Massachusetts Healthcare Jobs

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:

40

Work Shift:

Day (United States of America)

Job Description:

The Stroke Registered Nurse is accountable for care coordination from admission to discharge for patients diagnosed with an acute Ischemic/Hemorrhagic Stroke and Transient Ischemic Attack (TIA). The Stroke Registered Nurse functions in concert with the Stroke Team, Patient Care Facilitators and the rest of the interdisciplinary care team and physicians to aid patients through the continuum of care and achieve optimal patient outcomes. The Stroke Registered Nurse acts as a liaison between hospital departments and supports the collection and analysis of data related to patient outcomes and the effective use and access to resources to support patient outcomes.

Essential Duties and Responsibilities including but not limited to:

-To act as a member of the Stroke Response Team to evaluate and identify potential t-PA candidates.

-To monitor and record patient progress and response to diagnostic and therapeutic interventions.

-To provide stroke education and counsel to patients, families and support networks.

-To facilitate interdisciplinary team meetings to ensure coordinated and efficient care to stroke patients.

-To assess the quality of nursing interventions provided to stroke patients and provide mentoring and leadership directed at assuring quality nursing care to stroke service patients.

-To communicate with Nursing Director/Supervisors of any unit providing stroke patient care regarding nursing issues and participate as requested in corrective action plans and/or staff education.

-To collaborate with unit educators, Medical Director of the Stroke Program, and Stroke Nurse program Coordinator to develop and implement stroke educational programs for all levels of health care providers based on current evidence-based practice, trends in stroke care, and identified learning needs.

-To collaborate with community agencies and the Public Relations Department to provide community education on stroke recognition, response, and risk reduction.

-To report the results of the Stroke Program Quality Improvement Plan annually to Quality and Safety.

-To share responsibility with the nursing educators for unit-specific performance improvement to measure stroke patient outcomes, service delivery, and customer satisfaction

-To assess, review, and incorporate stroke management trends, stroke risk reduction recommendations and establish stroke standards of care through literature review, networking, and attendance at appropriate meetings and conferences.

-To maintain the CSC (Comprehensive Stroke Service) and PSS (Primary Stroke Service) Regulations.

-To work in collaboration with the Stroke Nurse Program Coordinator and be able to perform all Stroke RN duties (as needed) including but not limited to:

-Rounding on all patients with a diagnosis of TIA and Ischemic Stroke or Intra-cerebral hemorrhage on a daily basis (weekdays).

-Pull daily census for Neurology Inpatient, Neurocritical Care, Neurology -Consult, and Neurosurgical patients and review provider documentation for compliance with core measures in a timely fashion addressing any lack of documentation.

-Reviewing provider documentation and test results to help improve documentation, raise Case Mix Index, and work with CDI specialists to identify opportunities.

-Communicate any documentation concerns with nurses, advanced practitioners and physicians to ensure that required documentation is completed in a timely fashion.

-Communicate with nurses and EMS from affiliated institutions regarding specific patient transfers and related quality metrics.

-Review patient orders to ensure all necessary tests are ordered to meet the stroke core measures.

-Participate in ongoing process improvement in collaboration with the stroke team.

-Attend Stroke Grand Rounds, all pertinent educational programs, Primary Stroke Service meeting, and department stroke meetings as scheduled.

-Monitoring all stroke patients from their Emergency Department admission through stabilization and/or discharge.

-Provide feedback to staff and providers regarding stroke care, brain attacks and stroke alerts.

-Actively participate in the education and training of the medical and clinical staff as well as allied health personal (i.e., EMS) in stroke care.

-Participate in the stroke center's research and publication projects.

-Participate in community events related to stroke education including but not limited to stroke awareness month in May each year.

-Maintain the stroke log which includes response time, diagnosis, treatment and disposition for each stroke patient (ischemic, hemorrhagic, and TIAs).

-Assist with department policy and procedure development.

-Implementation of quality methodology to improve performance.

-Chart review of patients with diagnosis of CVA, TIA, and stroke mimics.

-Inpatient care review and working collaboratively with the medical staff to assure appropriate diagnostic tests and medications are ordered (though not responsible for direct patient care).

-Emergency stroke team response (inpatient and ER). MET response for “brain attacks”.

-Perform data entry into the Quintiles outcomes tool on TIA/Stroke patients.

-Assist with follow-up phone calls on stroke patients entered into the outcomes tool on the 15th of each month (unless 15th falls on the weekend- will be the next business day).

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:

Education: Graduate of an accredited nursing program. BSN or AS Degree in Nursing required. Academic training in neurology preferred.

Licensure, Certification, Registration: Commonwealth of Massachusetts as a Registered Nurse, BLS Certification

Skills, Knowledge & Abilities: Excellent organizational, interpersonal and communication skills. Ability to work independently and interact professionally with all levels of clinical personnel. Experience working with Microsoft excel and access programs preferred.

Experience: Minimum of two years’ experience in neurologic, critical and/or emergency care setting.

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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Equal Opportunity Employer/Veterans/Disabled