ED Nurse Nights Faulkner

Brigham & Women's Faulkner Hospital
United States, Massachusetts, Boston
1133 Centre Street (Show on map)
Apr 16, 2025
Staff RN: The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor. The Staff Nurse will also assure the practice of the Patient and Family Centered Care Model in an environment that exemplifies best practice. ED, ICU, IV, OPIC, OR: The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated Nursing Director, or supervisor. Assure the practice of the Patient and Family Centered Care Model in an environment that exemplifies best practice. Essential Functions - Staff RN: 1. PROVISION OF A SAFE ENVIRONMENT * Maintains patient safety by identifying risk factors and intervening appropriately. * Participates in product trials by evaluating for safety. * Utilizes nursing judgment in implementing physician orders in a safe and conscientious manner. Notifies manager, clinical leader or supervisor with any concerns. 2. ORGANIZATIONAL ETHICS * Maintains and promotes an atmosphere which reflects the mission and values of the organization. * Respects and supports a culturally diverse staff and patient population. * Serves as a patient and family advocate in providing care at all times. * Utilizes the proper procedures to resolve patients conflicts i.e. interdisciplinary meeting, ethics committee. 3. MANAGEMENT OF RESOURCES * Appropriately delegates responsibility to unit secretaries, and patient care assistants with an understanding of their roles, knowledge and capabilities. * Utilizes staff development to meet educational needs. * The Charge Nurse Role: Completes the assignment for the following shift based on the acuity of patients; Coordinates nursing activities for the unit; Serves as a Clinical Resource for staff on the unit and is aware of all patient conditions; Assists manager or supervisor in determining staffing needs for the next shift; Completes report sheet for the manager or supervisor. 4. MANAGEMENT OF INFORMATION * Documents patient care assessment, flow sheets and interventions on Meditech system. * Individualizes patient diagnosis and sets goals for all identified patient problems. * Documents patient response to interventions in Meditech and /or nursing notes. * Documents patient incidents in detail as they occur. This includes falls, reactions to medications, or other injuries. * Gives taped report in concise, comprehensive manner. * Utilizes Meditech system to: Check patient orders; views patient results; views cross-departmental communication via E-mail * Anticipates discharge date and initiates nursing referral. 5. COLLABORATIVE INTERDISCIPLINARY CARE * Interacts with all members of health care team to provide interdisciplinary patient care. * Maintains and fosters a team work approach to patient care within the Nursing Department. 6. PATIENT/FAMILY EDUCATION * Determines and incorporates patient/family education into plan of care. * Documents patient teaching and response onto nursing Meditech or nursing notes. Completes discharge teaching with patient and/or family member 7. COMPETENCY * Maintains compliance with hospital, nursing and unit specific competencies. * Actively seeks out unit and/or service related Continuing Education classes. 8. QUALITY IMPROVEMENT * Understands unit specific QI plan and participates in audits as required. * Revises patient care based on QI results. * Participates in SEAQ programs. 9. PATIENT CARE * Accurately assesses patients and develops appropriate plan of care based on hospital standards including psychosocial, spiritual, cultural and physical needs of patients and families. * Implements ordered treatments and dispenses medications according to hospital policy. Maintains standard precautions while delivering care. * Continually evaluates patient's status and updates plan of care as needed. * Participates in interdisciplinary rounds. CONTINUUM OF CARE * Initiates and Coordinates interdisciplinary care planning with other health care professionals, i.e. Case Review, Dietary, PT, OT, Social Service and Psychiatry. * Participates in post-hospital plan of care with Case Review. BSN required. Massachusetts Registered Nurse License required. BLS required ED experience strongly preferred. 2 years' telemetry experience preferred. Must obtain ACLS prior to end of orientation and may not practice independently without ACLS - PALS preferred Adheres to all I.C.A.R.E. standards. Must show evidence of the basic analytic thinking necessary to care for a group of patients. Demonstrate observational skills and the ability to set priorities. Ability to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, team work, communication, respect for others, and time/priority management. We have a 21-bed unit and staffing ratios for nursing are 4 to 1. We stagger our nursing shifts throughout the day to cover the highest volume times with the most staff. We care for patients of all ages, including pediatric patients, and work as a team to provide the best possible treatment. The Emergency Department is open 24 hours a day, seven days a week. Our new patient care model has been designed to provide high-quality, efficient care, and to reduce unnecessary wait times. Diagnostic X-ray, CT scan and ultrasound services are available 24 hours a day, seven days a week, and MRI is available for most of the day, seven days a week. Brigham and Women's Faulkner Hospital is a Primary Stroke Center and are in process of initiating a TeleStroke Program in collaboration with BWH and MGH. Brigham and Women's Faulkner Hospital, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.