Office Nurse RN - Per Diem - Cardiovascular

Wentworth-Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Wentworth-Douglass Hospital remains among the nations top hospitals for patient experience as a recipient of the Healthgrades 2021 Outstanding Patient Experience Award for the eighth consecutive year. Wentworth-Douglass Hospital is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.

1. Physiological: Basic - Provides individualized age specific care that supports physical functioning.

a. Collaborates with physicians, nurse practitioners and physician assistants to provide patient centered care through the comprehensive evaluation of patient's needs.

b. Utilizes time management to maintain office flow, allowing patient needs to be met in a time effective manner.

c. Intake assessment reflects a comprehensive approach to the patient/family and presenting complaint/need.

d. Assess vital signs, inclusive of pain, accurately.

e. Anticipates and accurately performs screening assessments as needed (e.g., hearing, vision, urine screens, hemmocults, etc.).

f. Anticipates and accurately performs respiratory assessment (e.g. oximetry, peak flow, spriometry, respiratory history).

g. Meaningfully assesses preventive health and social history, educating and referring issues as needed.

h. Assesses and anticipates immunization needs of children and adults.

2. Physiological: Complex - Provides individualized, age-specific care that supports homeostatic regulation. Uses critical thinking skills to assess the patient's problems both in the office and on the phone to establish urgency.

a. Critical analysis of patient laboratory data in order to assist in clinical decision making.

b. Elicit patient concerns; listening and providing support or teaching in response to patient's stated concerns.

c. Providing results of testing inclusive of patient education as indicated.

d. Anticipates the needs of patients with chronic illness, triaging appointments, tracking referrals, etc.

e. Evaluating patient's response determining potential problems as a result of previous treatment, examination or testing.

f. Promotes patient education as a key to health maintenance and illness prevention.

3. Safety- Provides age-specific, individualized care that supports protection from harm. Properly administers and documents medications, immunizations and treatments ordered by providers.

a. Ensures that all appropriate documents, consents, vaccine information sheets, etc. are provided to patients/parents/guardians.

b. Ensures the integrity of all medications and vaccines as per regulatory guidelines and applicable policies and procedures prior to administering.

c. Complies with all reporting requirements for medications, samples, communicable diseases, etc.

d. Performs other related clinical duties under the specific order of a physician or provider, i.e. EKG's, injections, nebulizer treatments, obtaining specimens, phlebotomy, vision exams, hearing exams, pulse, etc. Based on protocol or vendor instructions.

e. Performs CLIA waived tests (inclusive of internal and external controls) according to office needs and demonstrated competency.

f. Maintains all safety/health logs as indicated and required by office protocol and regulatory requirements.

g. Recognizes limitations and seeks advice and direction from the physician, provider, supervisor or other appropriate clinical staff member.

h. Surveillance: Safety - Collects and analyzes information about the patient and the environment for use in promoting and maintaining patient safety.

4. Provides age-specific, individualized care that supports the family unit. Promotes family values, interest and goals.

a. Utilizing the nursing process assesses patient and identified family unit, as appropriate.

b. Involves the identified family unit, as appropriate, in the plan of care recognizing the impact of health issues on the family unit.

c. Facilitates team approach to patient care in collaboration with the family to provide appropriate quality to achieve optimal patient outcomes.

d. Provides health teaching to promote, attain and maintain the optimal health level of clients and families.

e. Effectively communicates (using assistive devices and services as needed) with patient family members as appropriate.

f. Protects the patients and family's confidentiality and rights and preserves dignity.

5. Health System - Provides care that supports effective use of the health care delivery system. Transfers the responsibility for performance of patient care while retaining accountability for the outcome.

a. Records pertinent data in clinical record clearly and concisely, accurately documents all patient contacts.

b. Providing assistance to the patient and another health care provider during procedure or exam.

c. Proactively monitors the patient and provider schedules to ensure that patients are seen in a timely and efficient manner.

d. Plans care to include ensuring patient follow-up return to the office as appropriate.

e. Prepares, maintains and stocks examination rooms, treatment rooms and medication closets and other storage areas per office protocol.

f. Maintains vaccine inventory inclusive of ordering as needed.

g. Assists with administrative tasks as needed.

h. Maintains work area in a professional and organized manner.

i. Use technical equipment and devices to monitor patient condition or sustain life.

j. Uses information technology appropriately.

6. Professional Development-Acquires and maintains current knowledge and competency in nursing professional practice. Participates in ongoing educational activities and acquires knowledge and skills appropriate to the specialty area.

a. Shares information/in-services, interacting with others as valued colleagues.

b. Assists and supports a new or transferred employee through a planned orientation to specific clinical area.

c. Seeks/maintains certification.

d. Seeks constructive feedback regarding his/her own practice.

e. Maintains a personal portfolio that documents ongoing professional nursing competence.