Registered Nurse, Non Invasive Cardiology

Baystate Medical Center

Job Description

Job ID 84394
Full / Part Time: Part-Time
Location: Greenfield, Massachusetts
Regular/Temporary: Regular

Baystate Health, a leading not-for-profit integrated health system, is transforming the delivery of health care to the communities it serves. Baystate Health (BH) is one of New Englands leading and largest integrated healthcare systems, serving more than 800,000 people throughout Western Massachusetts. With about 12,000 employees, a 1,200-member medical staff, and net patient service revenue of more than $2.3 billion, this dynamic and growing system includes an academic medical center, a childrens hospital and three community hospitals. It also includes a large multispecialty group, (Baystate Medical Practices), Baystate Home Health, Baystate Reference Laboratories, and Health New England, a 205,000-member health insurance company.

The mission of Baystate Health is to improve the health of the people in our communities every day, with quality and compassion. For over 130 years, Baystate has been a keystone of Western Massachusetts as it has evolved, grown, and emerged as one of the highest quality and most effective health care providers in the nation. Baystate Health was named a top 15 Health System in the country by Thompson Reuters; and is a PRC National Excellence in Healthcare Award Winner. Most recently US News and World Report ranked Baystate Medical Center and Massachusetts General Hospital as the only two hospitals in Massachusetts to achieve top quality ranking for five common procedures and conditions such as total joint replacement and congestive heart failure.

Baystate Health believes that the advancement of knowledge, through education and research, is essential to its mission of improving the health of the communities it serves. Baystate Medical Center has major programs in postgraduate medical education with residencies in Medicine, Surgery, Anesthesiology, Radiology, Pathology, OB/GYN, Pediatrics, Medicine-Pediatrics, Emergency Medicine, and Psychiatry; along with 22 fellowship programs.

Baystate Health is a forward-thinking organization. With impressive size, scope, and expertise, Baystate Health is the longtime market leader for health care services in western Massachusetts and is financially solid. However, as in most regions of the country, the healthcare landscape in western Massachusetts has shifted as a result of ever-increasing economic pressures and corresponding provider consolidation. Baystate Health is committed to its position as the key provider of tertiary level medical services to the people of Western Massachusetts. At the same time, Baystate Health has embraced a broader mission of promoting better health for the communities it serves and reducing health disparities. Baystate Health is committed to the provision of high value health care and is transforming how it delivers care and educates the next generation of physicians. One example of this is TechSpring, Baystate Healths digital health care laboratory in downtown Springfield. Founded in June 2014, TechSpring works with entrepreneurs on ways that health care technology can fade into the background and take up less time.

In June 2015, Baystate Health established a new partnership with the UMass Medical School to develop a new regional clinical campus in Springfield, known as the University of Massachusetts Medical School Baystate (UMMS-Baystate). UMMS-Baystate is now home to UMMS four-year Population-based Urban and Rural Community Health (PURCH) track, which welcomed its inaugural class of 22 medical students in Autumn 2017. Through this innovative program, the three institutions are partnering to strengthen the pipeline of new primary care physicians for the future in Western Massachusetts. These three institutions have also collaborated to create the Institute for Healthcare Delivery & Population Science, to generate and apply new knowledge to transform health care delivery and population health in support of Baystate Healths strategic goals. The Institute conducts health services research projects in partnership with local, regional, and national stakeholders.

Baystate Franklin Medical Center (BFMC), located in Greenfield, MA, is an 89-bed community hospital that joined Baystate Health in 1986. The hospital boasts a state-of-the-art surgical center and a new endoscopy center that opened in August 2017. BFMC provides high-quality inpatient and outpatient services to communities in Franklin and Hampshire counties, as well as southern Vermont. Specialized programs include wound care and hyperbaric medicine, heart and vascular care, cancer care, family-centered obstetrical care, sports medicine, specialty medical and surgical services, inpatient behavioral medicine, and 24-hour emergency services.

Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing. This description covers the essential functions of the position.

Adheres to system and department compliance policies, and any and all applicable laws and regulations. Performs other duties as assigned.

Provides age-appropriate care to patients.

Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when planning and implementing care for patients.

For each assigned patient, the nurse will proficiently perform a comprehensive nursing assessment and use professional judgment to obtain selective data to arrive at nursing diagnoses and discharge planning needs. The nurse will perform a systematic comprehensive assessment of the health needs of all assigned patients 100% of the time. Ensures that all assigned patients have a completed admission profile, health database/patient history. Elicits relevant selective data for a comprehensive nursing history, incorporating patient strengths and limitations. Integrates a variety of methods to collect relevant patient data, (e.g., nursing history, observation, examination, communication with colleagues and chart review) to formulate realistic nursing diagnoses. Anticipates appropriate health care needs beyond acute care setting.

Performs a proficient ongoing assessment of assigned patients recognizing subtle changes in health status 100% of time. Recognizes changes that require immediate intervention. Anticipates consistently predictable changes in patient status. Determines frequency of observation based on an ongoing assessment. Furnishes physician and appropriate health team members with pertinent assessment data. Documents pertinent assessment data in a clear and concise manner.

For each assigned patient, the nurse will formulate a detailed, realistic plan of care specific to each patients identified needs. Develops and updates a realistic plan of care with measurable and achievable goals 100% of the time. Upon identification of an actual or potential problem, the nurse promptly initiates a plan of care and updates per unit specific guidelines. Reassesses priorities and makes appropriate changes in plan of care with patient/familys input. Formulates realistic and attainable goals appropriate to the hospital setting and discharge needs.

Analyzes the psycho-social impact of illness & hospitalization on individuals and families 100% of the time Collaborates and negotiates with patients and families to arrive at an agreed upon plan of care. utilizes and communicates with physicians and interdisciplinary team members to establish goals. Incorporates psycho-social, spiritual and cultural needs into plan of care.

For each assigned patient the nurse will proficiently implement the individualized plan of care. Demonstrates proficiency in clinical nursing skills 100% of the time. Independently organizes own assignment and prioritizes plan of care accurately. Delegates aspects of care to other personnel consistent with job description and skill 100% of the time. Consistently initiates interventions to maintain a safe and therapeutic environment 100% of the time as evidenced by an absence of preventable incidents. Anticipates outcomes of physician orders and nursing actions and seeks explanation when in question. Demonstrates flexibility in care without deviating from FMC standards, procedures or policies. Responds consistently, to urgent and life-threatening situations with appropriate actions.

Provides formal and informal teaching relevant to health care needs of patients utilizing available resources 100% of the time. Ensures patients/families are informed concerning treatments, procedures and hospital policies and routines. Documents each phase of the learning process, reinforcing teaching and implementing change as needed. Considers patient/familys level of knowledge and readiness to learn.

Effectively implements and revises the discharge plan 100% of the time. Initiates interdisciplinary discharge plan at time of admission. Completes appropriate discharge/transfer form and documents accordingly. Prepares patient/family for the changes in the health care delivery system.

For each assigned patient the nurse will establish a pattern of ongoing evaluation and modification of patient care interventions while demonstrating accountability and responsibility for professional nursing practice. Evaluates and modifies patient plan of care on a continuing basis 100% of Accurately determines the effectiveness of his/her nursing care 100% of the time. Evaluates whether selected nursing interventions were appropriate to reach set goals. Uses patient outcomes to evaluate effectiveness of nursing interventions. Continually re-evaluates strengths and weaknesses for accountability of nursing care. Demonstrates credibility and honesty in nursing practice. Observes patient responses to treatment, illnesses and hospitalization and compares the expected with the actual outcomes. Documents present status and notes significant alterations from anticipated status. Utilizes available resources to assist in the evaluation process.

Accurately determines the effectiveness of his/her nursing care 100% of the time. Evaluates whether selected nursing interventions were appropriate to reach set goals. Uses patient outcomes to evaluate effectiveness of nursing interventions. Continually re-evaluates strengths and weaknesses for accountability of nursing care. Demonstrates credibility and honesty in nursing practice.

Accurately and concisely communicates pertinent patient information while maintaining confidentiality 100% of the time. Documents patient care and patient responses promptly, clearly and thoroughly on appropriate forms. Understands and utilizes professional hierarchy in problem solving related to significant changes in patient status and documents appropriately. Communicates pertinent patient information in a concise manner through shift to shift report and intrahospital transfer. Maintains a patients right to privacy and confidentiality.

Acts as an advocate for patient families 100% of the time. Acts as a representative in communicating patient/familys needs to physicians and other health care team members. Understands and supports Franklin Medical Centers Patients Bill of Rights. Intervenes consistently, in situations where patient integrity is threatened. Supports and encourages patient/familys decisions maintaining respect for life and dignity.

Will demonstrate proficiency in applying the principles of teaching/learning to patient/family & with minimal assistance identify own professional educational needs. Assesses each patient/familys comprehensive learning needs in relation to health and illness 100% of the time. Individualizes standardized teaching plans to meet specific needs of patient/family. Participates in patient care conferences (discharge planning) and communicates critical information at change of shift report.

Identifies own professional educational needs with minimal guidance 100% of the time. Performs a realistic self evaluation to determine own strengths and weaknesses. Orients to preceptor role. Consistently supports the growth and development of students and new personnel. Attends continuing education programs (5-8 contact hours or equivalent) related to the achievement of own professional goals as evidenced by self report with appropriate documentation. Is a member of unit-based committee, task force or change producing group. Attends and participates in 80-90% of Unit Staff meetings as evidenced by attendance roster/review of minutes. Demonstrates ability to develop a therapeutic relationship with patients, families and other members of the health care team. Promotes collaboration/team building and healthy interpersonal relationships with others.

Will promote active participation in quality assurance research activities of health team members within realm of responsibility. Demonstrates active participation in quality assurance/research activities 100% of the time. Identifies 1-2 patients and/or nursing problems that need to be systematically investigated as evidenced by committee reports and/or evaluation/research tools. Communicates consistently with colleagues about quality assurance/research findings and their relevance to nursing practice. Participates in and ensures follow-through of research/quality assurance data collection. Is able to state current Unit CQI initiatives. Communicates an attitude of positive customer focused interactions in daily work activities.

Associates Degree in Nursing, BSN preferred
Minimum one year of nursing experience
MA RN License
American Heart Association, Health Care Provider CPR Required

This is a 16 hour per week position located in Greenfield, MA. Candidate must be able to attend orientation in Holyoke and Springfield, MA.

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.