Telemetry Registered 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. 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 Nurse Specialist (T1) acts as a clinical leader with the primary goal of continuous improvement of patient outcomes and safe nursing practice. Partners with the Nursing Director in leading the professional practice at BIDMC. Maintains current professional knowledge/competencies and contributes to the advancement of nursing practice at the unit, system, local, and/or national level. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department. Job Description: Essential Responsibilities: Acts as a clinical leader who supports the development of staff utilizing the latest evidence-based practice relative to safe, cost-effective, and optimal nursing care. Collaborates with the multidisciplinary team to integrate the holistic nursing approach into a comprehensive plan of care for the patient/family. Identifies and prioritizes nursing care needs for a select population of patients/families. Develops and implements care conferences or programs for individual patients or populations of patients. Designs and evaluates innovative educational programs for patients/families, the community, and other healthcare providers. Creates and updates nursing policies, protocols, and procedures using evidence-based data to develop nurse-sensitive indicators in order to achieve positive outcomes. Collaborates with nurse specialists, unit based educators, and nursing directors on the creation and implementation of orientation, clinical competencies, and other clinical educational program development. Mentors nurses in the acquisition of new skills, the effective incorporation of evidence into practice, and in career development. Participates in the identification, selection, implementation and evaluation of products and equipment. Collaborates with nursing colleagues and other health care professionals in conducting research and publishing scholarly works, representing BIDMC, locally and nationally. Required Qualifications: Master's degree in Nursing required. License Registered Nurse required American Heart Association - Basic Life support Certificate required. 3-5 years related work experience required. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. Preferred Qualifications: Five years of successful work experience in nursing with two years in a specialty area. Current Clinical Nurse Specialist certification. Current Clinical Nurse Specialist (CNS) license to practice in Massachusetts. Advanced Cardiac Life Support (ACLS) certification. Competencies: Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area. Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction. 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 in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations. Team Work: Ability to lead and direct multiple collaborative teams for large projects or groups both internal and external to the Medical Center and across functional areas. Results have significant implications for the management and operations of the organization. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. 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: $83,845.00 USD - $216,674.00 USD The 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. Join our team in the state-of-the-art Cardiovascular Intensive Care Unit (CICU), located in the Klarman Building. We are seeking a highly motivated Clinical Nurse Specialist (CNS) with a master's in nursing or nursing education to advance nursing practice, lead professional development, and support high-acuity cardiac care. The CICU is a 15-bed unit specializing in the care of patients with acute coronary syndromes, life-threatening arrhythmias, advanced heart failure, and those awaiting heart transplantation. Our team utilizes advanced therapies including IABP, Impella, VA-ECMO, and other mechanical circulatory support devices. Beyond the day-to-day clinical support, the Nurse Specialist is key in mentoring CICU nurses. From leading onboarding cardiac education to teaching telemetry interpretation classes, they help ensure that nurses have the knowledge and skills to care for high-acuity patients. They also create space for reflection and learning, allowing staff to process challenging cases and build resilience in a demanding environment. The Nurse Specialist is empowered to take on new initiatives that expand the staff's skillset and raise the level of care provided. Job Description:Key Responsibilities:Serve as a clinical leader and mentor for nursing staff, promoting evidence-based practice and continuous improvement. Collaborate with cardiologists, intensivists, and interdisciplinary teams to optimize patient outcomes. Design and implement educational programs for staff, patients, and families. Develop and evaluate nursing policies, protocols, and competencies. Lead initiatives in quality improvement, research, and professional development. Support orientation and ongoing training in partnership with unit-based educators and nursing directors. Required Qualifications:Master's degree in Nursing or Nursing EducationCurrent Massachusetts RN license American Heart Association BLS certification1-3 years of relevant clinical experience Proficiency with electronic health records and Microsoft Office applications Preferred Qualifications:CNS certification and Massachusetts CNS license ACLS certification Experience in cardiac or critical care nursing Proven leadership in clinical education or program development Pay Range: $83,845. 00 USD - $216,674. 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

Johnson 2 is a 30 bed surgical adult unit. The average length of stay on J2 is 3.4 days with an average daily census of 22 patients. The majority of admissions to J2 are from the postoperative anesthesia care unit (PACU), followed by admissions from the emergency department who have an orthopedic, surgical or gastrointestinal diagnosis. There are 12 private rooms and 9 semi-private rooms that accommodate two patients each. Patient Population J2 generally accepts patients 18 years of age and older with surgical conditions. Patients cared for on J2 range in age from young adult to geriatric. Patients are generally admitted to the surgical service, or to a hospitalist with the surgeon as consultant. Requirements: + BSN preferred + MA RN Required + BLS(AHA) required + Current experience on a post- operative medical surgical unit preferred **Pay Range:** $36.00 - $79.12 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**

**UNIT DESCRIPTION:** **3 East** is a29 bed medical surgical/telemetry unit . 3EB is a focus unit for cardiac and medical patients who have a need for cardiac monitoring, education about their illness, treatment health restoration, and maintenance. _Preference will be given, by seniority, to those qualified nurses who were serially displaced within the 18 months following his/her displacement according to MNAcontract section 9.4 (f)(1)._ **MINIMUM REQUIREMENTS:** + Current Massachusetts RN License + Evidence of Continuing Education. + Med Surg experience preferred + Current Telemetry experience or able to pass Telemetry Competency Exam within 90 days of beginning position. + Current AHABLSCertification. + Utilizes appropriate time management skills. Communicates effectively. **RECOMMENDED REQUIREMENTS:** + Documented Professional Developmental activities + Knowledge of Critical Paths + Charge Nurse experience preferred + BSN Preferred + AHAACLSPreferred _As with all job assignments, staff may be floated to areas where they are needed_ **Pay Range:** $36.41 - $74.59 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. **Job Description:** _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 Nursing team?_** Responsibilities include but are not limited to: + Monitors clinical status (ex. monitor pattern, vital signs, patient signs and symptoms.) + Interprets clinical data. + Acts in accordance with clinical data interpretation and physician orders. + Demonstrates proficiency in caring for the monitored patient. + Interprets diagnostic tests as they relate to patient care. + Responds appropriately in an emergency situation. + Demonstrates clinical proficiency in all unit specific competencies and mandatory requirements. + Completes criterion referenced competency checklists. + 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 + Responds to patient needs in a timely manner, including answering call lights. + 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. **Scheduled Hours:** 24 hr/week **Work Shift:** Days **Education Required:** Must be a graduate of an accredited nursing program. BSN preferred. **Licenses, Registrations, Certifications Required:** + State of Massachusetts RN licensure (or eligibility) + BLS + ACLS **Experience:** Previous experience with cardiac patients preferred. Previous hospital experience preferred. **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**

Beverly Hospital is a Level III Trauma Center, Stroke Service Hospital and Emergent Percutaneous Cardiac Intervention Center. We serve as the primary point of entry for patients accessing these services. The department is staffed with at least one Emergency Medicine Board Certified Physician and Mid-Level Clinician at all times. Free Parking, no shuttles needed!! + Benefits offered for any hours over 20 per week + Voluntary Insurance choices for Medical, Dental, Vision, Disability, Life, Auto and Home, and Pet Insurance available + Lahey Outpatient Pharmacy Benefits + 403B + Paid Time OFF or (PTO) + 33 private exam rooms plus 3 triage exam rooms + Security is located in the Emergency Department waiting area + 3 zone specialized care-(1) 11 exam rooms, 2 major trauma rooms, 6 minor trauma rooms and a behavioral suite with 3 rooms. (2)12 exam rooms, 2 OB0BYN exam rooms, 6 negative pressure rooms and one decontamination room. (3) 10 exam rooms for less acute patients and pediatrics patients and orthopedics cast room. + A 3 room Triage, staffed 24/7 by an access representative, nursing is staffed in triage based on the needs/volume. This area can be utilized for rapid interventions, vertical flow/one touch patients and rapid medical screenings. + Triage nurses assigned triage acuity level for each ambulatory patients based on ESI. + Ancillary staff is made up of ED Technicians, Administrative Associates, Mental Health Counselors and Security. + Free Parking, no shuttles needed + Competitive benefits + Low wait times for patients! Requirements + MA RN, BLS, ACLS and PALS required + TNCC or ENPC required. + Telemetry experience required + RN Emergency Room experience required + BSN preferred **Pay Range:** $36.00 - $79.12 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 Operating Room at BID Milton is a close knit team with a shared vision for providing exceptional care and creating a healthy workplace. We have seven operating rooms open for elective procedures Monday to Friday, with night and weekend on-call teams for urgent cases. We provided specialized services to our surgical patients to include orthopedics, robotics, OTO-HNS, plastics, gynecology, genitourinary, general, vascular and neurology. We have a mix of both inpatient and outpatient cases daily with an experienced and professional PACU team. This position is per diem, with various shifts and hours available. **Job Description:** 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 per diem **Operating Room Registered Nurses** . The Registered Nurse is responsible for the total care of patients within assigned unit. This position is per diem with various options for shifts available. **Required Qualifications:** Graduate of an accredited school of nursing, current licensure by the Massachusetts Board of Registration in Nursing. BSN Preferred. 2-3 years current Operating Room experience preferred Current Basic Life Support (BLS) required **Competencies:** **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 in-depth knowledge of concepts, practices and policies with the ability to use them in complex 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 and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner. **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. _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._ **Pay Range:** $37.08 - $92.84 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**

**UNIT DESCRIPTION:** **3 East** is a29 bed medical surgical/telemetry unit . 3EB is a focus unit for cardiac and medical patients who have a need for cardiac monitoring, education about their illness, treatment health restoration, and maintenance. _Preference will be given, by seniority, to those qualified nurses who were serially displaced within the 18 months following his/her displacement according to MNAcontract section 9.4 (f)(1)._ **MINIMUM REQUIREMENTS:** + Current Massachusetts RN License + Evidence of Continuing Education. + Med Surg experience preferred + Current Telemetry experience or able to pass Telemetry Competency Exam within 90 days of beginning position. + Current AHABLSCertification. + Utilizes appropriate time management skills. Communicates effectively. **RECOMMENDED REQUIREMENTS:** + Documented Professional Developmental activities + Knowledge of Critical Paths + Charge Nurse experience preferred + BSN Preferred + AHAACLSPreferred _As with all job assignments, staff may be floated to areas where they are needed_ **Pay Range:** $36.41 - $74.59 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**

Registered Nurse (RN) - Emergency Room TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking an experienced and compassionate Registered Nurse (RN) to join our Emergency Room team. The RN will provide high-quality, rapid assessment and treatment to patients in critical or life-threatening situations while working in a fast-paced, team-oriented environment. Job Responsibilities Assess, triage, and prioritize incoming patients based on acuity and presenting symptoms. Deliver direct patient care including medication administration, IV therapy, wound care, and emergency interventions. Monitor patient condition and respond quickly to changes in status or emergencies. Collaborate with emergency physicians and healthcare professionals to develop and implement care plans. Educate patients and families on procedures, diagnoses, and follow-up care. Accurately document all assessments, interventions, and patient responses in a timely manner. Ensure compliance with hospital policies, safety protocols, and infection control standards. Support patient flow, bed turnover, and coordination with ancillary departments. Qualifications Active RN license in the state of practice. Associate or Bachelor of Science in Nursing (ASN or BSN) from an accredited nursing program. Minimum 1-2 years of recent Emergency Room or critical care experience preferred. BLS and ACLS certifications required; PALS and TNCC preferred. Strong critical thinking, clinical assessment, and decision-making skills. Excellent communication and ability to remain calm under pressure. Benefits Competitive salary and weekly direct deposit. Comprehensive medical, dental, and vision insurance. 24/7 support from a dedicated clinical and administrative team. Continuing education and professional development opportunities. Dynamic and supportive ER work environment. If you're a dedicated and capable Emergency Room Registered Nurse committed to delivering urgent, lifesaving care, apply today and become part of the TLC Nursing Associates team.

Registered Nurse (RN) - Emergency Room TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking an experienced and compassionate Registered Nurse (RN) to join our Emergency Room team. The RN will provide high-quality, rapid assessment and treatment to patients in critical or life-threatening situations while working in a fast-paced, team-oriented environment. Job Responsibilities Assess, triage, and prioritize incoming patients based on acuity and presenting symptoms. Deliver direct patient care including medication administration, IV therapy, wound care, and emergency interventions. Monitor patient condition and respond quickly to changes in status or emergencies. Collaborate with emergency physicians and healthcare professionals to develop and implement care plans. Educate patients and families on procedures, diagnoses, and follow-up care. Accurately document all assessments, interventions, and patient responses in a timely manner. Ensure compliance with hospital policies, safety protocols, and infection control standards. Support patient flow, bed turnover, and coordination with ancillary departments. Qualifications Active RN license in the state of practice. Associate or Bachelor of Science in Nursing (ASN or BSN) from an accredited nursing program. Minimum 1-2 years of recent Emergency Room or critical care experience preferred. BLS and ACLS certifications required; PALS and TNCC preferred. Strong critical thinking, clinical assessment, and decision-making skills. Excellent communication and ability to remain calm under pressure. Benefits Competitive salary and weekly direct deposit. Comprehensive medical, dental, and vision insurance. 24/7 support from a dedicated clinical and administrative team. Continuing education and professional development opportunities. Dynamic and supportive ER work environment. If you're a dedicated and capable Emergency Room Registered Nurse committed to delivering urgent, lifesaving care, apply today and become part of the TLC Nursing Associates team.

Registered Nurse (RN) - Surgical Intensive Care Unit (SICU) TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) - Surgical Intensive Care Unit (SICU) to provide critical care to post-surgical patients requiring intensive monitoring and specialized interventions. This role involves assessing patients, managing life-support equipment, administering medications, and collaborating with multidisciplinary teams to optimize patient outcomes. Responsibilities Provide specialized nursing care to critically ill post-surgical patients in the SICU Monitor vital signs, hemodynamic status, and neurological responses for early detection of complications Administer IV fluids, medications, and blood products as per physician orders Operate and manage ventilators, infusion pumps, and other critical care equipment Collaborate with surgeons, anesthesiologists, respiratory therapists, and other healthcare professionals Implement and adjust care plans based on patient responses and clinical protocols Educate patients and families on post-operative care, recovery expectations, and discharge planning Ensure compliance with infection control protocols, hospital policies, and regulatory standards Qualifications Active Registered Nurse (RN) license in applicable state(s) Minimum 1 year of experience in an SICU, ICU, or critical care setting preferred Certification in Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) required Strong understanding of post-surgical complications, pain management, and wound care Proficiency in critical thinking, rapid assessment, and emergency interventions Benefits Competitive salary and shift differentials Housing and meal allowances (if applicable) Medical, dental, and vision insurance 401(k) retirement plan options Continuing education and certification reimbursement Career advancement opportunities

**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 supervision of the Site Manager, performs patient triage and has patient care responsibilities in support of multiple health care providers. Performs clinical, technical and clerical duties to ensure quality patient care is provided. The Medical Office RN works in collaboration with the physician(s), other healthcare provider(s) and other clinical support staff within the department and with other disciplines to plan and coordinate the delivery of patient care. The Medical Office RN 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. Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. **Job Description:** **Essential Duties & Responsibilities including but not limited to:** 1. Telephone triage and assessment 2. Renders patient care within the scope of their training, including administering immunizations and allergy injections, performs blood draws, and obtains height, weight and blood pressure on all patients and documents appropriately in patient's chart. 3. Assists physicians with minor procedures. 4. Prepares exam rooms and restocks supplies. 5. Enters required information for prescription refills properly through electronic medical record. 6. The Medical Office RN 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. 7. Performing systematic patient and family assessment relevant to practice settings and record the related health data. 8. Analyze and interpret recorded data. Make informed judgments as to the specific problems and elements of nursing care mandated by a particular situation. 9. Delivering care that is specific to the age of the patient 10. Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms. 11. Evaluating effectiveness of care and adapts plan based on patient/family response 12. Providing patient care by 1. providing necessary physical care to appropriate patient populations which include ADL's, positioning, transporting, and treatments 2. Utilizing and transporting equipment 3. Monitoring and recognizing acute changes in the patient and intervenes appropriately and 4. Administering medications including blood and blood products 13. Establishes professional relationship with nurses, physicians and other colleagues and patients and families. 14. Educates the patient and family about the patient's illness and treatment including preventative measures appropriate to the patient. 15. Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond. 16. Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care. 17. Demonstrates skills as a responsive team member. 18. Demonstrates role of nurse as teacher. 19. Demonstrates ability to fulfill role in regulatory compliance and readiness. 20. Serve as patient advocate, within the limits of the law. 21. Upholds standards of quality nursing care 22. Demonstrates a commitment to lifelong learning. 23. Demonstrates evidenced based practice (EBP) in nursing. Education: Nursing degree required. Licensure, Certification & Registration: Current RN license to practice in state of Massachusetts. Must maintain BLS certification. Experience: Medical Office experience is preferred. Skills, Knowledge & Abilities: Excellent communications skills to effectively educate and assist patients as well as interacting with providers and staff. Ablility to make sound decisions under pressure. Ablility to handle confidentiality information. Must have the organizational skills and the ability to follow through on tasks. **Pay Range:** $32.24 - $55.29 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.** Assumes responsibility for providing skilled, creative, high quality nursing care to patients. Performs a variety of direct and indirect patient care duties and responsibilities. Is accountable for safely managing the administration of medication and monitoring effectiveness. **Job Description:** + **$3,000 sign on bonus (prorated for part time) ** **ESSENTIAL FUNCTIONS & RESPONSIBILITIES:** 1. Records and reports all observed symptoms, reactions, treatments, and changes in the patient's safety status. 2. Collaborates with other members of the team in providing health information and maintenance of the medical record. 3. Monitors the patient milieu for safety issues and assists with promoting a positive therapeutic environment. 4. Responds to patient care needs and issues, assists patients with personal hygiene and other activities of daily living. Collaborates with and directs other nursing staff to assist with any patient nursing needs. 5. Assists in the admitting, discharging and transferring process ensuring that patient safety is addressed. 6. Is expected to participate in treatment team meetings, assist with development of care plans, and reports directly to the program Director issues as they arise. 7. Complies with agency personnel policies and procedures as, well as with policies and procedures specific to the facility. 8. Provide physical examinations as necessary to current clients or those entering the program. 9. Other duties as assigned. **QUALIFICATIONS & EDUCATION:** + Valid and current Massachusetts licensure as a Registered Nurse, current certification in CPR. + Experience with addiction treatment preferred. Must demonstrate ability to relate to a substance abuse treatment population in a sensitive manner, an interest and willingness to work in a multicultural setting and must share a customer service orientation. Identifies and resolves problems in a timely manner; Uses reason even when dealing with emotional topics. Manages difficult or emotional client situations; Responds promptly to client needs and maintains confidentiality. **Pay Range:** $38.76 - $52.17 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**

The Resource RN (Rapid Response) is an off shift clinical expert for all direct care providers, under the direction of the nursing supervisor. As part of the off shift clinical resource team, the primary responsibility of this role is providing in the moment clinical care and/or coaching to direct care providers. Other responsibilities, to be completed as time allows, include ensuring regulatory readiness, supporting and educating around practice changes, gathering performance/quality data and utilizing evidence-based data and clinical inquiry to guide staff. The Resource RN (Rapid Response) must possess strong problem-solving skills, organizational skills, make effective use of team resources and have the ability to engage with staff, patients, families and clinical leadership. Education/Experience: 2 years minimum PCU, ICU and/or Emergency Room Experience required Certifications/License: Mass RN license, BLS and ACLS required Schedule- 36 hours, night shift **Pay Range:** $36.00 - $79.12 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**

_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?_** **Pain Center RN** **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:** 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. 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** + [Massachusetts, United States] Registered Nurse + 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. **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.** 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

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Lahey Hospital & Medical Center is offering an exciting opportunity for experienced Critical Care nurses to join our Critical Care Float Pool. As a Registered Nurse in Critical Care, you will work in the different critical care units such as the new Neurosciences ICU and PCU, SICU, MICU, the Cardiac Critical Care/ICU unit as well as PCU when needed. This is an excellent opportunity to take advantage of our exceptional preceptors and clinical critical care training programs. After you attend our exceptional Critical care training program, we will provide additional training tailored to your interests and educational needs. **Job Description:** Preferred Requirements: + 1 - 3 years or more of critical care experience in an acute care unit. Experience in the following areas: Liver/Kidney transplant experience, Neurosurgery, Cardiac disorders, Respiratory failure and/or Neurocritical care is desired. + American Heart Association - ACLS certification preferred. + American Association of Critical Care Nurses Progressive Care Registered Nurse (PCCN) certification or (CCRN) certification. + Applicants demonstrating a strong interest in the critical care specialty are preferred. Minimum Requirements: + BSN strongly preferred + At least 1 year of Critical Care experience required + A minimum of 1 years in an acute care setting with med/surg telemetry experience. + Current Massachusetts Registered Nurse License. + Current American Heart Association Healthcare Provider BLS or American Red Cross BLS certification 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.** 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**