Stepdown Medicine Nurse BWH
The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The Brigham and Women's Hospital, Inc. is hiring for its own floors, with no agency in between.
Posted Sep 28
- Shift and hours
- 36hr variable rotation · Rotating Shift: 36hr variable rotation Work Shift Rotating (United States of America)36
- Unit and setting
- Tower 16AB · Hospital Demonstrates appropriate knowledge of growth and development of the adult and geriatric patient.Adult and geriatric patient
- License
- RN license
- Term
- Permanent
Do you qualify?
- License
- Registered nurse in Massachusetts Check your license
- License
- Current registration in Massachusetts Education: Graduate of an approved school of nursing with current registration in Massachusetts. Check your license
- Education
- Graduate of an approved school of nursing
- Education
- Bachelor of Science Degree in Nursing for newly licensed nurses For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
Preferred
- Certification
- Certification in a specialty area Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged.
- Experience
- Stepdown medicine experience Experience: stepdown medicine experience preferred.
- Also asks
- Membership in professional organizations
What it pays
- Against similar roles
- Boston staff RN median is $42/hrBoston staff RN postings that state pay run $40/hr to $44/hr, the middle half $42/hr to $42/hr, across 166 postings. This posting's $42/hr to $106/hr is wider than that, so where you land depends on the offer.
- Extra pay
- Differentials and premiums as applicable
- Bonus
- Bonuses as applicable
- Pay reviews
- Base pay is comprehensive and takes into account skills, relevant experience, education, certifications, and other essential factors
- Pay reviews
- Base pay estimate is based on minimum job qualifications and does not encompass all elements of total compensation
Benefits
- BenefitsComprehensive benefits
- BenefitsCareer advancement opportunities
- BenefitsRecognition programs
- differentials
- premiums and bonuses as applicable
The role and schedule
- Union
- MNA contract (Grade MNA333) Able to work weekend rotation per the MNA contract
- Day to day
- Accountable for assessing, planning, implementing and evaluating care for specific patient assignment Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment.
- Day to day
- Sets priorities organizing care for patients with varying acuity Sets priorities when organizing care for patients with varying acuity.
- Day to day
- Maintains continuity through clear verbal and written communication Maintain continuity through clear and concise (verbal and written) communication.
- Day to day
- Documents patient care in compliance with nursing documentation standards Documents patient care in a manner that is clear, complete, concise and in compliance with nursing documentation standards.
- Day to day
- Develops comprehensive plan of care based on initial assessment data, team input, and records
- Day to day
- Develops comprehensive educational plan for patient and family Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department’s documentation standards.
- Day to day
- Develops comprehensive discharge plan utilizing appropriate resources and referrals Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
- Day to day
- Evaluates effectiveness of plan of care and revises to achieve desired outcomes
- Day to day
- Participates in unit-based and organizational quality management or quality improvement programs Participates actively in the unit-based and organizational quality management and/or quality improvement programs.
- Day to day
- Provides safe environment for patients, staff, family and visitors Provides a safe environment for patients, staff, family and visitors.
- Day to day
- Administers medication safely per policies and procedures Administers medication safely according to established policies and procedures.
- Day to day
- Performs nursing procedures safely and efficiently Performs nursing procedures safely and efficiently.
- Day to day
- Uses equipment safely and efficiently Uses equipment safely and efficiently.
- Day to day
- Collaborates with other disciplines Collaborates with other discipline(s).
- Day to day
- Develops, utilizes and evaluates unit-specific standards of care Develops, utilizes and evaluates unit-specific standards of care.
- Day to day
- Serves on unit-based and organizational committees Serves on unit-based and organizational committees and disseminates information to peers.
- Day to day
- Participates in orientation of new staff members, students and others Participates in the orientation of new staff members, students and others as appropriate.
- Day to day
- Provides input into clinical evaluation of other staff Provides input into the clinical evaluation of other staff, as appropriate.
- Charge
- Assumes responsibility for unit in absence of leadership personnel Assumes responsibility for the unit in the absence of leadership personnel.
- Weekends
- Weekend rotation per the MNA contract
Your fit
Questions to ask
- Can you walk me through differentials?
- What should I expect for holiday and call?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
On your path
Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.
Original listing
Posted on The Brigham and Women's Hospital, Inc.’s careers page.
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Site: The Brigham and Women's Hospital, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The registered nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor.
For newly licensed nurses a Bachelor of Science Degree in Nursing is required. Does this position require Patient Care? Yes
Essential Functions
- Organization of Patient Care
- Accountable for assessing, planning, implementing and evaluating a plan of care for a specific patient assignment.
- Sets priorities when organizing care for patients with varying acuity.
- Maintain continuity through clear and concise (verbal and written) communication.
- Demonstrates appropriate knowledge of growth and development of the adult and geriatric patient. In areas, such as the NICU and Obstetrics the principals of growth and development are applicable to the neonate.
- Quality of Care
- Documents patient care in a manner that is clear, complete, concise and in compliance with nursing documentation standards.
- Develops a comprehensive plan of care based on data from an initial assessment of patient and family, information from other members of the health care team, intra-agency referral and previous medical records.
- Develops a comprehensive educational plan for the patient and family, utilizing appropriate resources and documents according to the department’s documentation standards.
- Develops a comprehensive discharge plan utilizing appropriate resources and referrals including community resources.
- Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals. Revises plan of care as needed to achieve desired outcomes.
- Participates actively in the unit-based and organizational quality management and/or quality improvement programs.
- Provides a safe environment for patients, staff, family and visitors.
- Administers medication safely according to established policies and procedures.
- Performs nursing procedures safely and efficiently.
- Uses equipment safely and efficiently.
- Demonstrates awareness of potential/actual risks of infection and modes of transmission.
- Utilizes universal precautions in nursing practice.
- Coordination/Collaboration
- Interacts with patients, families, and colleagues in a professional manner.
- Collaborates with other discipline(s).
- Develops, utilizes and evaluates unit-specific standards of care.
- Upholds the A. N. A. code of ethics and acts as a role model to other staff members.
- Participates in determining and implementing goals and objectives for the unit.
- Participates in determining goals and objectives in the periodic review and evaluation.
- Serves on unit-based and organizational committees and disseminates information to peers.
- Education
- Assumes responsibility for personal and professional growth through identification of own learning needs.
- Shares knowledge and experience with colleagues.
- Participates in unit-based and organizational educational programs.
- Seeks and accepts guidance for additional learning needs.
- Research
- Utilizes nursing research findings in clinical practice.
- Contributes to nursing and/or medical research endeavors by supporting investigators.
- Budget
- Utilizes time and materials in an effective and economical manner.
- Provides suggestions which support the delivery of cost-effective health care.
- Assesses patient's acuity accurately when making decisions regarding staffing, transfers and assignments.
- Demonstrates awareness of the need to manage within established budgetary boundaries.
- Personnel
- Participates in the orientation of new staff members, students and others as appropriate.
- Provides input into the clinical evaluation of other staff, as appropriate.
- Assumes responsibility for the unit in the absence of leadership personnel.
- Adheres to hospital and nursing policies and aids in their interpretation to others.
- Recommends change in policies and procedures through appropriate channels.
- Participates in the cooperative effort and peer support required for the smooth running of the unit, e.g., flexibility in relation to patient assignments, shift assignment, or work schedule.
Qualifications
Education
Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
Experience
stepdown medicine experience preferred. Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged. Able to work weekend rotation per the MNA contract Knowledge, Skills and Abilities
- The RN must show evidence of the basic analytic thinking necessary to care for a group of patients.
- Must demonstrate observational skills and the ability to set priorities.
- Must be able to function under stress with good interpersonal and communication skills.
- Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.
Additional Job Details (if applicable) Tower 16AB Shift: 36hr variable rotation Remote Type Onsite Work Location 75 Francis Street Scheduled Weekly Hours 36 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $41.71 - $105.65/Hourly Grade MNA333 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package.
In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement
2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
What's around it?
Boston, MAFrom Census ACS 2024.
Living costs about 8% above the US average
- Median rent
- $2,147/mo
- Household income
- $97,344/yr, all local households, not nurse pay