Registered Nurse, Primary Care

Position Summary

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 & 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 system that includes many community health centers. BMC is dedicated to helping us achieve Vision
2030, a long‑term goal to make Boston the healthiest urban population in the world.

Position: Registered Nurse Department: Primary Care Schedule: Full Time

Standards of Care: Consistently and effectively uses all steps of the nursing process in the provision of timely, safe, efficient & appropriate patient‑centered care. Assesses the patient & family systematically and continuously for overt & covert signs & symptoms in accordance with 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 & appropriate health‑care providers in data collection when appropriate. Uses clear, concise & 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 the appropriate health‑care team members, and responds appropriately when needed. Analyzes assessment data to determine appropriate nursing diagnoses;

demonstrates critical thinking skills, derives & documents appropriate diagnoses from patient and family assessment data. Identifies expected individualized outcomes; documents realistic, appropriate clinical & educational patient‑centered outcomes consistent with the patient’s diagnoses, capabilities & expectations. Develops measurable goals with a time estimate for attainment, and provides direction for continuity of care. Works collaboratively with the patient, significant others & health‑care team to develop outcomes and plans of care that reflect current nursing practice standards, policies, procedures, protocols & guidelines, and make appropriate internal/external referrals.

Implements interventions identified in the nursing & medical plan of care and prioritizes patient care interventions based on fluctuating patient and unit needs. Demonstrates knowledge and skills necessary to provide care appropriate to the age groups of patients regularly served; consults appropriate resources when patients outside regularly served age populations are present. Effectively delegates appropriate patient care activities to co‑workers with appropriate knowledge and skill level and ensures that delegated tasks are completed in a timely manner.

Provides for a safe, clean unit environment through risk management practices, including labeling and removing broken/expired equipment material from service. Demonstrates safe technical competence based on patient needs, including direct care skills such as phlebotomy, IV insertion, informatics and equipment monitoring/utilization. Implements patient care interventions/treatments and administers medications in accordance with established practice standards, policies and protocols. Educates patient and family regarding current illness, procedures, treatments, plan of care as well as health maintenance, promotion and illness/injury prevention.

In emergency/crisis situations, demonstrates effective decision making in accordance with standards of clinical nursing practice, re‑prioritizes patient care needs, initiates appropriate response actions, and directs other team members to ensure a complete and coordinated response. Documents interventions according to departmental policy. Evaluates the…