patient awaiting admission to a psychiatric inpatient facility.
The patient may be evaluated or seen in follow-up while in the APS, the main ED or an associated observation/ boarding unit. The APRN will collaborate with all the members of the care team including EM and APS physicians, nurses, resource specialists, social workers, case managers, administrative staff, etc.
to ensure optimal care. The APRN will facilitate and coordinate the operational, administrative and collaborative efforts of the multidisciplinary team. Additionally, APRN will work closely with the addictions APRN to coordinate care and services for individual and groups of patients. PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Clinical Practice 1.1 backsses, diagnoses, and treats the patients being evaluated and/or managed by the APS for urgent and emergent conditions, related to their behavioral or substance abuse issues.
Provides age-appropriate care to patients across the life span. 1.2 Performs medically delegated aspects of patient care as agreed upon by nursing and medical administrators according to practice guidelines. Such as ordering and interpreting lab and diagnostic testing. Prescribes medication and orders therapeutic treatments. 1.3 Develops and assists in the development of Acute Care Plans for repeat patients. 1.4 Demonstrates critical thinking, diagnostic reasoning skills and strong clinical
skills. Able to work independently with in their scope of practice.
1.5 Provides expert consultation to other nursing, physician and hospital staff in order to maximize the opportunity to provide the most appropriate treatment and maintain safety of the patient and the staff. 1.6 Is willing and able to engage with patients in all stages of readiness. 1.7 Serves as a patient and family advocate and facilitates ethical and patient-centered decision making within the care teams. 8 Determines level of care needs for patients and initiates referrals, transfers, and consultations as needed for behavioral health and substance abuse disorders. Administrative/Business/Professional Leadership2.1 Monitors progress and evaluates the outcomes of their clinical practice 2.2 Suggests and facilitates initiatives that may have a department or hospital-wide impact on patient care.
3 Serves as a role model to reflect commitment to the philosophy and vision of the MGH, and the departments of psychiatry, nursing, and emergency medicine. Education3.1 In collaboration with physician and nursing leadership, applies evidence-based research findings and experiential knowledge to support and advance clinical practice by all disciplines in the care of this patient population.
3.2 Participates in the activities that contribute to the education of health care professionals including presenting and publishing. 3 Facilitates the educational experience of EM and psychiatric residents in working with this patient population. Research/Research Utilization4.1 Participates in and supports research activities that will positively influence in-patient care and patient care outcomes. 4.2 Participates in and facilitates quality assurance and performance improvement activities for evaluation of structure, process, and outcome criteria as it relates to clinical practice.
3 Is familiar with current trends in health care and their implication to the treatment of patients with behavioral health and substance use disorders. Including: appropriate pharmacologic and non -pharmacologic treatment modalities as indicated for the management and related complications. Clinical Leadership5.1 Integrates systems thinking, ethical reasoning, and problem solving in identifying interventions that facilitate quality, cost-effective patient care outcomes. 5.2 Identifies factors contributing to outcomes, such as complications, increased length of stay, and over utilization of services and actively participates in problem solving these issues, in collaboration with appropriate staff.
5.3 Facilitates patient movement through the system and efficient use of resources through intra and interdepartmental collaboration. 5.4 Analyzes clinical and non-clinical variables to anticipate patient care needs and predict responses. 5 Negotiates conflict to promote collaboration. Professional Development6.1 Engages in self-performance appraisal on an annual basis, identifying areas of strength as well as areas for professional and practice development. 6.2 Identifies individual learning needs and goals and develops a plan to meet them.
6.3 Maintains clinical knowledge and skills based upon current nursing and health care practices. 6.4 Maintain membership in professional nursing organizations. 6.5 Maintains the standards and educational requirements specific to the nurse practitioner role and licensure. 6.6 Maintains and updates clinical knowledge and skills based on current health care practice/research. Provision of episodic/consultative/recurring care to the adult patients in MGH APS, ED and boarding areas, who are diagnosed with either primary or co-occurring psychiatric or substance abuse problems.
SKILLS/ABILITIES/COMPETENCIES REQUIRED: Relying on advanced training in psychodynamics, pathophysiology, physical backssment, pharmacology, treatment intervention, addictions management, harm reduction, and relapse prevention, the APRN provides an backssment and assistance with establishing comprehensive plans that address a broad range of concerns for the patient with behavioral health and substance abuse disorders. These include but are not limited to: backssment, diagnosis and treatment of psychiatric and substance use disorder patients Assessment, recommendations and assistance in promoting a safe environment Assisting the resource specialist with facilitating appropriate discharge dispositions Coordinating involuntary treatment options Providing education/referrals Coordination of services between providers, including EM and APSAssessment of co-occurring psychiatric and substance use disorder diagnoses Psychopharmacological recommendations A qualified candidate must demonstrate strong interpersonal communication, conflict resolution and organizational skills.
LICENSES, CERTIFICATIONS, and/or REGISTRATIONS: Current licensure as a Psychiatric Nurse Practitioner - Psychiatric Mental Health in the Commonwealth of Massachusetts Current federal and state controlled substance certification/registration.
EDUCATION: Bachelor's and Master's in Nursing Required - Psychiatric Mental Health specialty in Master's Program EXPERIENCE: Minimum of 2 years advanced practice experience preferred in psychiatry. Previous nursing experience required For more details: jobs-search. org/nurse-practitioner_boston-c428102/nurse-practitioner-np-emergency-acute-psychiatric-service-boston_i1959777817
families. Job Description: Essential Responsibilities including but not limited to: Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically backssing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation.
Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their
families. Demonstrates the ability to identify resources necessary to implement the plan of care. Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families.
Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates
in activities that contribute to professional development of self May participate in quality improvement activities.
Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety Education: Graduate of an accredited Nursing Program required. Baccalaureate degree in Nursing strongly preferred. Experience: 1-3 years related work experience required. License/Certification(s): License Registered Nurse required. American Heart Association - Basic Life support Certificate required.
FLSA Status: Non-Exempt 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) and COVID-19 as a condition of employment. For more details: jobs-search. org/legal_boston-c428102/registered-nurse-electrophysiology-full-time-boston_i1958166697
recognition. Magnet designation, an award bestowed to our organization by the American Nurses Credentialing Center (ANCC), the highest level of recognition achieved for excellence in nursing. Full time benefits, Sign On Bonus offered, work life balance, assigned parking at a reasonable cost, discounted MBTA pass.
Job Description: Assures competent, compassionate and individualized nursing care for a group of patients within a unit or other primary area of practice. Ensures that care is safe, efficient, effective, timely, and meets the cultural, spiritual, and ethnic needs of patients and their families consistent with NEBH's mission and core values. Collaborates with other members of
the patient care team to plan and coordinate patient care goals and achieve optimal patient outcomes. Recognizes patient care needs and works to establish a comprehensive plan of care.
Responsible for maintaining patient confidentiality and privacy, ensuring compliance with HIPAA and NEBH standards, policies and procedures. ) Consistently meets the NEBH Clinical Nursing I and Clinical Nursing II Competencies. Provides direct care to patients and makes necessary nursing judgments to ensure all patient populations are appropriately cared for Designs and implements individualized patient care plans reflective of current nursing practice standards, policies, procedures, protocols and guidelines.
Demonstrates professional commitment and takes personal responsibility for ensuring patient safety Ensures proper identification of patient when providing care in accordance with NEBH identification policies and procedures Administers medications to patients in accordance with NEBH policies and procedures.
backsses/monitors and documents patient response to medication dosages and therapies, and provides intervention as needed Obtains orders specimens for diagnostic testing ensuring correct labeling of specimens in accordance with patient identification policies and procedures Documents and updates the patient medical records in accordance with NEBH and department-specific policies and procedures Provides pain management ensuring that patient pain is backssed, managed, and documented Admits, transfers, and discharges patients.
Coordinates with ancillary departments and needed. Completes and confirms patient admission history using paper and/or electronic medical records. Communicates and collaborates with the patient care team and serves as the patient's advocate when appropriate Effectively delegates appropriate patient care activities to other members of the patient care team with appropriate knowledge and skill levels. Follows patient care pan, updating and documenting changes as they may occur Adheres to infection control standards including, but not limited to hand hygiene, room assignment, isolation precautions, aseptic/sterile techniques, and universal standard precautions.
Cleans equipment in accordance with NEBH and departmental policies, procedures and standards. Utilizes and adheres to proper procedures for handling and disposing of bio-hazardous materials Informs and educates patient of expected outcomes before, during, and after medical procedures Explains patient privacy requirements to patient, families and visitors and maintains patient privacy ensuring compliance with HIPAA and NEBH standards, policies and procedures.
Maintains all mandatory education requirements, professional licensure and any required certifications Identifies emergency/crisis situations; communicates such in a timely manner to appropriate patient care team members and responds appropriately Performs services in compliance with established practice standards, policies, procedures, protocols, guidelines, statutes and regulations (example: JCAHO, Fire Code, OSHA) Participates in ongoing educational and professional development activities to enhance clinical knowledge and update requisite skills Participates in hospital and/or unit-based patient safety and quality activities and uses principles to support and improve patient outcomes Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment Takes initiative to share knowledge and skills willingly with colleagues, students and novice practitioners in a collegial manner Job Requirements Education: BSN Required Licensure/Certification/Registration: RN MA license required, American Heart Association ACLS/BLS certification required.
Experience: Minimum 2 years nursing experience preferred. Telemetry and IV Skills Preferred. New Graduates are welcome to apply to be considered for the accredited Nurse Residency Program. FLSA Status: Non-Exempt 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) and COVID-19 as a condition of employment. For more details: jobs-search. org/legal_boston-c428102/registered-nurse-medical-telemetry-full-time-nights-sign-on-bonus-boston_i1957259977
and advocating for the health of patients, families, and communities. The Clinical Nurse I utilizes the nursing process as the frame of reference for practice as a professional registered nurse and provides direct patient care to patients and families.
This is an entry-level nursing position for new graduate nurses. Training, evaluation and competencies for this role are overseen by a Nurse Leader to the department. Job Description: Essential Responsibilities: Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically backssing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation.
Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates 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 health professionals to determine healthcare needs of patients and families. Learns to develop relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information.
Begins to demonstrate the ability to act as a patient advocate Maintains annual mandatory education requirements, which include emergency skills and unit based competencies.
Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety Required Qualifications: Bachelor's degree in Nursing required. License Registered Nurse required.
and Certificate 1 Basic Life Support required.0-1 years related work experience required. American Heart Association - Basic Life Support Certificate Basic familiarity with computers. Ability to navigate at a basic level within web-based applications. Competencies: Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance. Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers. Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations. Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members. Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving.
Ability to remain calm in stressful situations. Age based Competencies: Employees in this job must be competent to provide patient care to the following age groups: Neonatal: Birth to 6 months, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -. Physical Nature of the Job: Medium work: Exerting up to 50 pounds of force occasionally and or up to 20 pounds of force frequently. Job is physical in nature and employee needs to stand and/or move around through the majority of their shift. FLSA Status: Non-Exempt 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) and COVID-19 as a condition of employment. For more details: jobs-search. org/legal_boston-c428102/cni-clinical-nurse-entry-boston_i1957260410
and families. Job Description: Essential Responsibilities including but not limited to: Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically backssing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation.
Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their
families. Demonstrates the ability to identify resources necessary to implement the plan of care. Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families.
Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates
in activities that contribute to professional development of self May participate in quality improvement activities.
Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety Education: Graduate of an accredited Nursing Program required. Baccalaureate degree in Nursing strongly preferred. Experience: 1-3 years related work experience required. License/Certification(s): License Registered Nurse required. American Heart Association - Basic Life support Certificate required.
FLSA Status: Non-Exempt 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) and COVID-19 as a condition of employment. For more details: jobs-search. org/legal_boston-c428102/job_i1955391037
and families. Job Description: Essential Responsibilities including but not limited to: Provides direct care to patients and makes necessary nursing judgments. Responsible for systematically backssing the health care needs of individuals or groups and for the formulation of a care plan, its implementation and evaluation.
Demonstrates the ability for decision making by integrating theoretical knowledge with practical experience in caring for patients. Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, efficient, equitable and timely, patient-centered care. Demonstrates awareness of environmental forces on health care of patients and their
families. Demonstrates the ability to identify resources necessary to implement the plan of care. Works in a collegial and collaborative relationship with other health professionals to determine healthcare needs of patients and families.
Develops relationships with patients and families that maintain and communicate trust and respect. Communicates effectively in the exchange of information. Demonstrate the ability to act as a patient advocate. Maintains annual mandatory education requirements, which include emergency skills and unit based competencies. Identifies needs for continued growth and development in conjunction with the unit based educator or clinical nurse specialist. Participates
in activities that contribute to professional development of self May participate in quality improvement activities.
Demonstrates a commitment to patients, staff, and to Beth Israel Deaconess Medical Center. The individual nursing practice reflects the goals of the Medical Center. Demonstrates responsibility and accountability for own nursing practice and patient safety Education: Graduate of an accredited Nursing Program required. Baccalaureate degree in Nursing strongly preferred. Experience: 1-3 years related work experience required. License/Certification(s): License Registered Nurse required. American Heart Association - Basic Life support Certificate required.
FLSA Status: Non-Exempt 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) and COVID-19 as a condition of employment. For more details: jobs-search. org/legal_boston-c428102/job_i1955388541
