Registered Nurse, Telemetry, 36 hours, Day/Night Rotation

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Job Description:

ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to):

The registered nurse systematically and continuously collects and assesses data in collaboration with the interprofessional team to provide therapeutic care with the patient and family.

• Establishes an in-depth data base by assessing the behavioral and physiologic status of the patient utilizing interview, observation, physical examination, and other available data.
• Integrates nursing interventions into the interprofessional plan of care, incorporating appropriate standards of care and practice and patient outcomes.
• Implements safe, competent, and efficient patient and family care within policies, procedures and standards, and interventions as noted on the interprofessional plan of care.
• Sets priorities adapting to changing patient and unit/clinic situations. In response to data indicating urgent and/or emergent risk to patient, initiates action to reduce or correct risk.
• Assumes responsibility and accountability for effectively managing nursing care of individual patients/families as a team member.
• Documents the nursing process to reflect a comprehensive and integrated approach to patient and family care.
• Evaluates patient's responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff, Surgical Team, Hospitalist Team, Clinical Leader, Case Manager, and Rehabilitation Team regarding clinical variances and recommended changes to the plan of care.
• Identifies learning needs of patients/families and teaches by adapting standard information to provide individualized and comprehensive teaching and learning.

Quality and Patient Safety

• The registered nurse systematically and continuously collects and assesses data in collaboration with the interprofessional team to monitor outcomes of care processes.
• Use improvement methods to design and test changes to continuously improve the quality and safety of healthcare systems.
• Performs services in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations
• Participates in hospital and/or unit-based patient safety and quality activities and uses principles to support and improve patient outcomes.
• Minimize risk of harm to patients and providers through both system effectiveness and individual performance.
• Demonstrates professional commitment and is responsible for ensuring patient safety.

Resource Utilization

• The registered nurse considers factors related to safety, effectiveness, and cost in planning and delivering care. The registered nurse demonstrates knowledge of care delivery system as interprofessional and multifaceted with a variety of entry and access points along the care continuum.
• Contributes to and supports the effective management of the care area.
• Acts to be fiscally responsible
• Effectively utilizes technology to support practice and efficiencies in care delivery.

Teamwork and Collaboration:

• Functions effectively within nursing and interprofessional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
• Communicates and collaborates with the patient, family, significant others, and health care providers in providing patient care.
• Effectively delegates appropriate patient care activities to other members of the patient care team with appropriate knowledge and skill levels.
• Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment.
• Takes initiative to share knowledge and skills willingly with colleagues, students and novice practitioners in a collegial manner.

Patient-centered Care:

• Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
• Provides direct care to patients and makes necessary nursing judgments to ensure all patient populations are appropriately cared for.
• Designs and implements individualized patient care plans reflective of current nursing practice standards, policies, procedures, protocols and guidelines. 
• Assesses presence and levels of pain as well as physical and emotional comfort.
• Informs and educates patient of expected outcomes before, during, and after medical procedures.
• Explains patient privacy requirements to patient, families and visitors and maintains patient privacy ensuring compliance with HIPAA and NEBH standards, policies and procedures.

Evidence-Based Practice (EBP) Research:

• Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
• Participates in ongoing educational and professional development activities to enhance clinical knowledge and update requisite skills.
• Identifies recurring clinical practice issues and contributes to the development of specific plans to address identified issues.
• Demonstrates knowledge of research findings related to clinical specialty.

Informatics:

• Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.
• Documents and updates the patient medical records in accordance with NEBH and department-specific policies and procedures.

Education and Professional Development

• The registered nurse acquires and maintains current knowledge in nursing practice and assumes responsibility of the professional development of self, other nursing staff, and students.
• Evaluates own performance and that of peers and other nursing peers in relation to standards.
• Demonstrates an awareness of elements in own performance needing further development and seeks opportunities to improve.
• Contributes to the learning experiences of students in cooperation with the instructor and other staff.

Ethics

• The registered nurse's decisions and actions with patients and families are determined in an ethical manner.
• Demonstrates sensitivity to the values of self and others.
• Participates in activities designed to broaden ethical decision-making skills.
• Integrates personal values with NEBH Mission and Values and Nursing Mission, Vision and Philosophy.
• Involves patient and family in plan of care incorporating their cultural, spiritual and other belief systems.

QUALIFICATIONS:

• MA RN License
• BLS Certification required, from the AHA/RC preferred

• ACLS Certification required in the following areas: ICU, Perianesthesia (Bond & PACU), Spine Center, Radiology, 4 East and 5 East, from the AHA/RC preferred

EDUCATION:

• Bachelor’s Degree

MINIMUM EXPERIENCE:

• 0-1 year of experience

OTHER REQUIREMENTS:

• Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values.
• Ability to work in a fast-paced environment with demonstrated ability to manage and prioritize tasks while following practice standards, policies, procedures, protocols, guidelines, statutes and regulations
• Ability to communicate and handle sensitive and confidential information ensuring compliance with HIPAA and NEBH patient confidentiality and privacy policies
• Strong verbal communication skills.  Ability to handle difficult conversations while being respectful and professional at all times.

Physical, Sensory, Mental, and Environmental Requirements

Physical Requirements:
Requires the ability to sit, stand, walk, and remain mobile throughout the workday in a fast-paced patient care environment. Frequent movement is required, including bending, twisting, turning, pivoting, reaching, squatting, kneeling, balancing, and occasional climbing as needed. Requires frequent use of hands for handling, fingering, typing, writing, grasping, pinching, and performing precise clinical tasks. Must be able to assist with patient care activities, including lifting, carrying, pushing, pulling, transferring, repositioning, and mobilizing patients. Ability to move or transport patients using wheelchairs, stretchers, beds, and other patient care equipment, while following established safe patient handling procedures.

Sensory Requirements:
Requires visual acuity sufficient to perform patient assessments, review medical records, administer medications, monitor patient conditions, and evaluate clinical data. Must be able to distinguish colors and accurately interpret equipment displays and clinical indicators. Requires the ability to assess patients at close range and maintain awareness of the surrounding care environment. Must be able to hear and respond appropriately to patient needs, conversations, telephone communications, equipment alarms, and emergency notifications in settings with varying levels of background noise. Requires clear and effective verbal communication with patients, families, providers, and interdisciplinary team members. Ability to recognize sensory cues such as temperature changes, odors, and tactile indicators relevant to patient care and safety.

Mental Requirements:
Requires strong clinical judgment, reasoning, critical thinking, and problem-solving skills to assess patient conditions, prioritize care needs, and respond effectively to changing situations. Must be able to understand and follow detailed instructions, adhere to established policies and procedures, maintain assigned work schedules, and manage multiple priorities simultaneously. Requires the ability to maintain concentration, accuracy, attention to detail, and a consistent workflow while delivering safe, high-quality patient care in a fast-paced environment.

Environmental Requirements:
Work is performed primarily in a hospital and patient care setting with frequent interaction with patients, families, physicians, and other healthcare professionals. The role requires both independent work and collaboration as part of an interdisciplinary care team. Regular use of clinical equipment, computers, patient care devices, and patient transport equipment is required. May involve exposure to infectious diseases, airborne pathogens, bloodborne pathogens, blood, bodily fluids, cleaning agents, chemicals, and other healthcare-related hazards. Employees are required to follow infection prevention, safety, and patient care protocols and utilize appropriate personal protective equipment (PPE), including gloves, gowns, masks, eye protection, respirators, and other protective equipment as required.

Pay Range:

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