GENERAL SUMMARY/ OVERVIEW STATEMENT:
Nursing at Brigham and Women's Hospital is known for their excellent clinical practice and for keeping patients and their families at the center of all they do. We understand that great care is shaped by relationships with patients and their families. That's why we're committed to knowing our patients on a deeper level - not just as patients, but as individuals - to ensure that they, and their families, feel known and cared for.
As BWH, we proudly work together with a spirit of inquiry and a deep commitment to providing the highest quality, evidence-informed and theory-guided care in an inclusive environment. We work each day to achieve our vision - to provide excellent care to patients and families, with the best staff, in the safest environment.
Just as we have been able to reinvent health care, we have also transformed health care careers. Whether measured in terms of lives saved, awards earned, or the personal satisfaction of stretching your talents - a career with BWH is unlike any other in the health care field. Here you'll find a workplace where collaboration and teamwork are the norm, not the exception - physicians, nurses, technicians, staff and management form a close-knit bond, based on mutual respect and devotion to our patients. If you want an enormously fulfilling career, there's no better place to be.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
• Providing care for patients in a dermatology clinic
• Working collaboratively to provide excellent care to patients and families in the safest environment.
PRINCIPAL DUTIES AND RESPONSIBILITIES: Indicate key areas of responsibility, major job duties, special projects and key objectives for this position. These items should be evaluated throughout the year and included in the written annual evaluation.
Job duties and responsibilities may vary by department (see addendum A for more detail)
Clinical Duties and Responsibilities:
Ø Demonstrates true engagement and enthusiasm to provide nursing care for patients and families.
Ø Promotes an inclusive environment supportive of patient and family centered care for a diverse community.
Ø Accepts assignments for patient care within the scope of his/her preparation and within current standards of nursing practice. In conjunction with a Licensed Independent Provider (LIP) or RN, participates in the assessment, planning, and evaluation of nursing care delivered.
Ø Collaborates as a member of the health care team, contributing toward a supportive and therapeutic environment that promotes the attainment of patient goals that are specific, measurable, action-oriented, realistic and timely.
Ø Accurately obtains vital signs, elicits information about the patient's basic health status, administers relevant nursing care within scope of practice and as directed by the LIP/RN, and documents as appropriate in the electronic health record.
Ø Administers medication as ordered by the LIP and according to established policies and procedures.
Ø Performs routine tests that may include but is not limited to: electrocardiograms, vision and hearing screening, and the collection of specimens for laboratory testing and point of care.
Ø Participates in team-based care and patient education initiatives to support the health and wellness of patients in conjunction with the LIP/RN. Offers basic instruction per protocol or as directed. Reinforces patient instruction as provided by LIP/RN.
Ø Participates in organizational and unit-based quality improvement initiatives and compliance readiness.
Ø Participates in telephone screening of patient calls; may provide instruction to patient when following approved protocol or as directed by the LIP/RN.
Ø Participates in prescription management tasks including preparation of new prescriptions and renewals requiring LIP approval, prior authorizations and medication reconciliation.
Ø Appropriately assigns patient care to others within the scope of his/her practice and maintains responsibility for the optimal outcomes of such care.
Ø Demonstrates a commitment to learning, maintaining and developing additional competencies through a variety of methods that may include but not be limited to direct patient care, participation in Center of Nursing Excellence and unit-based learning opportunities, reading journals and maintaining currency in practice.
Ø Performs a variety of tasks, including those that may be facilitated by Medical Assistants and administrative staff, which have an effect on the overall operations of the unit. These include flow, stocking of rooms, scheduling tasks and all other duties as assigned.
Ø Appropriately utilizes organizational resources including management of time, supplies, equipment and other assets.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:(MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)
Technical Skills/Competencies Required:
Ø Knowledge of practice operations and standards.
Ø Intermediate/advanced knowledge and use of medical terminology.
Ø Basic knowledge of patient education: interviewing and listening skills, teaching and engagement techniques, understanding of health-related conditions and information.
Ø Ability to accurately perform vital signs and obtain pertinent health information including but not limited to; temperature, pulse, respirations, blood pressure, height, and weight.
Ø Ability to administer medication; routes of administration may include injections, intravenous and oral medications as per BWH Nursing Policy Med-01.
Ø Ability to accurately perform basic math calculations as necessary to engage in safe medication administration.
Ø Ability to participate in the medication reconciliation processes and related prescription management tasks, including prior authorizations.
Ø Knowledge and ability to perform specific procedures and tests as appropriate to the clinical setting.
Ø Communication skills: Demonstrates effective oral and written communication skills. Communicates in a professional, courteous, clear and concise manner. Facilitates therapeutic relationships between patients, families and other members of the health care team.
Ø Writing Skills: Ability to correspond and communicate with others clearly and effectively in writing (via e-mail, memo or interoffice note, documentation of patient information) and to take complete and accurate messages.
Ø Phone skills: Ability to telephonically support the practice by answering and screening calls, offering information as appropriate and facilitating communication.
Ø Organization Skills: Ability to manage work processes in a neat and orderly way. Ability to manage multiple tasks effectively, follow established protocols, and work within systems.
Ø System Skills: Demonstrates ability to utilize technology in the clinical setting. Basic computer skills. Ability to type accurately and enter data at an intermediate level. Ability to become proficient in LMR/BICS/IDX and other appropriate applications. Ability to utilize hand-held technology and download related data to the electronic health record.
Addendum A - Brigham Dermatology Associates Specific Duties
• Follows infection control and regulatory compliance guidelines as required in an ambulatory procedural unit.
• Perform all unit nursing functions, including but not limited to: assisting with processing and disposition of patients, facilitating patient flow, assisting with procedures and wound dressing application.
• Accurately perform patient intake by verifying information on patient history form.
• Update physicians in regards to clinic activity and waiting times during sessions. Monitor patient wait times and update patients/family in a timely manner.
• Monitor medication stock to ensure sufficient supply of medication. Notify pharmacy and/or manager when appropriate.
• Prepare exam room and appropriate procedure equipment in a timely manner. Assist physician for all procedures using sterile technique.
• Telephone screening will include addressing patient phone calls or messages (PG, LMR or voicemail), results management, post-surgical follow-up, and triaging potential "add on" patients.
• Ensures that pathology, microbiology, virology, and other similar tests have been appropriately logged and followed-up with both patient and physicians per protocol.
• Assist with patient education including informed consents, wound care, and medication and post-procedure instructions.
• Clean, prepare, and autoclave instruments per policy for use in the department. Monitor instruments for any damage, notify manager when appropriate.
• Licenses/Certifications: Current LPN Licensure in the Commonwealth of Massachusetts
• Education: Graduate of an accredited Licensed Practical Nursing Program.
• Experience: Some experience in a healthcare setting preferred.
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.