RN D/R Labor & Delivery
Company: Tufts Medical Center
Location: Boston
Posted on: November 12, 2024
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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, Lynn , RN D/R Labor & Delivery, Healthcare , Boston, Massachusetts
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