RN- Critical Care Stepdown Unit -Per Diem

Site:
Wentworth-Douglass Hospital

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Looking for a safe supportive environment to care for patients and build your career?

Here is your opportunity to expand your nursing experience, preparing you for a higher acuity unit in a Magnet recognized hospital with the lowest RN to patient ratios in the greater seacoast area!

Benefits of working on this 21 bed unit include: 3:1 RN ratio for IMCU patients 4:1 RN ratio for med/surg tele patients Pharmacist on the unit Designated clinical educator and a house wide night shift clinical educator Inpatient clinical coach Day/Night Clinical practice leader Resource RN with minimal patient assignment Designated LNA's per shift Leadership support

1. CLINICAL JUDGMENT o Appropriately assesses, plans, implements and evaluates patient care, specific to population served o Follows policies/procedures, clinical practice standards pertinent to care, including emergency situations o Matches formal knowledge with clinical events to make decisions o Demonstrates the ability to provide competent, effective care o Seeks validation for clinical decisions, integrates input from other clinicians for decision making o Prioritizes and organizes work appropriately to effectively meet patient needs o Appropriately delegates to and supervises team members based on assessment of competencies, within scope of practice to ensure appropriate implementation of care o Collaborates & communicates relevant patient data to appropriate persons clearly and effectively, both orally and in writing (e.g. handoffs) o Effectively develops teaching plan and regularly integrates teaching into patient care

2. SYSTEMS THINKING o Recognizes available resources/tools for meeting patient/family needs o Completes assignments in an efficient and timely manner, requesting and utilizing resources appropriately o Documents patient assessment, plan, interventions and response in accordance with applicable policies and procedures o Communicates with Nurse Manager/ or designee about availability and management of supplies, system equipment and personnel resources at unit/department level o Demonstrates contribution to unit-based programs and strategies to monitor and continuously improve the quality of patient care o Optimizes use of staff (overtime, agency, skill mix, etc.)

based on unit census and patient acuity

3. CLINICAL INQUIRY o Shows commitment to learning new knowledge and skills to enhance service to patients/ families and achieve organizational goals o Implements and validates practices based upon current nursing evidence o Advances the profession by assisting in clinical education and orientation of other staff and students; may function as preceptor for new staff o Uses available resources to answer questions in regards to best practices, reflects upon practices on an ongoing basis o Identifies opportunities for improvement in processes of care and other improvements at a unit level o Actively participates in the collection and use of data and/or evaluation relative to unit-based performance improvements

4. UNIT SPECIFIC RESPONSIBILITIES o Participates in selection of and completes all unit-specific competencies o Articulates Nursing Sensitive Indicators and quality goals for unit and…