Location: CHA Cambridge Hospital 

Work Days: M-F 8-5.30  

Category: Registered Nurse  

Department: Medical Specialties Clinic at CHA Cambridge Hospital  

Job Type: Full time  

Work Shift: Day 

Hours/Week: 36.00 

Union: Yes 

Union Name: MNA Cambridge

DEPARTMENT DESCRIPTION:

Cambridge Health Alliance (CHA) is a community hospital that cares for a highly diverse population in the Boston metro-north region. As a member of our Medical Specialty team, you will help us care for patients in Cardiology, Dermatology, Endocrinology, Gastroenterology, Geriatrics, Hematology/Oncology, Infectious Disease, Neurology, and Pulmonary Medicine. This includes consults and procedures at our two acute care hospitals and ambulatory care at our three medical specialty clinics.

Summary:
The Registered Nurse is responsible and accountable for planning and providing patient care for patients in accordance with established Nursing Standards of Care. They 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 nursing care and is directly reports to a designated nurse manager and/or clinical manager / off shift manager.

Newly hired, experienced, RNs interested in committing to a minimum of two years of employment at Cambridge Health Alliance, may be eligible to receive a sign on or retention bonus of $10,000. Part-time employees may be eligible for a prorated retention bonus. Please speak with your HR Advisor for details.

Duties and Responsibilities:
1. Conducts a patient centered assessment utilizing appropriate assessment techniques r/t ambulatory nursing.
2. Synthesizes available data, information and nursing knowledge relevant to the presenting health situation to identify unique medical/nursing needs and implements appropriate interventions for age specific categories.
3. Competently utilizes competent, evidence-based ambulatory care nursing interventions during clinical visits, telephone encounters, and electronic communications.
4. Provides age-appropriate care in a compassionate, caring, culturally, and ethnically sensitive manner.
5. Participates in the development and implementation of the interdisciplinary plan of care that identifies strategies tailored to achieve expected outcomes.
6. Documentation meets CHA, professional, and accreditation standards to facilitate communication of the patient condition in the provision and coordination of treatment and services.
7. Using CHA approved protocols for telephone triage, the ambulatory care nurse determines the urgency and disposition based on data in order to expedite care and provide tailored health information and advice to the patient/family.
8. Coordinates the delivery of care within the practice setting and across health care settings.
9. Delegates appropriate interventions to ambulatory care team based on their demonstrated competency, state practice acts, available evidence-based guidelines, regulatory and governmental standards, and organizational policies and defined outcome measures.
10. Adheres to position descriptions, policies, protocols, and procedures related to nursing professional practice.
11. Serves as a point of contact for coordination of care across multiple agencies and/or health care organizations.
12. Employs strategies that promote the health/wellness of individuals/families and populations.
13. Supports the patient and their caregiver in developing skills for self-efficacy to promote, maintain, or restore health, such as health lifestyle tips, risk-reducing behaviors, age and developmental needs, daily living activities, and preventive care.
14. Contributes to data collection that monitors ambulatory care nursing and organizational performance.
15. Integrates into practice the findings of quality of care and performance improvement initiatives that improve the quality of ambulatory care nursing practice, outpatient care services, and organizational effectiveness and efficiency.
16. Employs critical attributes of effective collaboration to create, promote, and maintain an environment that supports successful partnership and high performance team outcomes.
17. Demonstrates CHA Circle of Values and Service Standards.
18. Implements appropriate and approved best practices, including research findings, to guide practice decisions.
19. Oversees the practice of non-professional nursing staff.
20. Employs beneficial, cost-effective ways to maximize wellness, prevent illness, and manage acute and chronic disease and disabilities to affect the most positive health status over the patient's life span.
21. Directs the flow of patients and staff to assure patients are adequately managed, and the practice runs smoothly and effectively.
22. Administers medications according to hospital policy and procedure.
23. Other duties as required.

Qualifications/Requirements:
Education/Training: A graduate of an accredited school of nursing. BSN Preferred.
Licensure: MA. RN Licensure required Certifications: Maintains current American Heart Association or Red Cross BLS.
Work Experience:  Current experience working as an RN in and ambulatory setting required. Infusion room experience required. IV experience preferred Chemotherapy and certification preferred. 
Linguistic Capabilities: Ability to speak a second language preferred.

In keeping with federal, state and local laws, Cambridge Health Alliance (CHA) policy forbids employees and associates to discriminate against anyone based on race, religion, color, gender, age, marital status, national origin, sexual orientation, gender identity, veteran status, disability or any other characteristic protected by law. We are committed to establishing and maintaining a workplace free of discrimination. We are fully committed to equal employment opportunity. We will not tolerate unlawful discrimination in the recruitment, hiring, termination, promotion, salary treatment or any other condition of employment or career development. Furthermore, we will not tolerate the use of discriminatory slurs, or other remarks, jokes or conduct, that in the judgment of CHA, encourage or permit an offensive or hostile work environment.