Staff Nurse-PACU

State of Massachusetts Boston, MA
The Lemuel Shattuck Hospital (LSH) is seeking an experienced and committed

Registered Nurse III/Staff Nurse PACU.

A Registered Nurse III/Staff Nurse PACU, Implements the nursing process in collaboration with a health care team, the RN III is responsible and accountable for coordinating care in the PACU. He/she will assist in pre-op preparation, assist with ECT procedures and care for the patient in the immediate post-op phase of recovery from surgery. The care is provided in accordance with established PI concepts and integrated departmental guidelines. These guidelines are in compliance with the hospital's mission and standards, state, federal laws and regulatory agencies into professional standards of care/practice for clients from the community/DPH/DMH/DOC or DDS under the direction of the nurse manager/charge nurse. Provides leadership in organizing the delivery of patient care as team leader/charge nurse in absence of nurse manager to assign, supervise, and evaluate the nursing care of LPN's, NA's and support staff according to their scope of practice and competence and according to Department policies/procedures. Performs other duties as required.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

* Initiates physical, psychosocial and spiritual assessment of patients pre-operatively as well as assuring necessary documentation is in order. Provides direct hands on care to patients daily by initiating pre-op assessment and conferring with anesthesia regarding patient's medical status as well as legal status prior to initiation of operative procedure.

* Accepts patients directly from the OR. Assures hand off conclusive. Provides hands on care to the patient by closely monitoring the patient to assure immediate post anesthesia recovery is progressing and patient reaches appropriate PAR Scale prior to transfer/discharge.

* Demonstrates competence in ECT procedure and providing care post ECT.

* Develops a Plan of Care with patient, patient's significant others, multidisciplinary health care team, and other resources which supports the analysis of data collected and that reflects (a) formulated nursing diagnosis/identified patient needs/problems and standards of care (b) specific nursing interventions based on nursing diagnosis (c) patient/significant other strengths (d) discharge needs of patient/significant others and (e) outcome measures with time frames for achievement.

* Implements and documents nursing interventions as per plan of care and in accordance with nursing theory, LSH/Nursing Department/Unit policies and procedures, The Joint Commission, DPH, and federal and state laws to ensure safe and effective standards of nursing practices; transcribes accurately physicians orders for medications/tests/interventions; administers and documents prescribed medications; monitors and documents response to medication and any adverse or toxic effects and follow-up action taken; communicates findings and results of monitoring to health care team.

* Documents nursing care process and outcomes/situational occurrences in accordance with LSH/Nursing Department/Unit policies and procedures.

* Assesses, identifies and provides for education and training of patient/ patient's significant others to improve patient's health outcomes by assisting the patient/patient's significant others in gaining the knowledge and skills that facilitate understanding of health status, return to function, healthy behaviors, and that meets the ongoing health care needs of the patient.

* Provides consistent leadership in organizing the delivery of care according to department standards by performing charge duties as delegated by nurse manager and assigns/supervises care delivered by LPN's and NA's according to department standards, policies, and procedures

* Participates and contributes to departmental and hospital wide performance improvement activities and risk management by assisting in data collection and analysis, identifying opportunities for evaluation and improvement in care or services, and by involvement in and assessment of findings and actions taken to improve care.

* Maintains commitment and responsibility for professional growth and development by completing all mandatory review classes, acquiring, maintaining and updating knowledge and skills required to perform processes involved in delivery of care specific to clinical unit and field, participating in performance appraisal process of self and peers, and through participation in LSH/Nursing Department/Professional Nurse Organization (PNO) Committees, continuing education programs and professional organizations.

* Contributes to effective interpersonal and community relations to ensure the quality of patient care, to promote a therapeutic milieu by functioning as advocate/resource person to staff, patients, families, visitors, other departments and outside agencies regarding requested information and LSH policies and procedures by investigating complaints, clarifying LSH policies and procedures, and maintaining patient privacy and confidentiality at all times.

* Contributes to the safety, risk management, infection control program, productivity, and cost effectiveness of department and the hospital by assessing and managing the environment to reduce safety and health hazards and minimize incidents/accidents for patients, employees, and visitors; by managing services, supplies, pharmaceutical stock and equipment to ensure effective and economical use.

* Demonstrates competence in assessing and providing age appropriate care to all patients; as well as care that is cognizant of and sensitive to patients' cultural and spiritual needs.

* Demonstrates competence in using Meditech.

* Performs unit specific competencies and related duties as required.

LSH takes pride in helping people recover from illnesses and conditions that are often underserved or difficult to manage in other health care settings. The Hospital serves populations that are mostly indigent, often in the care and custody of state agencies, and present with clinical issues that arise from mental illness, homelessness, and substance abuse. LSH provides 260 inpatient beds and 25 specialty medical clinics, including surgical services, to patients and clients referred by private sector providers and state agencies (including the Department of Public Health (DPH), the Department of Mental Health (DMH), the Department of Developmental Disabilities (DDS), and the Department of Corrections (DOC). We strive continuously to improve the quality of life for our patients through the delivery of collaborative treatment and a patient-focused continuum of care. Teaching professionals from various health disciplines always have been a part of the hospital's charge as well.

Shift: 7:00 a.m. to 3:30 p.m. (40 hrs. per week)

Days Off: Saturday and Sunday

Pre-Offer Process:

* A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori

* Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines

Education and license/certification information provided by the selected candidate is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.

For questions, please contact Health Human Resources at 617-971-3087.

First consideration will be given to those applicants that apply within the first 14 days.

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) one year of full-time or equivalent part-time, experience as a registered nurse in a recognized hospital, clinic or medical facility, and (B) six months of which must have been in a supervisory, administrative or managerial capacity.

SPECIAL REQUIREMENTS FOR ALL LEVELS IN SERIES: Current and valid registration as a professional nurse under the Massachusetts Board of Registration in Nursing.*

* Recent graduates from an approved school of nursing must have applied for the first available registered nurse examination.

Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's license may be required.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.