Ambulatory Colorectal Surgical Nurse BWH

Job Summary

40 Hours Full Time | BWH Ambulatory Specialties

Excellent Care to Patients and Families
* The Best Staff
* In the Safest Environment

Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for.

At BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care in an inclusive environment. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment.

The Staff Nurse in Division of Colorectal Surgery provides high quality, patient centered nursing care to adult surgical patients, including those undergoing colorectal surgical procedures, within the ambulatory setting. This role supports patient care through clinical telephone triage, care coordination, patient education, and collaboration with Advanced Practice Providers (APPs) and the interdisciplinary care team to ensure safe, timely, and effective care.

The Staff Nurse systematically and continuously collects and assesses data related to patient health status to develop, execute, and evaluate the plan of care in the ambulatory/outpatient care setting. They provide necessary assessments, administer treatments, and communicate with the multidisciplinary care team. The Staff Nurse provides patient and family education and psychosocial and emotional support. They ensure that care is safe, holistic, efficient, effective, timely and meets the cultural, spiritual, and ethnic needs of each patient and family.

• Provide clinical telephone triage and nursing support for Division of Colorectal Surgery patients, including medical and pre and post operative surgical patients.
• Support pre operative and post operative Colorectal Surgery patients through ambulatory symptom assessment, care coordination, and patient education.
• Perform clinical assessment of patient symptoms, determine urgency, and facilitate appropriate disposition and follow up.
• Providing post-operative wound assessment and care with support from APP as needed.
• Attending monthly Division staff meetings and other staff meetings as requested.
• Identify and elevate urgent or complex clinical concerns to the appropriate Advanced Practice Provider.
• Ability to problem solve functions as a resource to other members of the multidisciplinary care team and resolves complex issues on behalf of providers and patients.
• Coordinate care across the Colorectal Surgery practice to ensure continuity, timely follow up, and effective communication with patients, families, and referring providers.
• Provide patient education related to Colorectal Surgery conditions, surgical preparation and recovery expectations, medication management, diagnostic testing, and follow up care.
• Accurately document nursing assessments, interventions, and plans of care in the electronic medical record (Epic), using SBAR format when appropriate.
• Exceptional organizational skills and flexibility to manage multiple tasks and adapt to quickly changing situations.
• Knowledge of computer applications is necessary to function in an ambulatory/outpatient setting.
• Maintains and updates clinical knowledge and skills, as they relate to specialty practice and clinical expertise, based on the most up-to-date knowledge, research and current evidence-based practices.
• Participate in departmental quality improvement and quality management initiatives.
• Collaborate with physicians, advanced practice providers, nurses, and support staff to support efficient clinic operations and high quality patient care.
• Perform other duties as assigned by Colorectal Surgical leadership in support of patient care and clinic operations.
• Responsible for managing the clinic pager to facilitate effective and efficient triaging of patient requests and ensure proper care delivery.
• Provides clinical support and coverage as needed in the absence of APP colleagues.

• Graduate of an approved school of nursing with current registration in Massachusetts. Bachelor of Science Degree in Nursing is required for newly licensed nurses.

Experience:

• 1. Minimum of 2 years of recent (within 12 months) clinical nursing experience in an Ambulatory Clinic/Practice setting required. Experience only in an ambulatory procedural area /emergency room is not sufficient.
• 2. Nursing experience with telephone triage required, and telephone triage must be the main responsibility of this experience. This is the safe, effective, and appropriate disposition of health-related problems and includes: assessing the severity of symptoms, communicating urgent patient needs to the LIP,…