New position for diuretic infusion of IV diuretics for heart failure management in the outpatient setting.
IV insertion/ administration of bolus and infused medications at the direction of Heart Failure cardiologists/ NPs.
Assist clinic Heart Failure RN with management of CHF patients
Experience with cardiology/ CHF patients and medication
ACLS/BLS required
Strong clinical skills
Mon-Friday 40hr day position
Boston Medical Center (BMC) is more than a hospital. It's a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all-and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet - an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world.

Position: Registered Nurse

Department: Cardiology/Heart Failure Infusion Clinic

Schedule: Full Time (Days)

POSITION SUMMARY:

The registered nurse, adheres to the rules and regulations of the Massachusetts Board of Registration in Nursing. is primarily responsible for professional performance and direct patient care. The role encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality and fiscal patient care outcomes using the model of care designed by the nursing department and in accordance with established agency policies, procedures, protocols, guidelines and standards of practice.

ESSENTIAL RESPONSIBILITIES / DUTIES:

The Heart Failure RN responsibilities are to provide one on one assessment and teaching to patient with heart failure disease based on established protocols. Work as an active team member within the heart failure program at BMC. Role includes but not limited to:

• Establish contact with heart failure patients within 24-48 hours during the week and 72 hours (for weekend d/c) of hospital discharge.
• Assess/ monitor/record patient's Cardiomems bi-weekly and or weekly
• Report/review patient condition with primary provider as necessary
• Provide telephone counseling/triage patients to the CHF office instead of ED when appropriate.
• Schedule nursing appointments to address patient education/issues that are difficult to manage over the phone.
• Document all problems with non-compliance/delinquency in regards to diet and medical therapy in the patient's medical records.
• Serve as liaison between inpatient transitional coordinator and outpatient cardiologist/NP and PCP/VA service.
• Maintain weekly log of non-compliant patients.
• Monitor/maintain outpatient follow up with cardiologists/NP/reschedule no shows etc.,
• Evaluate and assess known patient in the emergency/inpatient service when appropriate
• Perform related work as required by the HF program leaders.
• Function as a resource to other health professional in order to ensure continuity of care.
• Collaborate with other personnel within the department of cardiology.

JOB REQUIREMENTS

EDUCATION:

Graduate of an accredited school of nursing with an Associate's degree or Baccalaureate degree in nursing (BSN). BSN preferred. Candidates who do not have a BSN must enroll in a Baccalaureate program one year from date of hire and must complete their BSN by the end of the semester in which the four year anniversary of employment at BMC occurs.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Registration and current RN licensure in the state of MA in good standing required.

Requires current basic life support (BLS) certification. Some units may require Advanced Cardiac Life support (ACLS) certification.

Additional certifications may be required for certain practice areas

KNOWLEDGE AND SKILLS:

• Basic computer proficiency inclusive of ability to access, enters, and interpret computerized data/information.
• Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families.
• Organizational skills to set priorities and efficiently complete assigned work.
  Multilingual skills (beyond that of English) in languages appropriate to the patient populations served by the medical center preferred.
• Relevant clinical experience and/or specialty, certification required for certain practice areas, e.g., enterstomal therapy, epidemiology, peri-operative areas.
• Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.
• Ability to effectively delegate appropriate patient care activities.
• Effective verbal and written communication skills appropriate to the patient populations served.
  Physical ability to meet the core job responsibilities in accordance with practice setting demands for the patient populations regularly served.
• Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate and personnel issues.

The Heart Failure RN responsibilities are to provide one on one assessment and teaching to patient with heart failure disease based on established protocols. Work as an active team member within the heart failure program at BMC. Role includes but not limited to:

• Establish contact with heart failure patients within 24-48 hours during the week and 72 hours (for weekend d/c) of hospital discharge.

• Assess/ monitor/record patient's Cardiomems bi-weekly and or weekly

• Report/review patient condition with primary provider as necessary

• Provide telephone counseling/triage patients to the CHF office instead of ED when appropriate.

• Schedule nursing appointments to address patient education/issues that are difficult to manage over the phone

• Document all problems with non-compliance/delinquency in regards to diet and medical therapy in the patient's medical records

• Serve as liaison between inpatient transitional coordinator and outpatient cardiologist/NP and PCP/VA service

• Maintain weekly log of non-compliant patients

• Monitor/maintain outpatient follow up with cardiologists/NP/reschedule no shows etc,

• Evaluate and assess known patient in the emergency/inpatient service when appropriate

• Perform related work as required by the HF program leaders.

• Function as a resource to other health professional in order to ensure continuity of care.

• Collaborate with other personnel within the department of cardiology

Req id: 29746