Experienced Registered Nurse, Medical ICU, 36 hours, Nights

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 Registered Nurse 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 Registered Nurse 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 Registered Nurse, 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 Registered Nurse 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 Registered Nurse 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 Registered Nurse provides care directly to patients and in collaboration with other health care team members. The Registered Nurse 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.

Job Description:

Unit Summary:

Lahey Clinic believes that the nurse-patient relationship, continuity of care and personal accountability are central to the delivery of individualized high quality patient care. As Lahey continues to grow, we are seeking experienced and qualified nurses for our Critical Care Medical Intensive Care Unit (MICU). The MICU is a 12-bed acute care area. Highly trained nurses care primarily for medical patients requiring ventilatory support and ECG monitoring. Additionally, patients may require hemodynamic monitoring, intracranial pressure monitoring, and/or CVVH. The MICU patient population also includes patients receiving TPA for stroke and patients with hepatic-renal failure. Working together with the pulmonary team, nurses maintain extensive critical care skills and provide a supportive atmosphere for each other, the patients, and the patients families. Patient population ranges from young adult to geriatric. Services required may include but are not limited to: Pulmonary/Critical Care, Cardiac, Neurology, Infectious Disease, GI/Liver transplant, Nephrology, Hematology.

Schedule: 36 hours a week. Nights (7P-7A). Every third weekend and holiday rotation commitment.

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.
A.    The Registered Nurse 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. 
•    Develops a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures.
B.    Performs systematic patient and family assessment relevant to practice settings.
C.    Delivers care that is specific to the age of the patient.
D.    Eval