Beth Israel Lahey Health, Inc.
Registered Nurse – Allergy & Immunology Clinic (Full Time)
Beth Israel Lahey Health, Inc., Lexington, Kentucky, us, 40598
**When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.**This position is full time, 36 hours per week, day shifts. Four 9 hour shifts. Primary location is Burlington but will occasionally float to Peabody and Lexington. Hours Monday thru Friday 7:30am to 4pm may work 9am to 6pm on Mondays.About the department
More than 50 million people in the United States suffer from allergies, asthma and related conditions. An allergy is an adverse reaction, caused by a patient’s own immune system, to a substance that would generally be considered harmless. If symptoms occur in the nose or sinuses, this is called allergic rhinitis or hay fever. Symptoms in the lungs or bronchial tubes are called asthma. Skin symptoms are referred to as hives or urticaria.Lahey’s Department of Allergy and Immunology specializes in the diagnosis and treatment of these conditions. Patients are evaluated through detailed histories, physical examinations and, if applicable, breathing and allergy skin tests. Treatment options for allergic conditions include avoidance of allergens, medications to reduce symptoms and, in some cases, allergy injections that can be helpful in controlling the underlying illness rather than just controlling symptoms.Our physicians, nurses and other health care providers are experts in the testing and treatment of both children and adults. Our certified asthma educators continue to raise the bar in patient care, keeping you informed about treatment options and empowering you when it comes to managing your condition.**Job Description:**Under the general supervision of the Clinical Nurse Manager in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic’s core values that reflect its Mission.
The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the physician(s), other healthcare provider(s) and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care.The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients.The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups.
Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve.The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the authority to make decisions.
The Staff registered Nurse: Ambulatory is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan.
The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of:–
Clinical judgment and decision making
–
Professional relationships
–
Clinical leadership
–
Clinical scholarship**Essential Duties & Responsibilities: including but not limited to:****I.
Clinical Judgment and Decision Making:** *The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways.*A.
The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
B.
Performing systematic patient and family assessment relevant to practice settings and record the related health data..
C
Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation.
D.
Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.* Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family.E.
Delivering care that is specific to the age of the patient
F.
Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms.
G.
Evaluating effectiveness of care and adapts plan based on patient/family response
H.
Providing patient care by:* Providing necessary physical care to appropriate patient populations which include ADL’s, positioning, transporting, and treatments* Utilizing and transporting equipment* Monitoring and recognizing acute changes in the patient and intervenes appropriately* Administering medications including blood and blood products**II. Professional Relationship:** ***T**he professional relationship is based upon Lahey Clinic’s guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient’s response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care.*A.
Establishes professional relationship with nurses, physicians and other colleagues and patients and families.* The relationship includes the patient and family as a partner in care and is based upon Swanson’s Theory of Caring.B.
Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient.
C.
Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.
D.
Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care.**III. Clinical Leadership:***The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses.
The ability to lead and influence the reasoning of colleagues in the patient’s best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others’ strengths.*A.
Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics.
B.
Demonstrates skills as a responsive team member.
C.
Demonstrates role of nurse as teacher.
D.
Demonstrates ability to fulfill role in regulatory compliance and readiness.
E.
Achieves and maintains ACLS certification as required by departmental standards
F.
Serve as
patient advocate, within the limits of the law.**IV. Clinical Scholarship:** *The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis.*A.
Upholds standards of quality nursing care.
B.
Demonstrates a commitment to life long learning.
C.
Demonstrates evidenced based practice (EBP) in nursing.**Organizational Requirements:**
•
Maintains strict adherence to the Lahey #J-18808-Ljbffr
More than 50 million people in the United States suffer from allergies, asthma and related conditions. An allergy is an adverse reaction, caused by a patient’s own immune system, to a substance that would generally be considered harmless. If symptoms occur in the nose or sinuses, this is called allergic rhinitis or hay fever. Symptoms in the lungs or bronchial tubes are called asthma. Skin symptoms are referred to as hives or urticaria.Lahey’s Department of Allergy and Immunology specializes in the diagnosis and treatment of these conditions. Patients are evaluated through detailed histories, physical examinations and, if applicable, breathing and allergy skin tests. Treatment options for allergic conditions include avoidance of allergens, medications to reduce symptoms and, in some cases, allergy injections that can be helpful in controlling the underlying illness rather than just controlling symptoms.Our physicians, nurses and other health care providers are experts in the testing and treatment of both children and adults. Our certified asthma educators continue to raise the bar in patient care, keeping you informed about treatment options and empowering you when it comes to managing your condition.**Job Description:**Under the general supervision of the Clinical Nurse Manager in Collaboration with the Associate Chief of Ambulatory Nursing Practice the Staff Registered Nurse: Ambulatory Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic’s core values that reflect its Mission.
The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. The Staff Nurse: Ambulatory works in collaboration with the physician(s), other healthcare provider(s) and other ambulatory support staff within the department and with other disciplines to plan and coordinate the delivery of patient care.The Staff Registered Nurse: Ambulatory demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients.The Staff Registered Nurse: Ambulatory, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups.
Responsibilities include health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve.The Staff Registered Nurse: Ambulatory assumes the responsibility for the plan of care and has the authority to make decisions.
The Staff registered Nurse: Ambulatory is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan.
The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of:–
Clinical judgment and decision making
–
Professional relationships
–
Clinical leadership
–
Clinical scholarship**Essential Duties & Responsibilities: including but not limited to:****I.
Clinical Judgment and Decision Making:** *The process by which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways.*A.
The Staff Registered Nurse: Ambulatory is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families.
B.
Performing systematic patient and family assessment relevant to practice settings and record the related health data..
C
Analyze and interpret recorded data. Make informed judgements as to the specific problems and elements of nursing care mandated by a particular situation.
D.
Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.* Respecting the values (religious/spiritual, ethnic, cultural) of the patient and family.E.
Delivering care that is specific to the age of the patient
F.
Utilizing listening skills and clinical judgment in decision making to telephonically assess the severity of patient caller signs and symptoms.
G.
Evaluating effectiveness of care and adapts plan based on patient/family response
H.
Providing patient care by:* Providing necessary physical care to appropriate patient populations which include ADL’s, positioning, transporting, and treatments* Utilizing and transporting equipment* Monitoring and recognizing acute changes in the patient and intervenes appropriately* Administering medications including blood and blood products**II. Professional Relationship:** ***T**he professional relationship is based upon Lahey Clinic’s guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient’s response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care.*A.
Establishes professional relationship with nurses, physicians and other colleagues and patients and families.* The relationship includes the patient and family as a partner in care and is based upon Swanson’s Theory of Caring.B.
Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient.
C.
Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.
D.
Collaborates, cooperates and communicates with other healthcare providers to ensure quality and continuity of care.**III. Clinical Leadership:***The Staff Registered Nurse: Ambulatory supports the development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model. This supports the retention and recruitment of clinically competent nurses.
The ability to lead and influence the reasoning of colleagues in the patient’s best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others’ strengths.*A.
Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics.
B.
Demonstrates skills as a responsive team member.
C.
Demonstrates role of nurse as teacher.
D.
Demonstrates ability to fulfill role in regulatory compliance and readiness.
E.
Achieves and maintains ACLS certification as required by departmental standards
F.
Serve as
patient advocate, within the limits of the law.**IV. Clinical Scholarship:** *The Staff Registered Nurse: Ambulatory Care achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis.*A.
Upholds standards of quality nursing care.
B.
Demonstrates a commitment to life long learning.
C.
Demonstrates evidenced based practice (EBP) in nursing.**Organizational Requirements:**
•
Maintains strict adherence to the Lahey #J-18808-Ljbffr