Excellent Care to Patients and Families The Best Staff In the Safest Environment
The RN is a professional nurse registeredin Massachusettswho is responsible and accountable for a specified group of patients in the
Allergy Department at 850 Boylston Street, Chestnut Hill. Demonstrates initiative, knowledge andclinical skills in caring of patients with complex needs.
Demonstrates the ability to effectivelymanage patients by assuming full responsibility for assessment, planning,implementation and evaluation of patient care. The RN is directly responsible to the Medical Director and PracticeManager. The RN is responsible foradministration of allergen immunotherapy/desensitization, allergy testing, oralchallenge techniques, mixing and dilution of allergen extracts, patienteducation of allergen environmental control measures and the use of metereddose inhalers, breath activated inhalers, spacers, etc., performing pre andpost bronchodilator spirometry.
RN isresponsible for telephone call triage and contacting patients for changes inmanagement. This position is alsoresponsible for maintaining the department's perpetual inventory of samples anddispensing such samples per the direction of the physicians.
PRINCIPAL DUTIESAND RESPONSIBILITIES:
A. Organization of Patient Care
1.Accountable for assessing, planning, implementing and evaluation a planof
care for a specific patient assignment
2.Setspriorities when organizing care for patients with varying acuity which
includes primary and associate patients.
3.Continuityis maintained through clear and concise communication (verbal and written).
B. Quality of Care
1.Documentation is clear, complete, concise and in compliance with nursing
2.Develops a comprehensive plan of care based ondata from an initial assessment of patient and family, information from othermembers of the health care team, intra-agency referral and previous medicalrecords.
3.Plan of care includes education for thepatient and family, utilizing appropriate resources. Specifically, advising patient and familyregarding allergen environmental control measures and us of metered doseinhalers, breath activated inhalers, breath activated inhalers, spacers,etc. Accurately communications thephysician's instructions to the patient. Follows office protocol and physician direction when calling prescriptionsto pharmacies, as well as with all other practice procedures.
4.Planof care reflects discharge planning utilizing appropriate resources andreferrals including community resources. As ordered by the physician, discharge care includes blood tests, skintests, pulmonary function test and reversal, EKG, immunotherapy and/or X-rays.
5.Evaluatesthe effectiveness of the plan of care, and documents progress in meeting statedgoals. Revises plan of care as needed toachieve desired outcomes.
6.Patricipatesactively in the departmental and organization quality management and/or qualityimprovement programs. Is responjsiblefor maintaining work environment based on JCASHO and DPH standards. Responsible for maintaining perpetualinventory, of samples for the department.
7.Providesa safe environment for patients, staff, family and visitors.
8.Administersmedication safely according to established policies and procedures. Administers allergenimmunotherapy/desensitization, allergy testing, oral challenge testing. Prepares, dilutes and mixes allergen extractsaccording to established policies and procedures. Takes vital signs and performs PFTs(pulmonary function tests).
9.Performsnursing procedures safely and efficiently.
10. Usesequipment safely and efficiently. Performs pre and post bronchodilator spirometry.
11. Demonstratesawareness of potential/actual risks of infection and modes oftransmission. Utilizes universalprecautions in nursing practice.
12. Accuratelyperforms all nursing functions necessary in the ambulatory practice includingthe administration of medication and injections and other procedures thatrequire a nursing license.
13. Triagespatient telephone calls and accurately relays information to the appropriatephysician
A. Professional Nursing Behavior
1.Interacts with patients, families and colleagues in a professionalmanner.
2.Collaborates with other discipline(s)
3.Develops, utilizes and evaluates department-specific standards of care.
4.Participates in the department-based and organization quality assurance.
5.Participates in determining and implementing goals and objectives forthe
6.Upholdsthe ANA code of ethics and acts as a role model to the other staff members.
7.Participatesin determining goals and objectives in the periodic review and evaluation.
8.Serveson the departmental and organization committees, and disseminates informationto peers.
9.Treatsall patients with dignity, compassion and respect.
1.Assumes responsibility for personal and professional growth through
identification of own learning needs
2.Shares knowledge and experience with colleagues.
3.Participates in departmental and organization education programs.
4.Seeks and accepts guidance for addition learning needs.
1.Utilizes nursing research findings in clinical practice.
2.Contributes to nursing and/or medical research endeavors by supporting
1.Utilize time and materials in an effective and economical manner, Keepall
patient care and procedure equipment clean an in good working order and
report equipment problems to supervisor.
2.Keepsinventory of necessary supplies and equipment: notifies supervisor when items are needed.
3.Properlystocks patient care area and makes cost effective use of supplies, equipmentand other resources.
4.Keepsall patient-care areas and work areas neat and clean.
5.Accuratelyutilizes all equipment and supplies.
6.Providessuggestions that support the delivery of cost effective health care.
7.Demonstratesawareness of the need to manage within established budgetary boundaries.
1 Participates in the orientation of new staff members, students.
2.Provides input into the clinical evaluation of other staff, asappropriate.
3.Assumes responsibility for the department in the absence of leadership
4.Adheresto hospital and nursing policies and aids in their interpretation to others.
5.Recommendschange in policies and procedures through appropriate channels.
6.Participatesin the cooperative effort and peer support required for the smooth running ofthe department, e.g., flexibility in relations to patient assignment or workschedule.
7.Promotescollaborative work relationships and influences other to work collaboratively.
8.Basesdecisions and actions on understanding the perspective of others.
9.Isa role model to other in service standards.
10. Interactsprofessionally with fellow employees and other ancillary departments.
11. Issupportive of fellow employees and uses initiative in helping others
12. Is aneffective TEAM PLAYER!
13. Followsinstructions of and assists supervisory staff as required. Maintains good communication with and reportsproblems to supervisor.
14. Performsall duties and tasks as requested by the supervisor, to ensure the efficientoverall performance of the facility.
15. Attends allrequired staff meetings.
16. Is reliableand dependable.
17. Must haveflexibility with schedule.
Education: Graduate of an approved school of nursing with current registration in Massachusetts.
For newly licensed nurses a Bachelor of Science Degree in Nursing is required. Masters of Science in Nursing preferred.
Experience: Experience in Allergy preferred.
Experience preferred for:
Knowledge and experience in administration of allergen immunotherapy/desensitization.
Knowledge and experience in methods of allergy testing (patch/puncture, Scratch, intradermal)
Knowledge and experience in oral challenge technique. Oral challenges include foods, as well as medications.
Knowledge and experience in preparation and mixing of allergen extracts.
Knowledge and experience in dilution of allergen extracts.
Knowledge and experience in patient education regarding allergen environmental control measures and use of metered dose inhalers, spacers, etc.
Knowledge and experience in the performance of pre and post bronchodilator spirometry.
Knowledge and experience with chemotherapeutic skin tests including by not limited to carboplatin, cisplatin, cytoxan, taxol, oxaliplatin and avastin.
Knowledge and experience with mixing venoms and skin testing to venoms.
Knowledge and experience with penicillin skin tests.
Knowledge and experience with aspirin desensitizations
Knowledge and experience with McKesson medication ordering
Knowledge and experience with entering charges for Allergy testing
Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged.
Able to work weekend rotation per the MNA contract
Must maintain annual competencies related to practice protocol
Must attend mandatory annual in-services
Maintain current licensure by completing educational requirements needed for renewal.
Must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills.
Brigham And Women's Hospital