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Heywood Hospital Registered Nurse, Nursing Floats, 32 Hours, Day Shift in Athol, Massachusetts

JOB REQUIREMENTS Minimum Education * Graduate of accredited school of nursing Minimum Work Experience * 1 year med-surge experience preferred * Previous telemetry experience preferred * Pediatric experience preferred Required Licenses * Current MA RN License * AHA BLS required * AHA ACLS required * PALS preferred FUNCTIONAL DEMANDS Physical Requirements: Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). ORGANIZATIONAL EXPECTATIONS Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. ESSENTIAL FUNCTIONS * Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. * Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. * Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. * Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. * Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. * Appropriately delegates and supervises nursing interventions performed by others. * Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). * Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. * Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. * Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). * Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). * Identifies ethical issues in care and develops plan to address. * Safely administers and demonstrates understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of unit specific drips in accordance with provider’s orders, protocols, policies, and guidelines. * Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. * Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. * Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD * Provides ongoing assessment and teaching to the surgical patient/family, utilizing current standards and protocols. * Recognizes normal and deviant progress patterns and reports problems or concerns to physician in a timely manner. * Utilizes pain management devices and other techniques to ensure proper pain relief. * Sets up, maintains and troubleshoots other equipment related to the surgical patient such as; traction/orthopedic equipment/devices, feeding pumps, chest tubes and drains, etc. * Interprets and documents patient cardiac rate, rhythm and configuration (PR ST segment) and initiates appropriate treatment plan based on physician orders. * Institutes appropriate measures in life threatening situations. * Evaluates and takes appropriate action for patients with chest pain or other cardiac related symptoms. * Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. * Performs assessment of psychiatric and physical needs on each patient upon admission and uses data collected to create and/or revise nursing plan of care. * Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors. * Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient. * De-escalates volatile situations and/or individuals using non-violent techniques. * Participates actively in multi-disciplinary rounds for planning, coordinating, implementing and evaluating patient care. * Meets with families and significant others and residential providers in planning appropriate disposition and discharge. * Initiates and administers IV's in accordance with physician orders and nursing policy and procedure to support required treatment. * Observes and documents patients' response to intravenous therapy. * Safely administers and monitors patients receiving blood and blood products according to policy and procedure and observes and documents patient’s response to blood transfusions. * Assists with bone marrow aspiration and/or biopsy * Accesses venous access devices (VAD) * Safely administers thrombolytic agent to clotted VAD * Performs therapeutic phlebotomy * Administers vaccines * Performs pre-admission testing on Surgical Day Care patients. * Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. * Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. * Reviews test results, checks for abnormal results and communicate abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. * Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. * Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. * Initiates and documents post-operative phone calls to SDC patients. Statement of Other Duties: This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Facility: Athol Hospital Department: AMH NURSING FLOATS-,2001.67502 Regular or Temporary Position: Regular Position Control #: 2001.67502.3031 Position Hours: 32 Shift: Day Weekend Frequency: none Holiday Rotation: none Job Title: Registered Nurse, Nursing Floats, 32 Hours, Day Shift Location: Athol, Massachusetts Posted Date: 04/22/2021