Registered Nurse - Primary Care

Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England.

The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston Health Net – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position:
Staff Registered Nurse - Primary Care

Department:
Nursing

Schedule:
Full Time

POSITION SUMMARY:

The registered nurse, adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines and standards of practice.

• Consistently and effectively utilizes all steps of the nursing process in the provision of timely, safe, efficient and appropriate patient/centered care.
• Assesses the patient and family in a systematic and ongoing manner for both overt and covert signs and symptoms in accordance with the standards of clinical nursing practice.
• Collects pertinent data using appropriate assessment techniques.
• Prioritizes data according to the patient’s immediate condition or needs.
• Involves the patient, family/significant others and appropriate health care providers in the collection of data when appropriate.
• Consistently uses clear, concise and effective written/oral communication and complies with departmental policies when sharing/documenting relevant patient care data.
• Identifies emergency/crisis situations, communicates such in a timely manner to appropriate health care team members, and responds appropriately when needed.
• Analyzes the assessment data to determine appropriate nursing diagnoses.
• Demonstrates use of critical thinking skills, derives and documents appropriate diagnoses from patient and family assessment data.
• Identifies expected outcomes individualized to the patient.
• Derives and documents realistic, appropriate clinical and educational patient-centered outcomes consistent with patient’s diagnoses, capabilities and expectations in accordance to the standards of clinical nursing practice.
• Develops outcomes as measurable goals which include a time estimate for attainment and provides direction for continuity of care.
• Mutually formulates outcomes with the patient, significant others and health care team when appropriate.
• Develops a plan of care that prescribes interventions to attain expected outcomes.
• Develops and documents an individualized plan of care that reflects the patient’s condition, prioritizes his/her needs, and provides for continuity of care.
• Develops the plan with the client, significant others and appropriate health care providers.
• Develops a plan reflective of current nursing practice standards, policies, procedures, protocols and guidelines.
• Plan reflects effective use of available resources and appropriate internal/external referrals in order to provide comprehensive care to patients and families.
• Implements interventions identified in the nursing and medical plan of care.
• Prioritizes patient care interventions based on fluctuating patient and unit needs.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served. Consults…