Experienced Registered Nurse, Neurosciences Critical Care Unit, Per Diem

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

Lahey Clinic is offering an exciting opportunity for an Experienced Critical Care Nurse to join our new Neurosciences Critical Care Unit (NCCU) team. We are looking for a dynamic Registered Nurse who is seeking a role in which they are at the forefront of delivering state of the art Neurocritical Care. As a Registered Nurse in the NCCU, you will work collaboratively with our interdisciplinary team to deliver clinical excellence in patient-centered care, while being empowered through evidence-based practice, continuing education, collaboration, and shared governance to deliver nursing care at the highest level with empathy and kindness in the forefront.

Our Neurosciences Critical Care Unit (NCCU) is the newest unit at Lahey Clinic and is comprised of 9 Intensive Care and 9 Progressive Care beds. Lahey Clinic holds a Comprehensive Stroke Center designation and is proudly growing Neurosciences Critical Care within the organization. The NCCU is an acute intensive care unit specializing in the care of acutely ill patients with life threatening neurologic disease or life threatening neurological manifestation of a system disease. Using the latest technologies, nursing staff deliver care to patients requiring ventilatory support, hemodynamic monitoring, ICP monitoring, targeted temperature management, osmotic therapy, continuous renal replacement therapy, in addition to providing support and comfort to the families of these patients.

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.
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.    Evaluates effectiveness of care and adapts plan based on patient/family response.

II. Professional Relationship: The professional relationship is based upon Lahey Clinic’s guiding principles and positive effective communication. This relationship extends beyond formal assessment to integrate the particular patient’s response and his/her religious/spiritual, ethnic and cultural beliefs into the plan of care.

A.    Establishes professional relationship with nurses, physicians and other colleagues and patients and families.
    •    The relationship includes the patient and family as a partner in care and is based upon Swanson’s Theory of Caring.
B.    Educates the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient.
C.    Supports Lahey Clinics commitment to community based activities both within the Lahey community and beyond.

III. Clinical Leadership:  The Registered Nurse supports the development of others and creates a practice climate of responsiveness and learning based on Benner’s Novice to Expert skills acquisition model.  This supports the retention and recruitment of clinically competent nurses.   The ability to lead and influence the reasoning of colleagues in the patient’s best interest depends on skillful comportment, authoritative clinical knowledge and wisdom, the conviction to act as an ethical agent despite adverse consequences, and the ability to listen and enhance others’ strengths.  

A.    Demonstrates professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics. 
B.    Demonstrates skills as a responsive team member.
C.    Demonstrates role of nurse as teacher.
D.    Demonstrate ability to fulfill role in Regulatory compliance and readiness.

IV. Clinical Scholarship: The Registered Nurse achieves clinical scholarship through experiences with patients, through collaboration with colleagues and leadership and through formal education. Learning is transformed into knowledge through self-reflection and analysis.

A.    Upholds standards of quality nursing care.
B.    Demonstrates a commitment to life long learning. 
C.    Demonstrates evidenced based practice (EBP) in nursing.

Organizational Requirements:
•    Incorporates Lah