmental forces on health care of patients and their families. . Develops a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families. Learns to develop relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Begins to demonstrate the ability to act as a patient advocate Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety Required Qualifications:Bachelor's degree in Nursing preferred. License Registered Nurse required. , and Certificate 1 Basic Life Support required. 0-1 years related work experience required. American Heart Association - Basic Life Support CertificateBasic familiarity with computers. Ability to navigate at a basic level within web-based applications. Competencies:Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Age based Competencies:Employees in this job must be competent to provide patient care to the following age groups: Neonatal: Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. Pay Range: $38. 00 - $98. 19The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Surgical ICU/CT ICU 24-hour nights RNJob Description:Lahey believes that the nurse-patient relationship, continuity of care and personal accountability are central to the delivery of individualized high quality patient care. Our exceptional nurses provide extraordinary care to our patients. As Lahey continues to grow, we are seeking experienced and qualified nurses for our Surgical Intensive Care Unit (SICU) / Cardiothoracic Post-Anesthesia Care Unit (CT PACU). The SICU is a 24-bed acute intensive care area specializing in the care of patients following major trauma, postoperative multi-system failure and liver or kidney transplants. The experienced and highly skilled nurses in the SICU also provide care to patients following surgery in the CT PACU. The patient-to-nurse ratio is 1:1 or 2:1 throughout all shifts. Using the latest technologies, nursing staff provide care to patients requiring ventilatory support, hemodynamic monitoring, ICP monitoring, CRRT, IABP and BIVADS, in addition to providing support and comfort to the families of these patients. Lahey Hospital & Medical Center utilizes EPIC for computerized charting and medication administration. Computerized self-scheduling is available along with every third weekend rotation. QualificationsBSN required At least 1 year of previous of Nursing experience in acute care or sub-acute setting required Critical Care and Telemetry experience preferred Current Massachusetts registered Nurse license required. Current American Heart Association Healthcare Provider BLS certification required ACLS certification preferred Demonstrate critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, ability to follow verbal instructions, PC skills Lifting 75 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs Pay Range: $37. 00 - $95. 37The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Job Description:Winchester Hospital is a 5x Magnet designated, Top Massachusetts recognized 223-bed regional hospital that is the leading provider of comprehensive health care services in the northwest suburban Boston area. As a Registered Nurse for our Inpatient ED/ICU Float Pool Team, you will be responsible for the following:Complete assessments, administer medications/treatments, observes patients progress and evaluates therapies for clinical outcomes and effectiveness Collaborate with physicians and other medical professionals to develop an optimal health care strategy plan for each patient Support and educate patients and their loves ones to achieve maximum outcomes Qualifications:Graduate of a state-approved and/or accredited RN program required. Preferred: BSN strongly encouraged. Current license to practice as a Registered Nurse in the Commonwealth of MassachusettsWork experience in unit specific specialty preferred. Schedule: As needed Beth Israel Lahey Health (BILH) is an integrated health system dedicated to creating healthier communities - one person at a time - through seamless care and ground-breaking science, driven by excellence, innovation and equity. Founded in 2019, our system brings together academic medical centers and teaching hospitals, community and specialty hospitals, primary and specialty care, behavioral health and home care services, and more than 5,900 physicians and 36,000 employees to care for more than 1. 7 million patients in communities across Eastern Massachusetts and Southern New Hampshire. Together, we are changing healthcare for the better. Pay Range: $36. 00 - $90. 14The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Based North of Boston to service the areas of Waltham, Woburn, Lowell, Beverly, and adjacent - The Registered Nurse creates & develops patient care plans to direct the safe and appropriate administration of medication in the home or alternate site setting. Working with Home Infusion staff the Registered Nurse helps identify patients capable of successful self-administration, educates patients & caregivers on proper administration techniques & methods, coordinates discharge activities, administers or supervises administration of medication, provides IV site dressing care and phlebotomy services as ordered. Job Description:Primary Responsibilities:1. Practices in accordance with the state and federal laws, rules, and regulations, including but not limited to Massachusetts Board of Registration in Nursing, Department of Public Health, the Food and Drug Administration, the Drug Enforcement Administration, and the United States Pharmacopeia. 2. Assesses patient needs and capabilities for acceptance onto services for ordered therapies through physical assessment, chart review, patient interview. 3. Provides education with patient & caregiver as a condition of acceptance onto home infusion services (in person, via prerecorded videos or teleconference). 4. Collects necessary authorizations, paperwork, signatures when needed to support patient billing functions. 5. Effectively communicates with all members of patient discharge team (hospital based & pharmacy based). 6. Able to effectively manage patient census & demonstrate flexibility in scheduling to meet time sensitive patient needs. 7. Adheres to policies & procedures for medication handling, preparation, administration, disposal. 8. Advocates patient needs to prescribers or other clinicians through written or verbal communication. 9. Create patient specific care plan, documents patient progress towards goals. 10. Maintains accurate listing of all medications, supplements & diagnoses patient has. 11. Create discharge plan for patient upon completions of therapy as ordered, or if abrupt discontinuation is required. 12. Trains & mentors' staff. 13. Participates in continuous quality control exercises, policy & procedure review, performance improvement tasks. 14. Take part in clinical on-call rotation for after-hours patient support. Required Qualifications:1. Current licensure from the Massachusetts Board of Registration in Nursing. 2. Flexibility with hours worked to provide support evenings/weekends/holidays. 3. Current BLS certification4. 2 years of Infusion related experience required. 5. Valid Driver's license & auto insurance Preferred Qualifications:1. CRNI certification2. Current ACLS certification Competencies:Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers. Oral Communications: Ability to comprehend and converse in English to communicate effectively with staff, patients, families and external customers. Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. Adaptability: Ability to work in a fast paced environment and adapt to acute change. Social/Environmental Requirements:Health Care Status: HCW 3: Regular provision of service in a patient care area. Sensory Requirements: Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity feet, Conversation, Monitoring Equipment, Telephone, and Background Noise. Physical Requirements:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. This job requires constant walking, Endurance-working up to 4-6 hours without a break, frequent sitting, standing, twisting neck, twisting waist, Keyboard use, Reaching-above shoulder height, Reaching-below shoulder height, Lifting and carrying items weighing up to 10 lbs, pushing items weighing up to 10 lbs. There may be occasional bending neck, bending waist, Fine Manipulation using both hands, Pushing/Pulling using both hands. Pay Range: $37. 00 - $66. 70The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities in accordance with home care regulations, hospital regulations and payer guidelines. The registered nurse is also trained in caring for Acute Hospital Care at Home patients, delivering care in the patient's home, in partnership with the Command Center multidisciplinary clinical team. :Essential Duties & Responsibilities including but not limited to:Patient Care1. Assumes responsibility to coordinate patient care for the temporarily assigned caseload including but not limited to: appropriate delegation to LPN staff, patient condition change visits, and completion of OASIS time points. Accepts accountability for patient satisfaction scores and quality of care outcome measure results. 2. Completes and documents an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es). Develops a patient specific plan of care, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process. 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician. 5. Counsels the patient and family in meeting nursing and related needs. 6. Respects and supports patient and family's cultural beliefs and values, individual needs, health goals and treatment preferences. 7. Provides health care instructions to the patient as appropriate per assessment and plan of care. 8. Instructs, supervises and evaluates home health aide care provided every two (2) weeks. 9. Helps manage episode of care or coordination of care with the primary disciplines in accordance with evolving occupational therapy needs and continued eligibility for services. 10. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient. Communication1. Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition; obtains/receives physician's orders as required. 2. Attends regular case conferences and team meetings per Clinical Manager and as needed. 3. Communicates with team LPN when delegating appropriate visits. 4. Communicates with other disciplines on the care team and community providers to coordinate the care plan (i. e. Insurance case managers, high risk case managers, elder services, protective service, etc). 5. Practices confidentiality principles set by the agency and federal HIPAA guidelines. Documentation1. Demonstrates proficiency in OASIS completion2. Clinical visit notes explain the need for the skilled nursing service in light of the patient's overall medical condition and experiences; the complexity of the services performed and the plan for the next visit based on the rationale of prior results. 3. Completes documentation in accordance with agency timeliness policies. Hospital at Home Responsibilities:Essential Duties & Responsibilities including but not limited to:Clinical Roles and Responsibilities:· Maintain clinical practice in accordance with hospital regulations regarding assessment, care coordination, treatment interventions and documentation for diverse patient populations fitting the Acute Hospital Care at Home model. o Participate and complete Mandatory Education related to inpatient clinical care pertinent to Acute Hospital Care at Home patients as assigned by leadership. · Admit patients transferred to Hospital at Home in accordance to Hospital at Home guidelines; complete admission documentation in Epic (electronic medical record) in accordance with Hospital policies. Professional Development1. Maintains and updates clinical knowledge and skills based on current nursing practice. 2. Adheres to departmental requirements for required training. 3. Identifies specific learning needs and goals and collaborates with nursing leadership in developing a plan to meet them. Additional Duties 1. Participates in the weekend/holiday/on-call rotation as defined by BILH at Home and Hospital at Home expectations. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Participates in in-service programs and supervises, teaches and precepts other nursing personnel per Clinical Manager. Organizational Requirements:· Maintain strict adherence to the Continuing Care Confidentiality policy. · Incorporate Continuing Care Standards of Behavior and Guiding Principles into daily activities. · Comply with all Continuing Care Policies. · Comply with behavioral expectations of the Continuing Care Division. · Maintain courteous and effective interactions with colleagues and patients. · Demonstrate an understanding of the , performance expectations, and competency assessment. · Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. · Participate in departmental and/or interdepartmental quality improvement activities. · Participate in and successfully completes Mandatory Education. · Ensure compliance with reporting requirements for any safety event including sentinel events and serious incidents. · Participate in quality and safety investigations and root cause analysis when necessary. · Take appropriate action to ensure patient safety as a result of any investigation. · Serve as a resource in quality improvement processes and techniques. · Perform all other duties as needed or directed to meet the needs of the department. Minimum Qualifications:Education: · Registered Nurse from a Graduate of National League for Nursing accredited school of nursing. · BSN strongly preferred. Licensure, Certification& Registration: · Registered nurse with current licensure to practice professional nursing in the state of Massachusetts. · Has an active American Health Association BLS. . No other forms of BLS will be accepted. Experience: · Minimum of 2-3 years nursing experience, at least one of which is in the area of home care nursing with OASIS experience is preferred. Skills, Knowledge & Abilities: · Demonstrates excellent observation and problem solving/critical thinking skills. · Well-developed verbal and written communication skills; essential computer skills to work with EMR. · Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order. · Self-directed and able to work with minimal supervision; seeks support in a timely manner whenever needed. · Shows strong ability to organize and prioritize workload independently; nursing skills per competency checklist. a. Skills required (not limited to this list, but for example): physical exam, phlebotomy, intravenous access, intravenous medication infusion pump management, port access and de-access, drain management, wound care. · Exhibits flexibility in managing Hospital at Home patient assignment when applicable prioritizing acuity and iterating in partnership with Command Center clinical team when needed. · Strong skills in working within multidisciplinary team Key Relationships:Title Nature of Relationship To Position1 All other clinical positions Work collaboratively in a multi-disciplinary team for quality patient outcome. 2 Clinical Manager Reports to - case conferences with on a weekly basis3 Office Support Staff Work collaboratively to ensure accurate scheduling of pts visits, accurate insurance billing for services provided to pts Scope/Impact Statement:Work Schedule: Indicate either Yes or No as appropriate. Hours of work may be subject to change based upon the needs of the business/department. On Call: YES Shift Rotation: YES Weekends: YESPhysical Requirements & Environment:For each category, select ONE option from choices below by placing an X in the space to the left of the entry. Mental and Visual Attentiona) The position requires basic mental and visual attention much or all of the timeb) The position requires periods of concentrated mental and visual attention. c) X The position requires a high degree of mental and visual concentration. Physical ExertionWeightd) Nature of work requires lifting or moving light weight (up to 20 pounds). e) X Nature of work requires lifting or moving medium weight (over 20 and up to 75 pounds). f) Nature of work requires lifting or moving heavy weight (over 75 pounds). Dexterityg) Flow of work and nature of duties require average manual coordination. h) Flow of work and nature of duties require above average manual coordination. i) X Flow of work and nature of duties require high manual coordination. Range of Motionj) Responsibilities require average range of motion. k) Responsibilities require above average range of motion. l) X Responsibilities require high range of motion. Physical Conditionsm) X Performance of duties allows for variation in positioning and tasks. n) Performance of duties requires remaining in position for prolonged periods of time. Repetitive Motiono) Responsibilities require occasional repetitive motion. p) X Responsibilities require frequent repetitive motion. q) Responsibilities require constant repetitive motion. Working Conditionsr) Working conditions include minimal exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. s) Working conditions include occasional exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. t) X Working conditions include continuous exposure to elements such as odor, noise, dust, chemicals, temperature extremes or airborne pathogens. Exposure to Hazardous Materialsu) Performance of duties generally does not involve exposure to hazardous materials. v) Performance of duties occasionally involves exposure to hazardous materials. w) X Performance of duties frequently involves exposure to hazardous materials. (Biohazardous) Patient Care Conditions (select ALL that are applicable)x) X Responsibilities entail exposure to blood and body fluids; standard precautions must be used. y) X Responsibilities include transporting, transfer and positioning of patients. z) X Incumbent must be continuously prepared to prevent a patient fall. Sensory Requirements (select ALL that are applicable)aa) X Performance of duties requires the ability to discern and identify colorsbb) X Performance of duties requires the ability to discern sharp from dull and hot from coldcc) X Performance of duties requires the ability to hear soft and loud noises Patient Care/Patient Contact Designation (check only one of the items listed below) X Position has a direct impact upon health outcomes of the patient. __ Position facilitates the process that may impact patient access to services. __ No patient care/contact, and does not facilitate the patient care process or directly impact health outcomes. This is intended to describe the general nature and level of work being performed by people assigned to this classification. It is not intended to be construed as an exhaustive list of all responsibilities, requirements, duties and skills required of personnel so classified. Additional duties and responsibilities that are specific to the Department or Unit are identified and maintained by the Manager as an Addendum to the Job Description. Pay Range: $81,661. 00 USD - $125,216. 00 USDThe pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** The mission of the Lahey Hospital & Medical Center (LHMC) Nursing Division is to build on a legacy of nursing excellence by caring with compassion, advancing the art and science of nursing, and advocating for the health of patients, families and communities. The Graduate Resident Nurse utilizes the nursing process as the frame of reference for practice and provides direct patient care, with supervision from a registered professional nurse, to patients and families. This is an entry-level nursing position for Graduate Resident Nurses. Training, evaluation, and competencies for this role are overseen by a Nurse Leader in the department. During the first year of employment, you will be enrolled in a Nurse Residency Program. Nurse Leadership will determine a balance of Clinical and Educational time. **:** **Essential Responsibilities including but not limited to:** _I. Clinical Judgment and Decision Making: Ways in which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways._ A. Graduate Resident Nurse is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. + Develops a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures. B. Performs systematic patient and family assessment relevant to practice settings. C. Delivers care that is specific to the age of the patient. D. Evaluates effectiveness of care and adapts plan based on patient/family response. _II. Professional Relationship: The professional relationship is based upon Lahey Clinic's guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient's response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care._ A. Establishes professional relationship with nurses, physicians and other colleagues and patients and families. + The relationship includes the patient and family as a partner in care and is based upon Swanson's Theory of Caring. B. Educates the patient and family about the patient's illness and treatment including preventative measures appropriate to the patient. C. Supports Lahey Clinics commitment to community-based activities both within the Lahey community and beyond. _III. Clinical Leadership: The Graduate Resident Nurse supports the development of others and creates a practice climate of responsiveness and learning based on Benner's Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses. The ability to lead and influence the reasoning of colleagues in the patient's best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others' strengths._ A. Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics. B. Demonstrates skills as a responsive team member. C. Demonstrates role of nurse as teacher. D. Demonstrate ability to fulfill role in Regulatory compliance and readiness. _IV. Clinical Scholarship: The Graduate Resident Nurse achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis._ A. Upholds standards of quality nursing care. B. Demonstrates a commitment to lifelong learning. C. Demonstrates evidenced based practice (EBP) in nursing. **Essential Duties including but not limited to:** + Demonstrates the ability for decision-making by integrating theoretical knowledge with practical experience in caring for patients. Administers medications and treatments. Coordinates and assists in the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable, and timely patient-centered care. Demonstrates initial awareness of environmental forces on health care of patients and their families. + Develops a collegial and collaborative relationship with other professionals to determine healthcare needs of patients and families. Develops relationships with patients and families to maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. + Maintains all mandatory education requirements, include emergency skills and unit-based competencies. + Identifies needs for continued growth and development in conjunction with the clinical practice specialist. + Demonstrates a commitment to patients, staff, and to LHMC. The individual's nursing practice reflects the goals of the hospital. + Demonstrates responsibility and accountability for own nursing practice and patient safety. **Organizational Requirements** + Maintain strict adherence to the Lahey Hospital and Medical Center Confidentiality policy. + Incorporate Lahey Hospital and Medical Center Standards of Behavior and Guiding Principles into daily activities + Comply with all Lahey Hospital and Medical Center Policies. + Comply with behavioral expectations of the department and Lahey Hospital and Medical Center. + Maintain courteous and effective interactions with colleagues and patients. + Demonstrate an understanding of the job description, performance expectations, and competency assessment. + Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. + Participate in departmental and/or interdepartmental quality improvement activities. + Participate in and successfully completes Mandatory Education. + Perform all other duties as needed or directed to meet the needs of the department. **Minimum Qualifications** **:** Education + Graduate of a state approved and/or accredited School of Nursing. + Bachelor of Science in Nursing (BSN) preferred. Licensure, Certification, Registration + Current license to practice professional nursing from the Massachusetts Board of Registration; graduating nursing students must provide NCLEX registration documentation when eligible. + American Heart Association - Basic Life Support Certificate Experience + 0-1 years related work experience required. + Basic familiarity with computers. Ability to navigate at a basic level within web-based applications. Skills & Abilities + Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures. + Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the unit-specific competencies. + Excellent interpersonal and organizational skills. **Pay Range:** $37.00 - $95.37 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Beth Israel Deaconess Milton is committed to improving the health of our community by providing exceptional, personalized health care with dignity, compassion and respect. Beth Israel Deaconess Milton is seeking a Registered Nurse to work in our Emergency Department. This is a part-time position at 24 hours a week for the Evening/Night shift. The Registered Nurse is responsible for the total care of patients within assigned unit. Under the general supervision of the Nurse Manager, or designee, with-in the framework of the RN license, participates in the following activities:Provides patient care utilizing the Nursing Process:systematically assesses the health status of the patientanalyzes and interprets data and makes nursing judgments regarding careplans, implements and coordinates nursing interventionsevaluates outcome of nursing interventionsrevises/updates plan of caredocuments nursing process clearly and concisely Communicates nursing plan effectively. Duties/Responsibilities:Provides and coordinates health teaching for patient and/or patient representative. Collaborates, cooperates and communicates with other health care providers to ensure quality and continuity of care. Performs all duties in accordance with safety and other laws, rules and regulations as set forth by appropriate regulatory and governmental agencies and in accordance with established departmental and hospital policy and procedure. Adheres to standard precautions. Administers all Emergency Medications in a safe and effective manner. Performs safely and efficiently in emergency situations, assessing, planning and evaluating care to meet rapidly changing patient and family needs. Maintains unit specific competencies. Maintains communication with patients and family Maintains current BLS, ACLS, PALS certifications. Communicates effectively with all members of the healthcare team within the department. Attends and/or participates in in-house or outside training programs It is understood that this is a summary of key job functions and does not include every detail of the job that may reasonably be required. RequiredQUALIFICATIONS:1 Year of acute care medical-surgical experience (or equivalent) required, Emergency nursing experience preferred American Heart Association Basic Life Support, certification required American Heart Association Advanced Cardiac Life Support; certification required American Heart Association Pediatric Advanced Life Support; certification preferred, required within six months of hire. Must be able to pass basic medication test prior to hire Must be able to pass basic tele test by end of orientation. Job Description:RN Pay Range: $36. 00 - $90. 14The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Job Summary: Provides direct care to research study participants and makes necessary nursing judgments. Uses the nursing process to deliver professional care and evaluation of study participant responses to study protocols and works closely with faculty, fellows, residents and nursing staff. **Job Description:** **Essential Responsibilities:** 1. Provides direct care to research study participants, including patients and volunteers, and makes necessary nursing judgments. Demonstrates clinical performance at an expert level utilizing perceptual skills which are intuitive or experience-based. Critiques own decision making and judgments regarding the care of patients. 2. Demonstrates greater depth in practice focus, providing nursing consultation for atypical patient presentations, unexpected events or unusual outcomes, recurring problems on the patient care unit, or strategic planning for the future of the unit. Evaluates the results of consultation in terms of patient outcomes and ability of the consultee to handle similar problems in the future 3. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable, and timely, patient centered care. Identifies problems and populations at risk and proposes solutions 4. Works in a collaborative relationship with other health professionals to determine health care needs of patients & families. Demonstrates an interdisciplinary collaborative approach to patient care. Utilizes negotiation & conflict resolution skills to foster collaborative and collegial relationships. Participates in quality improvement activities & other clinical investigations. 5. Participates in activities that contribute to the ongoing development of self and others. Responsible for maintaining annual mandatory educational requirements, which include emergency skills and unit based competencies. Self-evaluation of practice, in particular, unexpected outcomes are identified and other courses of action are considered **Required Qualifications:** 1. Bachelor's degree in Nursing required; Master's degree in Nursing preferred. 2. License Registered Nurse required., and Certificate 1 Basic Life Support required. 3. 1-3 years related work experience required. 4. American Heart Association - Basic Life Support Certificate 5. Completion of CITI training within 6 weeks of hire and recertification every three years thereafter. 6. Basic familiarity with computers. Ability to navigate at a basic level within web-based applications. **Preferred Qualifications:** 1. Experience in a teaching hospital and specialty area expertise> **Competencies:** 1. **Decision Making:** Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. 2. **Problem Solving:** Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents. 3. **Independence of Action:** Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. 4. **Written Communications:** Ability to communicate clearly and effectively in written English with internal and external customers. 5. **Oral Communications:** Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers. 6. **Knowledge:** Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. 7. **Team Work:** Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments. 8. **Customer Service:** Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations. **Age based Competencies:** Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. **Physical Nature of the Job:** Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. **Pay Range:** $38.00 - $98.19 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Summary: Provides direct care to research study participants and makes necessary nursing judgments. Uses the nursing process to deliver professional care and evaluation of study participant responses to study protocols and works closely with faculty, fellows, residents and nursing staff. Job Description:Essential Responsibilities: Provides direct care to research study participants, including patients and volunteers, and makes necessary nursing judgments. Demonstrates clinical performance at an expert level utilizing perceptual skills which are intuitive or experience-based. Critiques own decision making and judgments regarding the care of patients.Demonstrates greater depth in practice focus, providing nursing consultation for atypical patient presentations, unexpected events or unusual outcomes, recurring problems on the patient care unit, or strategic planning for the future of the unit. Evaluates the results of consultation in terms of patient outcomes and ability of the consultee to handle similar problems in the future Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable, and timely, patient centered care. Identifies problems and populations at risk and proposes solutions Works in a collaborative relationship with other health professionals to determine health care needs of patients & families. Demonstrates an interdisciplinary collaborative approach to patient care. Utilizes negotiation & conflict resolution skills to foster collaborative and collegial relationships. Participates in quality improvement activities & other clinical investigations.Participates in activities that contribute to the ongoing development of self and others. Responsible for maintaining annual mandatory educational requirements, which include emergency skills and unit based competencies. Self-evaluation of practice, in particular, unexpected outcomes are identified and other courses of action are considered Required Qualifications:Bachelor's degree in Nursing required; Master's degree in Nursing preferred. License Registered Nurse required., and Certificate 1 Basic Life Support required.1-3 years related work experience required.American Heart Association - Basic Life Support CertificateCompletion of CITI training within 6 weeks of hire and recertification every three years thereafter.Basic familiarity with computers. Ability to navigate at a basic level within web-based applications.Preferred Qualifications:Experience in a teaching hospital and specialty area expertise>Competencies:Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.Physical Nature of the Job:Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. Pay Range: $38.00 - $98.19The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled

_Join Anna Jaques Hospital (AJH), a distinguished not-for-profit community hospital nestled in the picturesque coastal community of Newburyport, Massachusetts. Since 1884, AJH has been a cornerstone of healthcare excellence in the Merrimack Valley, North Shore, and Southern New Hampshire regions, renowned for our commitment to high-quality care and exceptional patient satisfaction. Located just 35 miles northeast of Boston, AJH offers the perfect blend of a supportive community hospital environment and the vast opportunities that come with being part of Beth Israel Lahey Health, one of the largest healthcare systems in the region. As a member of our team, you'll be part of a network of over 39,000 caregivers and staff dedicated to providing extraordinary care to more than 1.7 million people from 150+ cities and towns across Eastern Massachusetts and Southern New Hampshire. Discover a rewarding career at AJH, where you can make a meaningful impact within a close-knit community while advancing your professional growth within a thriving healthcare system._ **_Are you ready to become a part of our dynamic team where you can grow and advance, all while making a difference in patient's lives?_** **Shift:** Per Diem, Days **Role and responsibilities:** Professional Development + Actively participates in departmental staff meetings and quality improvement initiatives. + Maintains current licensure and certifications as per job description, and keeps current on assigned education and training tasks. Critical Thinking + Utilizes critical thinking skills and the teaching of evidence based practice. + Follows Hand-Off Communication policy as appropriate. Nursing Practice + Practices within the scope and service outlined in the Nurse Practice Act. + Utilizes Standard Universal Precautions. Patient Advocacy + Advocates for patients and families to ensure positive patient care outcomes. Documentation + Documents in a timely and accurate manner. + Documents all changes as well as relevant information regarding patient's response to intervention, therapeutic regimens, and patient progress as it relates to plan of care and patient's response to teaching. Patient Care + Ensures that patient's pain is well controlled. + Responds to patient needs in a timely manner, including answering call lights. Patient Communication + Communicates effectively with patients, families peers and other members of the healthcare team. + Includes patient, family, and care-givers in all aspects of care while ensuring that all explanations are understandable. Assessment + Completes admission and on-going assessments based on patient needs within appropriate time frame. + Identifies patient's individual needs, problems, issues, concerns and considers chronological and developmental levels. Planning + Develops an individualized nursing plan of care based on initial and on-going data collection. + Ensures that the plan establishes realistic and attainable health goals with patient and family including educational and discharge needs. + Provides resources to assist patients and families with post-discharge needs. Implementation + Demonstrates clinical competency and follows standards of care, policies and procedures. + Implements patient education and discharge teaching appropriately utilizing "teach back" process. + Interprets properly and implements physician's orders. Clinical Specialty + Maintains competency in Wound Center's specific testing and procedures. + Follows departmental policies and procedures. + Demonstrates competency in Hyperbaric Medicine. + Functions effectively in the role of Case Manager within the Center. **Required Skills** **Minimum Education** + Must be a graduate of an accredited nursing program. BSN preferred. **Required Licenses** + Must be currently licensed as a Registered Nurse by the Commonwealth of Massachusetts. + Maintains BLS. + Must have ACLS **Physical Demands** + Provide direct care to patients, including lifting, moving, and assisting. + Regular standing, bending walking and lifting. **Work Environment** + Registered Nurses are exposed to both biologic and chemical hazards. + Proper use of personal protective equipment is required. **Benefits working at Anna Jaques Hospital:** + Tuition Reimbursement + Career Development and Opportunities + Free On-Site Parking + Discounts/Savings on various businesses. + Health and Wellness activities **Apply today and learn more!** **Pay Range:** $35.85 - $77.82 This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Anna Jaques Hospital Registered Nurse is an active participant in the health care team who provides direct and indirect care to patients/ families/ significant others, utilizing the components of the nursing process in accordance with the philosophy, objectives, value and mission behaviors of the of the patient care division. Join Anna Jaques Hospital (AJH), a distinguished not-for-profit community hospital nestled in the picturesque coastal community of Newburyport, Massachusetts. Since 1884, AJH has been a cornerstone of healthcare excellence in the Merrimack Valley, North Shore, and Southern New Hampshire regions, renowned for our commitment to high-quality care and exceptional patient satisfaction. Located just 35 miles northeast of Boston, AJH offers the perfect blend of a supportive community hospital environment and the vast opportunities that come with being part of Beth Israel Lahey Health, one of the largest healthcare systems in the region. As a member of our team, you'll be part of a network of over 39,000 caregivers and staff dedicated to providing extraordinary care to more than 1. 7 million people from 150+ cities and towns across Eastern Massachusetts and Southern New Hampshire. Discover a rewarding career at AJH, where you can make a meaningful impact within a close-knit community while advancing your professional growth within a thriving healthcare system. :Are you ready to become a part of our dynamic Pain Center team where you can grow and advance, all while making a difference in patient's lives?Pain Center Staff RN - OutpatientShift - 32hrs/week - Days (Monday through Thursday, no weekends, and noobserved holidays. ) Essential Functions:Professional ConductDemonstrates a positive attitude, professional demeanor, compassionate care and active listening skills. Treats all with dignity, courtesy, and respect while working as a committed member of the healthcare team. Professional DevelopmentActively participates in departmental staff meetings and quality improvement initiatives. Maintains current licensure and certifications as per , and keeps current on assigned education and training tasks. Nursing PracticePractices within the scope and service outlined in the Nurse Practice Act. Utilizes Standard Universal Precautions. Patient AdvocacyAdvocates for patients and families to ensure positive patient care outcomes. DocumentationDocuments in a timely and accurate manner. Documents all changes as well as relevant information regarding patient's response to intervention, therapeutic regimens, and patient progress as it relates to plan of care and patient's response to teaching. Patient CareEnsures that patient's pain is well controlled. Responds to patient needs in a timely manner, including answering call lights. Patient CommunicationCommunicates effectively with patients, families peers and other members of the healthcare team. Includes patient, family, and care-givers in all aspects of care white ensuring that all explanations are understandable. AssessmentCompletes admission and on-going assessments based on patient needs within appropriate time frame. Identifies patient's individual needs, problems, issues, concerns and considers chronological and developmental levels. SafetyContinually insures patient safety by compliance with, but not limited tot hospital policies and procedures, the Joint Commission Patient Safety Goals and Universal protocol. Provides a safe, secure professional environment while maintaining HIPAA compliance. Leadership ResponsibilitiesProvides appropriate guidance and support to team members while acting as a resource or preceptor to new staff. Delegates tasks in compliance with scope of practice and hospital job descriptions. As part of charge nurse responsibilities, ensures that assignment considers acuity, patient flow and experience and expertise of staff. Required Skills:Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable the individual to perform the essential functions. APR Experience preferred Communication:Must possess verbal and written skills to communicate effectively and courteously with a diverse group of professional and non-professional members of the health care team, patients and family/significant others. Minimum Education:Must be a graduate of an accredited nursing program. BSN preferred. Required Licenses:Must be currently licensed as a Registered Nurse by the Commonwealth of Massachusetts. Maintains BLS. Physical Demands:Provide direct care to patients, including lifting, moving, and assisting. Regular standing, bending walking and lifting. Benefits working at Anna Jaques Hospital:Tuition ReimbursementCareer Development and OpportunitiesFree On-Site ParkingDiscounts/Savings on various businesses. Health and Wellness activities Apply today and learn more! Pay Range: $35. 85 - $77. 82This position is covered by a collective bargaining agreement. The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. The pay range for this position is established and governed by the terms of the applicable collective bargaining agreement. Employees hired into this position will receive compensation consistent with the terms of the applicable collective bargaining agreement. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Under the general supervision of the Administrative Director in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic's core values that reflect its Mission. The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the physician(s), other healthcare provider(s) and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care. The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients. The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups. Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the authority to make decisions. The Staff registered Nurse: Ambulatory is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of: - Clinical judgment and decision making - Professional relationships - Clinical leadership - Clinical scholarship The delegation and supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation is a responsibility and function of the Staff Registered Nurse: Ambulatory. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to: - Developing an appropriate patient care assignment - Properly and adequately teaching, directing and supervising the delegate - The outcome of the delegation The Staff Registered Nurse: Ambulatory maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse. **:** **Essential Duties & Responsibilities: including but not limited to:** **I. Clinical Judgment and Decision Making:** _The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways._ A. The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. B. Performing systematic patient and family assessment relevant to practice settings and record the related health data.. C Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation. D. Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures. + Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family. E. Delivering care that is specific to the age of the patient F. Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms. G. Evaluating effectiveness of care and adapts plan based on patient/family response H. Providing patient care by: + Providing necessary physical care to appropriate patient populations which include ADL's, positioning, transporting, and treatments + Utilizing and transporting equipment + Monitoring and recognizing acute changes in the patient and intervenes appropriately + Administering medications including blood and blood products **II. Professional Relationship:** **_T_** _he professional relationship is based upon Lahey Clinic's guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient's response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care._ A. Establishes professional relationship with nurses, physicians and other colleagues and patients and families. + The relationship includes the patient and family as a partner in care and is based upon Swanson's Theory of Caring. B. Educates the patient and family about the patient's illness and treatment including preventative measures appropriate to the patient. C. Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond. D. Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care. **III. Clinical Leadership:** _The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner's Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses. The ability to lead and influence the reasoning of colleagues in the patient's best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others' strengths._ A. Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics. B. Demonstrates skills as a responsive team member. C. Demonstrates role of nurse as teacher. D. Demonstrates ability to fulfill role in regulatory compliance and readiness. E. Achieves and maintains ACLS certification as required by departmental standards F. Serve as patient advocate, within the limits of the law. **IV. Clinical Scholarship:** _The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis._ A. Upholds standards of quality nursing care. B. Demonstrates a commitment to life long learning. C. Demonstrates evidenced based practice (EBP) in nursing. **Organizational Requirements:** - Maintains strict adherence to the Lahey Clinic Confidentiality Policy. - Incorporates Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities. - Complies with all Lahey Clinic Policies. - Complies with behavioral expectations of the department and Lahey Clinic. - Maintains courteous and effective interactions with colleagues and patients. - Demonstrates an understanding of the job description, performance expectations, and competency assessment. - Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. - Participates in departmental and/or interdepartmental quality improvement activities. - Participates in and successfully completes Mandatory Education. - Performs all other duties as needed or directed to meet the needs of the department. **Minimum Qualifications:** Education: Graduate of a state approved and/or accredited School of Nursing BSN preferred Licensure, Certification, Registration: + Current license to practice professional nursing from the Massachusetts Board of Registration + BLS certification with American Heart Association Skills, Knowledge & Abilities: _Clinical Skills/Technical Knowledge_ + Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures. See Skill Record. + Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the clinic specific competencies. See Skill Record. + Excellent interpersonal and organizational skills. Experience: Acute care medical-surgical experience **Pay Range:** $37.00 - $95.37 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the general supervision of the Administrative Director in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic's core values that reflect its Mission. The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the physician(s), other healthcare provider(s) and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care. The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients. The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3. 0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups. Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the authority to make decisions. The Staff registered Nurse: Ambulatory is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of:- Clinical judgment and decision making- Professional relationships- Clinical leadership- Clinical scholarship The delegation and supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3. 0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation is a responsibility and function of the Staff Registered Nurse: Ambulatory. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to:- Developing an appropriate patient care assignment- Properly and adequately teaching, directing and supervising the delegate- The outcome of the delegation The Staff Registered Nurse: Ambulatory maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse. :Essential Duties & Responsibilities: including but not limited to:I. Clinical Judgment and Decision Making: The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways. A. The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. B. Performing systematic patient and family assessment relevant to practice settings and record the related health data. . C Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation. D. Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures. Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family. E. Delivering care that is specific to the age of the patient F. Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms. G. Evaluating effectiveness of care and adapts plan based on patient/family responseH. Providing patient care by:Providing necessary physical care to appropriate patient populations which include ADL's, positioning, transporting, and treatments Utilizing and transporting equipment Monitoring and recognizing acute changes in the patient and intervenes appropriately Administering medications including blood and blood products II. Professional Relationship: The professional relationship is based upon Lahey Clinic's guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient's response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care. A. Establishes professional relationship with nurses, physicians and other colleagues and patients and families. The relationship includes the patient and family as a partner in care and is based upon Swanson's Theory of Caring. B. Educates the patient and family about the patient's illness and treatment including preventative measures appropriate to the patient. C. Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond. D. Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care. III. Clinical Leadership: The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner's Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses. The ability to lead and influence the reasoning of colleagues in the patient's best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others' strengths. A. Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics. B. Demonstrates skills as a responsive team member. C. Demonstrates role of nurse as teacher. D. Demonstrates ability to fulfill role in regulatory compliance and readiness. E. Achieves and maintains ACLS certification as required by departmental standardsF. Serve as patient advocate, within the limits of the law. IV. Clinical Scholarship: The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis. A. Upholds standards of quality nursing care. B. Demonstrates a commitment to life long learning. C. Demonstrates evidenced based practice (EBP) in nursing. Organizational Requirements:• Maintains strict adherence to the Lahey Clinic Confidentiality Policy. • Incorporates Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities. • Complies with all Lahey Clinic Policies. • Complies with behavioral expectations of the department and Lahey Clinic. • Maintains courteous and effective interactions with colleagues and patients. • Demonstrates an understanding of the job description, performance expectations, and competency assessment. • Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards. • Participates in departmental and/or interdepartmental quality improvement activities. • Participates in and successfully completes Mandatory Education. • Performs all other duties as needed or directed to meet the needs of the department. Minimum Qualifications:Education: Graduate of a state approved and/or accredited School of Nursing BSN preferred Licensure, Certification, Registration: Current license to practice professional nursing from the Massachusetts Board of Registration BLS certification with American Heart AssociationSkills, Knowledge & Abilities: Clinical Skills/Technical KnowledgeDemonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures. See Skill Record. Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the clinic specific competencies. See Skill Record. Excellent interpersonal and organizational skills. Experience: Acute care medical-surgical experience Pay Range: $37. 00 - $95. 37The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. Equal Opportunity Employer/Veterans/Disabled