GENERAL SUMMARY: Under general supervision of the unit's nursing management, performs duties to ensure quality patient care through the health care continuum. Ensures quality and safe delivery of care to patients in the following age groups: All ages; Neonate; Infancy; Toddler, Preschool; School age; Adolescent; Adult; Geriatric.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Performs all aspects of clinical practice according to standards of care, including, but not limited to: assessment, planning, implementing, evaluation, intervention, organization of work, priority setting, decision making, follow up, activities of daily living, IV Therapy, EKG's. *Demonstrates clinical judgment in assigning duties to nursing staff consistent with documented level of competency. Participates in unit based quality control initiatives, identifies opportunities for performance improvement, and takes appropriate action.*
Delegates tasks to subordinates to ensure efficient and effective work flow. Provides input into hiring and evaluations and participates in the interviewing process. Resolves conflicts. Assures current and quality nursing practice is maintained through participating in and keeping informed of unit/Hospital committees, staff meetings, and other related activities. Collaborates with members of interdisciplinary team to facilitate accomplishment of unit objectives in the provision of quality care and service to patients, families, physicians, and payors. Demonstrates initiative and good judgment in making decisions. Takes responsibility for patient care assignments.* Maintains currency with nursing skills and knowledge base.
Selects and utilizes appropriate teaching tools and/or makes requests for new tools.
Collaborates effectively with the multidisciplinary team; i.e., physicians, diabetic educator, pastoral care, interpreters, social workers, case managers, wound care nurses, and community resource groups and services, to benefit the patient.
Utilizes appropriate unit-based resource nurses for assistance as appropriate.
Completes documentation using approved MWMC forms according to established legal and MWMC policy and procedure. Includes, but is not limited to, SNAP tool, patient teaching forms, PIE notes, CBE notations, and incident forms. Transcribes and inputs physician orders accurately and in a timely manner, using the nurse order entry system.
Communicates and collaborates with all health team members, patients, and families face to face, using the telephone, or with written adjuncts. Ensures patient care needs are met in a timely manner and follow through is initiated and/or completed. May act as a patient advocate. *Remains informed of discharge plans. Encourages open communication to foster a positive, professional environment. Incorporates the care model into patient care. Utilizes systems to remain apprised of patient status/needs and of facilitating information to physicians and oncoming shifts.*
Provides patient/family teaching using a variety of audio-visual aids and written instructional materials. Uses child/adult learning principles in teaching. Provides mini in-services to new staff as appropriate. Supervises new staff in skills. Is accessible and responsive to other staff. Identifies opportunities to offer support to staff.
Onboarding Process: Please be advised that candidates must successfully complete a background check and pre-employment health screening which includes a drug screen.
KNOWLEDGE, EXPERIENCE, AND OTHER JOB REQUIREMENTS:
Current licensure as a Registered Nurse in the Commonwealth of Massachusetts.
Minimum of six months to one year of experience in specialty area preferred.
BLS required. ACLS required in some areas. PALS preferred for PACU.
All certificates need to be from the American Heart Association
Patient care environment. Moderate to heavy lifting; prolonged standing and walking; bending and stooping. Potential contact with blood and body fluids.
The above statements are intended to describe the general nature and level of the work being performed by people assigned this position. They are not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities associated with the position.
*Additional duties when Charge Nurse role assumed
ESSENTIAL PHYSICAL JOB FUNCTIONS
Ability to communicate face to face with individuals; communicate via call system with individuals; communicate via telephone with individuals; read, write, speak and understand the English language
Ability to hear heart, lung and bowel sounds; blood pressure, and fetal heart sounds using stethoscope; respiratory sounds without stethoscope; patient verbalizations â�� speech, crying, moans, etc; monitor alarms, fire alarms, positive pressure room alarms.
Ability to vertically/horizontally transfer objects weighing up to 10 lbs from 69 inches to 26 inches, up to two times an hour for a distance of up to 150 feet without mechanical assistance. (example: Linens)
Ability to vertically/horizontally transfer objects weighting up to 10 lbs from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts)
Ability to vertically/horizontally transfer objects weighing up to 15 lbs from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual)
Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank)
Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors)
Ability to push/pull IV poles and Blood Pressure machine for patient care. Must be able to horizontally transfer IV poles and Blood Pressure machine requiring a force of up to 1 lb., up to ten times an hour for a distance up to 50 ft.
Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs (total weight of 250 lbs), up to once an hour for a distance up to 200 ft.
Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs (total weight of 410 lbs), up to once an hour for a distance up to 200 ft.
Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs (total weight of 713 lbs/2 =357 lbs.) five times an hour for a distance up to 50 ft.
Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs, up to five times an hour.
Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs, up to six times a day.
Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs, up to six times an hour (one time in ten minutes).
1. Ability to climb stairs up to 80 steps an hour in a twelve hour time period.
Ability to perform bilateral coupling forces up to 5 lbs, up to ten times an hour for paperwork and patient care.
Ability to perform repetitive assumption of posture to access a point 1 inch from floor up to ten times an hour. Must be able to access low areas for changing linens and straightening patientâ��s rooms.
Ability to tolerate a seated posture up to 15 minutes, continuously, for a total of up to 2 hours per 12 hour time period.
Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period.
Assume a squat. Reaching from 1â�� height on floor, returning to upright position (10 times).
Ability to walk up to 3 miles in a 12 hour time period.
Ability to use and wear Personal Protective Equipment (PPE), gloves, mask, gown, goggles, face shield.
Primary Location: Framingham, Massachusetts
Facility: MetroWest Framingham Union Hospital
Job Type: PT2Y
Shift Type: Rotate
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.