Staff RN, Full Time, Nights: Med Surg

The Staff Nurse is an individual who holds ultimate responsibility for direct and indirect nursing care through the utilization of the nursing process. The Staff Nurse provides individualized, goal-directed nursing care through use of the nursing process and practices within the guidelines of the Nurse Practice Act and the Standards, Policies and Procedures of Carney Hospital. He/she reports to the Clinical Manager or designee. EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER: Graduate of an accredited School of Nursing Current registration in the Commonwealth of Massachusetts Current BLS Certification Demonstrated proficiency in acute care nursing, knowledge and skills KEY RESPONSIBILITIES: ESSENTIAL FUNCTIONS Assess and diagnoses patient and family problems in order to provide quality care to assigned patients. Completes patient assessment data within 8 hours of admission or in accordance with specific unit standard. Identifies and documents nursing diagnosis/problem list on patient plan of care within 8 hours of admission. Identifies and documents patient/family/significant other teaching needs upon admission. (including barriers/strategies/outcomes) Identifies discharge planning needs of patient/family/significant other at time of admission. Identifies and anticipates needs of patient/family as they move through the hospitalization process. Develops, discusses and communicates a realistic problem list (plan of care) for each patient, in collaboration with each patient/family/significant other in order to address all identified needs/or in accordance with specific unit standards. Demonstrates the skills and judgement necessary to implement medical plan of care, nursing interventions and procedures as necessary for the care of the patient. Demonstrates knowledge of Carney Hospital policies and procedures/protocols for administering, transcribing and recording medications. Demonstrates knowledge of commonly used meds: action, dose and side effects. Observes 5 R’s for administering meds: right patient right drug right dose right method right time Demonstrated proper procedures in all methods of medication administration. Monitors patients response and intervenes appropriately. Provides effective pain management to include: accurate assessment using 0-10 pain scale documentation of location, character and duration timely appropriate interventions timely reassessment and intervention Administers blood and blood products following Carney Hospital policy and procedures. Documents narcotics use according to Carney Hospital policy and procedure. Assesses, maintains and documents IV access according to Carney Hospital policy and procedures. Identifies patients at risk for falls and implements fall prevention program as appropriate. Delivers culturally competent care being sensitive to issues related to culture, race, gender, sexual orientation, and socio-economic class. Provides emotional support to the patient/family. Considers patient’s spiritual needs and appropriately consults Spiritual Care Services. Effectively teaches the patient/family about the disease, disease process, procedures, medications, food drug interactions, activity progression and when to call M.D. Re-evaluates the identified problems, care provided, and outcomes in order to meet patient and family needs and assure overall quality of care delivered. Maintains up-to-date and accurate documentation of nursing care provided to ensure the integration of information for use by the healthcare team. Demonstrates ability to use critical thinking skills in all aspects of practice. Maintains current knowledge/certification/licensure. Functions as a role model for current and new staff. Performs competently in fulfilling job responsibilities as required by the Division. Directs other licensed and non-licensed personnel in the provision of care to patients as assigned. Assumes all other duties and responsibilities as necessary. Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment. Commits to recognize and respect cultural diversity for all customers (internal and external). Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed. About Steward Health Care Nearly a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability. If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you. Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.

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