State of Massachusetts Registered Nurse II in Boston, Massachusetts

/ The Lemuel Shattuck Hospital (LSH) is looking for motivated Registered Nurses (RN / II) for the Hospital's Correctional Unit (8N).

Implementing the nursing process, the RN II is responsible and accountable for assessing, prescribing, delegating, coordinating, providing and improving acute and specialized nursing care. Integrating PI concepts, standards of nursing care, hospital mission and applicable regulations, an RN II provides care to 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 to assign, supervise, and evaluate the nursing care of LPN's, AN's and support staff according to their scope of practice and competence and according to department policies/ procedures.

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

  • Initiates physical, psychosocial and spiritual assessment of patients nursing care needs according to admission procedure and as specified per unit policy.

  • 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 intervention 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, Joint Commission, DPH, and federal and state laws to insure safe and effective standards of nursing practice; transcribes accurately physician 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.

  • Provides ongoing assessment and evaluation of patient status at specified times as per unit policy and to determine effectiveness of interventions, patient's response to treatment/ patient outcomes and/or when significant change occurs in patient condition and/or patient diagnosis and communicates changes in plan to patient/significant others and health care team.

  • Documents nursing care process and outcomes/situational occurrences in accordance with LSH/Nursing Department/Unit Policies/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 AN's according to department standards/policies /procedures.

  • Participates and contributes to departmental and hospital wide performance improvement activities/ 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 competency through ongoing activities that promote 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/ Procedures by investigating complaints/ clarifying LSH Policies/procedures and maintaining patient privacy/confidentiality at all times.

  • Contributes to the safety/risk management/infection control program, productivity, and cost effectiveness of the department and hospital by assessing and managing the environment to reduce safety and health hazards and minimize incidents/accidents for patients/employees/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.

  • Demonstrates competence in assessing and providing care that is cognizant of and sensitive to patients' cultural and spiritual needs.

  • Assures continuity of care amongst all caregivers by following both the hospital-wide and nursing Hand Off Communication policies.

  • Demonstrates a positive attitude and treats staff/patients/families/visitors/other departments and outside agencies with respect and dignity at all times.

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 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 health professionals from various disciplines always has been a part of the hospital's charge as well.

Shift Hours: 7:00 AM to 3:30 PM (32 hours per week)

Days Off: Every other weekend

Pre-Offer Process:

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 assistance please contact Health Human Resources at (617) 971-3732.

This requisition will remain open until filled; however, first consideration will be given to those applicants that apply within the first 14 days.


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, or (B) any equivalent combination of the required experience and the substitutions below.


I. A Graduate degree with a major in Nursing may be substituted for the required experience .*

*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

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.

Job: *Medical Services

Organization: *Department of Public Health

Title: Registered Nurse II

Location: Massachusetts-Boston-170 Morton Street

Requisition ID: 160005QH