Job Description

The Lemuel Shattuck Hospital (LSH) is seeking experienced and committed Registered Nurses (RN II). The RN II is responsible for implementing the nursing process, and is responsible and accountable for assessing, prescribing, delegating, coordinating, providing, and improving acute and specialized nursing care. They also integrate PI concepts, standards of nursing care, hospital mission and applicable regulations. Provides care to clients from the community/DPH/DMH/DOC or DDS under the direction of the Nurse Manager/charge nurse. Provides leadership in organizing the delivery of patient care as team leader/charge nurse to assign, supervise, and evaluate the nursing care of LPN's, NA's and support staff according to their scope of practice and competence and according to department policies/procedures.

• Day: 7:00 a.m. to 3:30 p.m.

• Initiates physical, psychosocial, and spiritual assessment of patients nursing care needs according to admission procedure and as specified per unit policy.
• Develops a Plan of Care with patient, patient's significant others, multidisciplinary health care team, and other resources which supports the analysis of data collected and that reflects (a) formulated nursing diagnosis/identified patient needs/problems and standards of care (b) specific nursing intervention based on nursing diagnosis (c) patient/ significant other strengths (d) discharge needs of patient/significant others and (e) outcome measures with time frames for achievement.
• Implements and documents nursing interventions as per plan of care and in accordance with nursing theory, LSH/Nursing Department/Unit policies and procedures, Joint Commission, DPH, and federal and state laws to insure safe and effective standards of nursing practice; transcribes accurately physician orders for medications/tests/interventions; administers and documents prescribed medications; monitors and documents response to medication and any adverse or toxic effects and follow-up action taken; communicates findings and results of monitoring to health care team.
• Provides ongoing assessment and evaluation of patient status at specified times as per unit policy and to determine effectiveness of interventions, patient's response to treatment/ patient outcomes and/or when significant change occurs in patient condition and/or patient diagnosis and communicates changes in plan to patient/significant others and health care team.
• Documents nursing care process and outcomes/situational occurrences in accordance with LSH/Nursing Department/Unit Policies/Procedures.
• Assesses, identifies, and provides for education and training of patient/ patient's significant others to improve patient's health outcomes by assisting the patient/patient's significant others in gaining the knowledge and skills that facilitate understanding of health status, return to function, healthy behaviors, and that meets the ongoing health care needs of the patient.
• Provides consistent leadership in organizing the delivery of care according to department standards by performing charge duties as delegated by nurse manager and assigns/supervises care delivered by LPN's and NA's according to department standards/policies/procedures.
• Participates and contributes to departmental and hospital wide performance improvement activities/ risk management by assisting in data collection and analysis, identifying opportunities for evaluation and improvement in care or services, and by involvement in and assessment of findings and actions taken to improve care.
• Maintains commitment and responsibility for professional growth and competency through ongoing activities that promote professional growth and development by completing all mandatory review classes; acquiring, maintaining and updating knowledge and skills required to perform processes involved in delivery of care specific to clinical unit and field; participating in performance appraisal process of self and peers, and through participation in LSH/Nursing Department/Professional Nurse Organization (PNO) Committees, continuing education programs, and professional organizations.
• Contributes to effective interpersonal and community relations to ensure the quality of patient care, to promote a therapeutic milieu by functioning as advocate/resource person to staff/patients/families/visitors/other departments and outside agencies regarding requested information and LSH Policies/ Procedures by investigating complaints/clarifying LSH Policies/procedures and maintaining patient privacy/confidentiality at all times.
• Contributes to the safety/risk management/infection control program, productivity, and cost effectiveness of the department and hospital by assessing and overseeing the environment to reduce safety and health hazards and minimize incidents/accidents for patients/employees/visitors; by overseeing services, supplies, pharmaceutical stock, and equipment to ensure effective and economical use.
• Demonstrates competence in assessing and providing age-appropriate care to all patients.
• Demonstrates competence in assessing and providing care that is cognizant of and sensitive to patients' cultural and spiritual needs.
• Assures continuity of care amongst all caregivers by following both the hospital-wide and nursing Hand Off Communication policies.
• Demonstrates a positive attitude treating staff/patients/families/visitors/other departments and outside agencies with respect and dignity at all times.

• Satisfactory knowledge of the scientific theories and principles of nursing.
• Applies scientific principles to performance of nursing process.
• Communicates effectively through oral reporting and documentation.
• Ability to work as a team member.
• Ability to organize work assignment, and prioritize patient needs.

• Demonstrated ability to develop and maintain a respectful, caring, tolerant, ethical, and empowering relationship with individuals.
• Capacity to maintain accurate records and exercise discretion.
• Familiarity with safety practices and medical terminology/abbreviations.