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About the Role

This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. It involves assessing, planning, implementing, and evaluating patient care needs, performing nursing care, and providing identified clinical support tasks within the scope of practice. This is a senior-level individual contributor role requiring advanced knowledge, independent work, and potentially coaching lower-level professionals.

Responsibilities

Utilizes theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluate age appropriate care.
Assesses and collaborates with patient, family/significant others and other disciplines to identify expected outcomes and cultural needs to develop a care plan.
Plans and develops individualized outcomes-based care plans, orchestrates and validates a plan of care for each shift, and initiates interdisciplinary patient/family meetings.
Communicates and coordinates the patients discharge plan utilizing unit-based and community resources.
Ensures the plan of care utilizes principles and concepts of project, organizational or systems management.
Implements the plan in a safe and timely manner and documents implementation and any modifications.
Collaborates with nursing colleagues and others to implement the plan.
Utilizes evidence-based interventions and treatments specific to the diagnosis or problem.
Provides and coordinates health teaching required by individuals, families and groups.
Documents per hospital and regulatory requirements/policies, all aspects of care.
Evaluates the effectiveness of the planned strategies in relation to patient responses and attainment of expected outcomes.
Uses the evaluation process to update the plan of care as dictated by patient response.
Demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures.
Performs procedures and treatments using nursing knowledge and judgment, according to established guidelines and professional standards.
Safely administers and assesses patient response to medication utilizing essential knowledge of pharmacology.
Maintains clinical competency with respect to technology and utilizes equipment in a safe manner.
Performs as an advocate and as an educator for patients and families.
Provides high quality care in an efficient and safe manner.
Utilizes data trends to support and improve clinical practice.
Participates in hospital and/or unit based patient safety and quality activities.
Uses principles to support and improve patient outcomes.
Participates in performance improvement activities through data collection, analysis and evaluation.
Champions quality, safety, regulatory, and patient-family satisfaction.
Facilitates cooperative and collaborative relationships among the various disciplines and departments.
Supports collaboration with nursing colleagues and other disciplines to implement plan of care.
Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities.
Influences others to achieve Service Excellence by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development.
Treats both internal and external customers with courtesy, respect and caring behavior.
Promotes a safe, clean, therapeutic environment for patients, families and staff.
Acknowledges cultural differences that exist among staff and patients.
Identifies customer service needs on the unit.
Presents self in a professional and calm manner.
Provides responsible and efficient use of resources.
Participates in professional development and lifelong learning activities.
Maintains current licensure and adheres to the Massachusetts Nurse Practice Act.
Assumes responsibility for participating in educational opportunities to support and meet clinical competency requirements.
Seeks out educational and professional resources.
Develops professionally as a self-directed, motivated learner.
Seeks out advanced certification opportunities and ongoing education opportunities.
Precepts and mentors newly hired staff and nursing students.
Investigates available technology and resources to apply evidence based practice and research into daily professional activities.
Promotes leadership at the bedside as a delegator, collaborator, facilitator, and communicator.
Promotes unit and organizational growth through a shared governance model.
May assume charge nurse functions in collaboration with unit leadership.
Facilitates communication by seeking and sharing job-related information.
Assumes responsibility and ownership for professional conduct.
Accepts responsibility for positive and productive communication skills.
Attends and actively participates in staff meetings.
Accepts responsibility for reading emails to keep current with unit and hospital based information.

Requirements

Registered Nurse (RN) license.
Basic Life Support (BLS) certification.
Certifications (i.e. ACLS, PALS) or additional state licensure relevant to the department and type of care being provided may be required.
Prolonged, extensive, or considerable standing/walking.
Lifts, positions, pushes and/or transfer patients and equipment.
Considerable reaching, stooping, bending, kneeling, crouching.
Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc.
Regularly exposed to the risk of bloodborne diseases and other transmissible infections.
Contact with patients under wide variety of circumstances.
Subject to varying and unpredictable situations.
Handle emergency and crisis situations.
Subjected to irregular hours.
May have contact with hazardous materials.

Skills

Possesses and applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
Ability to provide care for a designated group of patients according to unit guidelines and hospital policies, procedures and protocols.
Has the skills and knowledge to provide care to the age groups of the population served including: Knowledge of growth and development; Ability to interpret age specific data and response to care; and Provide age appropriate communication.
Advanced knowledge of job area typically obtained through advanced education and work experience.
Ability to work independently with limited supervision.
Ability to resolve difficult and sometimes complex problems.
Critical thinking skills.
Spirit of inquiry.
Nursing knowledge and judgment.
Knowledge of pharmacology.
Knowledge of Hospital and Department Standards of Care.
Clinical competency with respect to technology.
Safe utilization of equipment.
Patient and family advocacy.
Health teaching.
Communication skills.
Collaboration skills.
Delegation skills.
Service Excellence.
Professional development and lifelong learning.

Location

Tufts Medical Center

Work Type

Full-time

Experience Level

Senior level

Education Level

Bachelor of Science in Nursing (BSN) preferred
Advanced education

Salary/Compensations

$43.01 - $70.95

Benefits

Comprehensive Total Rewards package that supports your health, financial security, and career growth.

About the Company

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring.
Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.
The base pay ranges reflect the minimum qualifications for the role.
Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.
Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.