Neurosciences Critical Care Unit Graduate Resident Nurse Progressive Care Unit - 24hrs, Day/Night Rotation

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

The mission of the Lahey Hospital & Medical Center (LHMC) Nursing Division is to build on a legacy of nursing excellence by caring with compassion, advancing the art and science of nursing, and advocating for the health of patients, families and communities. The Graduate Resident Nurse utilizes the nursing process as the frame of reference for practice and provides direct patient care, with supervision from a registered professional nurse to patients and families. This is an entry-level nursing position for Graduate Resident Nurses. Training, evaluation, and competencies for this role are overseen by a Nurse Leader in the department. During the first year of employment, you will be enrolled in a Nurse Residency Program. Nurse Leadership will determine a balance of Clinical and Educational time.

Job Description:

Essential 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.    Graduate Resident 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 Graduate Resident 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 Graduate Resident 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 lifelong learning. 
C.    Demonstrates evidenced based practice (EBP) in nursing.

Essential Duties including but not limited to:

• Demonstrates the ability for decision-making by integrating theoretical knowledge with practical experience in caring for patients.  Administers medications and treatments. Coordinates and assists in the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable, and timely patient-centered care.  Demonstrates initial awareness of environmental forces on health care of patients and their families.
• Develops a collegial and collaborative relationship with other professionals to determine healthcare needs of patients and families.  Develops relationships with patients and families to maintain and communicate trust and respect. Communicates effectively in the exchange of information.  Demonstrate the ability to act as a patient advocate.
• Maintains all mandatory education requirements, include emergency skills and unit-based competencies. 
• Identifies needs for continued growth and development in conjunction with the clinical practice specialist.
• Demonstrates a commitment to patients, staff, and to LHMC.  The individual’s nursing practice reflects the goals of the hospital.
• Demonstrates responsibility and accountability for own nursing practice and patient safety.

Organizational Requirements

• Maintain strict adherence to the Lahey Hospital and Medical Center Confidentiality policy.
• Incorporate Lahey Hospital and Medical Center Standards of Behavior and Guiding Principles into daily activities
• Comply with all Lahey Hospital and Medical Center Policies.
• Comply with behavioral expectations of the department and Lahey Hospital and Medical Center.
• Maintain courteous and effective interactions with colleagues and patients.
• Demonstrate an understanding of the job description, performance expectations, and competency assessment.
• Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.
• Participate in departmental and/or interdepartmental quality improvement activities. 
• Participate in and successfully completes Mandatory Education.
• Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education

• Graduate of a state approved and/or accredited School of Nursing.
• Bachelor of Science in Nursing (BSN) preferred.

Licensure, Certification, Registration

• Current license to practice professional nursing from the Massachusetts Board of Registration; graduating nursing students must provide NCLEX registration documentation when eligible.
• American Heart Association - Basic Life Support Certificate

Experience

• 0-1 years related work experience required.
• Basic familiarity with computers. Ability to navigate at a basic level within web-based applications.

Skills & Abilities

• Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures.
• Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the unit-specific competencies.
• Excellent interpersonal and organizational skills.

Pay Range:

$37.00 - $37.00

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.  Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled