Job Information
Beth Israel Lahey Health Registered Nurse 30 hours Anticoagulation Clinic in Burlington, Massachusetts
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Job Type:
Regular
Scheduled Hours:
30
Work Shift:
Day (United States of America)
Job Description:
Clinical Anticoagulation Nurse
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
Licensure, Certification, Registration :
- BSN Strongly preferred
- Current license to practice professional nursing from the Massachusetts Board of Registration
- BLS certification with American Heart Association
Skills, Knowledge & Abilities:
- Decision Making : Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
- Problem Solving : Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
- Independence of Action : Ability to set goals and determine how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
- Written Communications : Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
- Oral Communications : Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
- Knowledge : Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
- Team Work : Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
- Customer Service : Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner.
Key Responsibilities:
They serve as a drug information and educational resource for the pharmacy staff, patients, residents/students, medical staff, nursing staff, and other healthcare professionals
Practices nursing in accordance with laws, rules and regulation of the Massachusetts Board of Registration in Nursing, Department of Public Health, U.S. Food and Drug Administration, and Drug Enforcement Administration and in accordance with established departmental policies and procedures
Monitors patients in a specific unit/specialty service, including collecting patient-specific data, interpreting drug-related laboratory data, performing relevant physical assessments, interviewing patients, and identifying patient goals of therapy
Under protocol, initiates, adjusts, monitors, and recommends changes in drug therapy based on information obtained through patient interviews, objective monitoring parameters, physical assessments as related to drug monitoring and adverse effect management, review of medication profiles and the patient medical records
Documents clinical interventions in the electronic health record in a timely and professional manner
Coordinates and interprets laboratory monitoring of drug therapy, including serum drug levels, electrolytes, and other approved drug-related laboratory testing
Provides patient monitoring for the purpose of evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADR's, eliminating unnecessary drug use and duplication
Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers
Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s)
Resolves service issues in the assigned unit(s) in a timely and respectful manner
Provides initial and ongoing education to patients regarding warfarin, other medications, health status, diet and activity level. Interprets INR and adjusts warfarin dosing, using practice guidelines and clinical judgment for each patient.
Participates in continuing education pertinent to anticoagulation, maintains BLS and/or ACLS status.
The Anticoagulation Clinic at Lahey Hospital & Medical center offers two sites for patients: Burlington and Peabody.
Location: The primary site for this position is in Burlington with rotating shifts at the Peabody location
Schedule: Day shift; Monday through Friday; rotating Saturday shift
Hours: 3 x 10 hour weekday shifts ; 4 hour shift on Saturday when assigned
Other duties as assigned.
Experience and Preferred Qualifications:
Minimum 5 years of related inpatient or outpatient nursing experience strongly preferred
Advanced medical and cardiology terminology
ASN or BSN required
Clinical assessment, planning, intervention and evaluation skills
EPIC knowledge
Under the general supervision of the Administrative Director 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
The delegation and supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation is a responsibility and function of the Staff Registered Nurse: Ambulatory. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to:
Developing an appropriate patient care assignment
Properly and adequately teaching, directing and supervising the delegate
The outcome of the delegation
The Staff Registered Nurse: Ambulatory maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse.
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: The 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 Clinic Confidentiality Policy.
• Incorporates Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities.
• Complies with all Lahey Clinic Policies.
• Complies with behavioral expectations of the department and Lahey Clinic.
• Maintains courteous and effective interactions with colleagues and patients.
• Demonstrates an understanding of the job description, performance expectations, and competency assessment.
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participates in departmental and/or interdepartmental quality improvement activities.
• Participates in and successfully completes Mandatory Education.
• Performs all other duties as needed or directed to meet the needs of the department.
Minimum Qualifications:
Skills, Knowledge & Abilities:
Clinical Skills/Technical Knowledge
Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures. See Skill Record.
Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the clinic specific competencies. See Skill Record.
Excellent interpersonal and organizational skills.
FLSA Status:
Non-Exempt
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.
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