The LemuelShattuck Hospital (LSH) is seeking a motivated Registered Nurse III/StaffNurse OR.
Implementing the nursingprocess in collaboration with a health care team, the RN III is responsible andaccountable for prescribing, delegating, coordinating, providing and improvingperioperative and post anesthesia nursing care according to PI concepts andintegrating departmental, hospital mission and standards, state, federal lawsand regulatory agencies into professional standards of care/ practice forclients from the community/DPH/DMH/DOC/DD or DDS under the direction of thenurse manager. Provides leadership and management in organizing thedelivery of patient care as team leader/charge nurse in absence of nursemanager to assign, supervise, and evaluate the perioperative nursing care ofRN's, LPN's, NA's and support staff according to their scope of practice andcompetence and according to Department policies/ procedures. Performsother duties as required.
Dutiesand Responsibilities (these duties are a general summary and not allinclusive):
Through the application of the nursing process andin collaboration with a health care team provides perioperative nursingcare based on established nursing standards with ongoing documentation forclients from the community/DPH/DMH/DOC/DD/DDS/Shelters under the directionof the Nurse Manager.
Initiates physical, psychosocial and spiritualassessment of patients nursing care needs according to Operative and
Invasive Services procedure and as specified per unit policy.
Develops a Plan of Care with patient, patient's significantothers, multidisciplinary health care team, and other resources whichsupports the analysis of data collected and that reflects (a) formulatednursing diagnosis/identified patient needs/problems and standards of care(b) specific nursing intervention based on nursing diagnosis (c)patient/significant other strengths (d) discharge needs ofpatient/significant others and (e) outcome measures with time frames forachievement.
Implements and documents Perioperative nursinginterventions, including operative assistance, instrument use, bloodproducts used, sponge and instrument counts. Provide post op care throughdischarge when necessary.
Provides ongoing assessment and evaluation ofpatient status at specified times as per unit policy and to determineeffectiveness of interventions, patient's response to treatment/ patientoutcomes and/or when significant change occurs in patient condition and/orpatient diagnosis and communicates changes in plan to patient/significantothers and health care team.
Documents nursing care process andoutcomes/situational occurrences in accordance with LSH/NursingDepartment/Unit Policies/Procedures.
Assesses, identifies and provides for education andtraining of patient/ patient's significant others to improvepatient's health outcomes by assisting the patient/patient's significantothers in gaining the knowledge and skills that facilitateunderstanding of health status, return to function, healthy behaviors, andthat meets the ongoing health care needs of the patient.
Provides consistent leadership in organizing thedelivery of care according to department standards by performing chargeduties as delegated by nurse manager and assigns/ supervises caredelivered by other RN's, LPN's and NA's according to department standards/policies/procedures.
Participates and contributes to departmental andhospital wide performance improvement activities/ risk management byassisting in data collection and analysis, identifying opportunities forevaluation and improvement in care or services, and by involvement in andassessment of findings and actions taken to improve care.
Maintains commitment and responsibility forprofessional growth and competency through ongoing activities that promoteprofessional growth and development by completing all mandatory reviewclasses, acquiring, maintaining and updating knowledge and skills requiredto perform processes involved in delivery of care specific to clinicalunit and field, participating in performance appraisal process of self andpeers, and through participation in LSH/Nursing Department/ProfessionalNurse Organization (PNO) Committees, continuing education programs, andprofessional organizations.
Contributes to effective interpersonal and communityrelations to ensure the quality of patient care, to promote a therapeuticmilieu by functioning as advocate/resource person tostaff/patients/families/ visitors/other departments and outside agenciesregarding requested information and LSH Policies/ Procedures byinvestigating complaints/ clarifying LSH Policies/procedures andmaintaining patient privacy/confidentiality at all times.
Contributes to the safety/risk management/infectioncontrol program, productivity, and cost effectiveness of department andthe hospital by assessing and managing the environment to reduce safetyand health hazards and minimize incidents/accidents forpatients/employees/visitors; by managing services, supplies,pharmaceutical stock and equipment to ensure effective and economical use.
Demonstrates competence in perioperative nursingskills and knowledge.
Demonstrates competence in assessing and providingage appropriate care to all patients.
Demonstrates competence in assessing and providingcare that is cognizant of and sensitive to patients' cultural and spiritualneeds.
Demonstrates competence in using Meditech.
Performs related duties as required.
Certified Nurse OperatingRoom (CNOR)
LSH takes pride in helpingpeople recover from illnesses and conditions that are often underserved ordifficult to manage in other health care settings. The hospital servespopulations that are mostly indigent, often in the care and custody of stateagencies, and present with clinical issues that arise from mental illness,homelessness, and substance abuse. LSH provides 260 inpatient beds and 25specialty medical clinics, including surgical services, to patients and clientsreferred by private sector providers and state agencies (including the
Department of Mental Health-DMH, the Department of DevelopmentalDisabilities-DDS and the Department of Corrections-DOC). We strivecontinuously to improve the quality of life for our patients through the deliveryof collaborative treatment and patient-focused continuum of care. Teaching health professionals from various disciplines has always been part ofthe hospital's charge as well.
Shift Hours: 7:00 a.m. to3:30 p.m. (40 hours per week)
Days Off: Saturday and Sunday
A criminal background check will becompleted on the recommended candidate as required by the regulations setforth by the Executive Office of Health and Human Services prior to thecandidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure and certifications will beverified in accordance with the Human Resources Division's HiringGuidelines
Education andlicense/certification information provided by the selected candidate is subjectto the Massachusetts Public Records Law and may be published on the
For questions,please contact Health Human Resources at 617-971-3087.
First consideration will be given to those applicants that apply within the first 14 days.
MINIMUM ENTRANCE REQUIREMENTS:
Applicants must have at least (A) one year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility, and (B) six months of which must have been in a supervisory, administrative or managerial capacity.
SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing.*
Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
State Of Massachusetts