Palliative Care/ED Staff Nurse

Job title: Palliative Care/ED Staff Nurse

Site: Newton-Wellesley Hospital

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 renders highly professional and technical nursing care to assigned patients. The registered nurse provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). Oversees other assigned team members and collaborates with a multidisciplinary team to provide population specific care in accordance with the BORN regulations and professional standards of care.

Clinical Duties:

• Identify patients in the Emergency Department who may be candidates for Palliative Care consultation: emergent inpatient consultation, inpatient consultations within the first 24-48hrs of hospital admission, and/or outpatient/home based involvement

• Perform initial patient assessments in the ED, including RN Serious Illness Conversation and symptom evaluation, when appropriate

• Huddles with Emergency Department, Palliative Care, and other clinical teams to assess patient appropriateness for program protocols and pathways.

• Educate clinicians and staff on programmatic pathway criteria and facilitate appropriate patient entry into the corresponding pathway.

• Follows patient progression into appropriate pathway and through to placement into the next appropriate step in their care.

• Interface with Clinical Team and Case Management regarding patient disposition.

• Gathers pertinent clinical and social information to identify appropriate level of care and location of care within the hospital/health system.

• Ensures patients are assigned to appropriate Palliative Care service lines.

• Maintains data and other medical records for the NWH ED-embedded Palliative Care Program

• Participates in regular case review, data analysis, and quality improvement efforts.

Qualifications

Education

• Other Certificate/Diploma Nursing required and Bachelor's Degree Nursing preferred

• Can this role accept experience in lieu of a degree? No

• Licenses and Credentials

• Registered Nurse RN - State License - Generic - HR Only required

• CHPN certification preferred

Experience

• Demonstrated clinical competence and experience as required by the specific job posting/specialty area required.

• At least 2 years of experience working as a clinical RN as a member of a Palliative Care or Hospice team within the previous 5 years required.

• Working knowledge of the Serious Illness Conversation Guide and/or Vital Talk talking maps.

• Experience in ED and Intensive Care Unit Preferred

• Knowledge, Skills and Abilities

• Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care.

• Creates and maintains a safe and therapeutic environment for patients, self, and co-workers.

• Assures quality of nursing practice through participation in performance improvement activities.

• Ensures complete, accurate, and timely written communication of patient information.

• Provides safe, accurate, and timely medication and IV administration.

• Coordinates and collaborates with other multidisciplinary team members to facilitate a comprehensive educational plan.

• Physical Environment: The RN works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation.

• Caring for patients also involves exposure to human waste and other unpleasant elements.

• Other duties may include general cleaning with exposure to dirt, odors, cramped quarters, etc.

• RN's may work with angry, agitated, and combative patients.

• Physical Requirements

• Standing Frequently (34-66%)

• Walking Frequently (34-66%)

• Sitting Occasionally (3-33%)

• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)

• Carrying Frequently (34-66%) 20lbs - 35lbs

• Pushing Occasionally (3-33%)

• Pulling Occasionally (3-33%)

• Climbing Rarely (Less than 2%)

• Balancing Frequently (34-66%)

• Stooping Occasionally (3-33%)

• Kneeling Occasionally (3-33%)

• Crouching Occasionally (3-33%)

• Crawling Rarely (Less than 2%)

• Reaching Frequently (34-66%)

• Gross Manipulation (Handling) Frequently (34-66%)

• Fine Manipulation (Fingering) Frequently (34-66%)

• Feeling Constantly (67-100%)

• Foot Use Rarely (Less than 2%)

• Vision - Far Constantly (67-100%)

• Vision - Near Constantly (67-100%)

• Talking Constantly (67-100%)

• Hearing Constantly (67-100%)

• Remote Type

• Onsite

• Work Location

• 2014 Washington Street

• Scheduled Weekly Hours

• 40

• Employee Type

• Regular

• Work Shift

• Day (United States of America)

• Pay Range

• $41.38 - $100.00/Hourly

• 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.

• 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.