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State of Massachusetts Registered Nurse III in Boston, Massachusetts

/The Lemuel Shattuck Hospital (LSH) is seeking a motivated// Registered Nurse III/Staff Nurse OR./



Implementing the nursing process in collaboration with a health care team, the RN III is responsible and accountable for prescribing, delegating, coordinating, providing and improving perioperative and post anesthesia nursing care according to PI concepts and integrating departmental, hospital mission and standards, state, federal laws and regulatory agencies into professional standards of care/ practice for clients from the community/DPH/DMH/DOC/DD or DDS under the direction of the nurse manager. Provides leadership and management in organizing the delivery of patient care as team leader/charge nurse in absence of nurse manager to assign, supervise, and evaluate the perioperative nursing care of RN’s, 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):_

  • Through the application of the nursing process and in collaboration with a health care team provides perioperative nursing care based on established nursing standards with ongoing documentation for clients from the community/DPH/DMH/DOC/DD/DDS/Shelters under the direction of the Nurse Manager.

  • Initiates physical, psychosocial and spiritual assessment of patients nursing care needs according to Operative and Invasive Services 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 Perioperative nursing interventions, including operative assistance, instrument use, blood products used, sponge and instrument counts. Provide post op care through discharge when necessary.

  • 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 other RN’s, LPN's and NA'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 department and the 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 perioperative nursing skills and knowledge.

  • 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.

  • Demonstrates competence in using Meditech.

  • Performs related duties as required.

_Hospital Mission:_



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 patient-focused continuum of care. Teaching health professionals from various disciplines has always been part of the hospital’s charge as well.

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

Days Off: Saturday & 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

  • 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.


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.

Job: *Medical Services

Organization: *Department of Public Health

Title: Registered Nurse III

Location: Massachusetts-Boston-170 Morton Street

Requisition ID: 190000ZQ

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