RN D/R Labor & Delivery

Company: Tufts Medical Center
Location: Boston
Posted on: November 12, 2024

Job Description:

Job Profile -Summary -Tufts Medical Center is recognized by the ANCC Magnet Recognition Program - for excellence in nursing. Magnet - recognition is the highest and most prestigious credential a health care organization can achieve for nursing excellence and quality patient care. Magnet - recognition signals to nurses that the organization is committed to nursing.The nurses at Tufts Medical Center are integral to everything we do. They are often the ones patients interact with first, and sometimes the ones they interact with the most. It's a critically important role, so our nurses are well-supported, well-respected, and very well-appreciated!There's an intensity and a pace to be embraced. You will have responsibility and accountability the minute you pull on the scrubs. You need to be the kind of person who gives everything you've got. Our patients deserve the best. Our nurses give it to them.Labor & Delivery is a 6-bed unit, MSCU is an 11-bed unit seeing laboring patients, both term and preterm, inpatient and outpatient with complications requiring evaluation in LDR not in physician office. The unit also accepts maternal transfers from outside hospitals, of urgency such as pre-eclampsia, preterm labor, patients with intrauterine fetal demise or second trimester termination for maternal complications or fetal anomalies, reproductive endocrinology for IVF procedures, periumbilical blood sampling procedures, Fetal Stents, pre-operative patients, surgical cases, D&C's emergent, Post Partum Tubal Ligations. Postpartum patients with complications. Newborns, both normal and those for NICU admissions.Position/Job Title: Flex RN D/RHome Department: Labor & Delivery (LDR)Cluster Departments: Mother Infant Unit (MIU)---This role focuses on providing professional and nonprofessional nursing care services -in accordance with -physician orders. - -In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or -provides -nursing care and -identified -clinical support tasks within the scope of practice for achievement of the patient's plan of care as directed. - -Provides -professional nursing care to patients. Requires a nursing license. - - -A professional individual contributor role that may direct the work of other -lower level -professionals or manage processes and programs. - -The majority of -time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically -acquired -through advanced education. - - -A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. - -Typically -responsible for: managing projects / processes, working independently with limited supervision, -coaching -and reviewing the work of -lower level -professionals, resolving difficult and sometimes complex problems. -Job Overview -The professional registered nurse -possesses -and applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge. -The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety. -The professional registered nurse serves as a patient and family advocate while -facilitating -a cooperative and collaborative environment among all health care providers. The professional registered nurse -is responsible for -the planning, delivery and management of patient/family centered care -utilizing -the nursing process and adhering to the standards of nursing practice embedded in research, -evidence based -practice and/or best practices. The professional registered nurse at Tufts Medical Center -provides -clinical excellence, which fosters and supports an environment central to our patient and family centered model of care. -Job Description -Minimum Qualifications: -1. Registered Nurse (RN) license. -2. Basic Life Support (BLS) certification. -Preferred Qualifications: -1. Bachelor of Science in Nursing (BSN)2. Specialty Nursing certifications. -Duties and Responsibilities: -The -duties and responsibilities listed -below -are intended to describe the general nature of work -and -are not intended to be an all-inclusive list. - -Other duties -and responsibilities -may be assigned. -1.Utilizes -theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate -age appropriate -care. - - - -2. -Assesses and collaborates with patient, family/significant -others -and other disciplines to: -Identify -expected outcomes based on synthesis of data and diagnosis; and -identify -cultural needs (i.e. -language, -etc) to develop a care plan that enhances the health care experience. -3. Plans and -develops: Individualized outcomes-based care plans incorporating the patient and family's readiness and barrier to learning; -Orchestrates and validates a plan of care for each shift; -Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care; -Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures the -plan of care utilizes principles and concepts of project, organizational or systems management. -4. Implements: -The plan in a safe and timely manner; -Documents the implementation and any modifications, including changes or omissions, of the identified plan; -Collaborates with nursing colleagues and others to implement the plan; -Utilizes evidence-based interventions and treatments specific to the diagnosis or problem; -Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health; -Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response. -5. -Evaluates: The -effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge; -Uses the -evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved. -6. -Demonstrates -and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. -The plan of care -is: -Evidence based and -utilizes -research when -appropriate; -Incorporates new knowledge and strategies to -initiate -change in nursing care practices; -Demonstrates -the knowledge and skills necessary to -provide -age -appropriate culturally -and ethnically sensitive care to all patients and families. -7. -Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards. -8. -Safely administers and assesses the patient response to medication -utilizing -essential knowledge of pharmacology and Hospital and Department Standards of Care. -9. -Maintains clinical competency with respect to technology and utilizes equipment in a safe manner. -10. -Performs as an advocate and as an educator for patients and families. -11. -Provides -high quality in an efficient and -a safe -manner. The professional nurse -utilizes -data trends to support and improve clinical practice. -12. -Participates -in hospital and/or -unit based -patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, -state -and federal patient safety initiatives. -13. -Participates -in performance improvement activities through data collection, -analysis -and evaluation. - -14. Champions -quality, safety, regulatory, and patient-family satisfaction. -15. -Facilitates -cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery -and to create a -positive and professional work environment. -Supports collaboration with nursing colleagues and other disciplines to implement -plan -of care by participation in nursing, physician, and case management reporting rounds. -16. -Delegates responsibilities to others with an understanding of their roles, -knowledge -and capabilities -17. Influences -others to achieve -Service Excellence -by: -Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treating -both internal and external customers with courtesy, respect and caring behavior; Promoting -a safe, clean, therapeutic environment for patients, families and staff; Acknowledging -cultural differences that exist among staff and patients; Identifying -customer service needs on the unit; Presenting -self in a professional and calm manner; Providing -responsible and efficient use of resources. -18. Participates in professional development and lifelong learning -activities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintaining -current licensure and adheres to the Massachusetts Nurse Practice Act; Assuming -responsibility for participating in educational opportunities to support and meet clinical competency requirements; Seeking -out educational and professional resources; Developing professionally as a self-directed, motivated learner; Seeking -out advanced certification opportunities and ongoing education opportunities; -Precepting and mentoring -newly hired staff and nursing students; -Investigating -available technology and resources to apply evidence based practice and research into daily professional activities; -Promoting -leadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promoting -unit and organizational growth through a shared governance model. -19. -May assume charge nurse functions in collaboration with unit leadership; -20. -Facilitates communication by: -Seeking -and sharing -job-related information that supports a culture of respect and responsibility; Assuming -responsibility and ownership for professional conduct; Accepting -responsibility for positive and productive communication skills; -Attending -and actively participating -in staff meetings -(when unable to attend, accepts responsibility for reading staff meeting minutes); and Accepting -responsibility for reading emails to keep current with unit and hospital based information. -Physical Requirements: - -1. -Prolonged, extensive, or considerable standing/walking. -2. -Lifts, positions, pushes and/or transfer patients and equipment. -3. -Considerable reaching, stooping, bending, kneeling, crouching. -4. -Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and -possible exposure -to radiation, lasers, electric shock, etc. -5. -Regularly exposed to the risk of bloodborne diseases and other transmissible infections. -6. -Contact with patients under -wide -variety of circumstances. -7. -Subject to varying and unpredictable situations. -8. -Handle emergency and crisis situations. -9. -Subjected to irregular hours. -10. -May have contact with hazardous materials. -Skills & Abilities: -1. -Possesses -and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. -2. -Ability to -provide -care for a designated group of patients according to unit guidelines and hospital policies, -procedures -and protocols. -3. -Has the skills and knowledge to -provide -care to the age groups of the population served including: -Knowledge of growth and development; -Ability to interpret age specific data and response to care; -and -Provide -age appropriate communication. -
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided 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. Please contact us to request accommodation by emailing us at .

Keywords: Tufts Medical Center, Portland , RN D/R Labor & Delivery, Healthcare , Boston, Maine