Tertiary Care Leader, Invasive Cardiology Holding Unit, Full time

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Under the general supervision of the Nurse Manager/Assistant Nurse Manager/Tertiary Team Leader, the Staff Registered Nurse: Tertiary Care Team Leader practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics and demonstrates Lahey Clinic’s core values that reflect its Mission. The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care.

A Staff Registered Nurse: Tertiary Care Team Leader demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients.

The Staff Registered Nurse: Tertiary Care Team Leader, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups. Included in such responsibility are health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve.

The Staff Registered Nurse: Tertiary Care Team Leader assumes the responsibility for the plan of care and has the authority to make decisions and is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of:
• Clinical judgment and decision making
• Professional Relationships
• Clinical leadership
• Clinical scholarship

A responsibility and function of the Staff Registered Nurse: Tertiary Care Team Leader includes Delegation & Supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to:

• Making an appropriate assignment
• Properly and adequately teaching, directing and supervising the delegate
• The outcome of the delegation

The Staff Registered Nurse: Tertiary Care Team Leader provides care directly to patients and in collaboration with other health care team members. The Staff Registered Nurse: Tertiary Care Team Leader maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse.

The Staff Registered Nurse: Tertiary Care Team Leader functions as a mentor and resource for colleagues. They assume the role of the charge nurse facilitating patient flow and interacts with the management team.

Job Description:

Essential Duties & Responsibilities: including but not limited to:

I.  Clinical Judgment and Decision Making: Ways in which nurses come to understand the problems, issues or concerns of patients/families, to attend to relevant/critical information, and to respond in concerned and involved ways.
Tertiary  Team Leader Responsibilities

A.    Demonstrates understanding of and manages the unit staffing, based on census fluctuation within  the staffing guidelines
B.    Works collaboratively with the management team, supervisors, and staff along with the physician groups to problem solve resulting in the best possible outcomes.
C.    Demonstrates the ability to think critically and make autonomous decisions based on objective information.
D.    Displays a positive attitude in the work place that is supportive and open to change and acts as a role model to all staff.
E.    Acts as a mediator in conflict resolution utilizing the hospital chain of command.      
F.    The Staff Registered Nurse: Tertiary Care Team Leader is expected to and is accountable for providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families. 
G.    Develops a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
H.    Performs systematic patient and family assessment relevant to practice settings.
I.    Delivers care that is specific to the age of the patient.
J.    Evaluates effectiveness of care and adapts plan based on patient/family resp