Graduate Nurse / Per Diem / BWH
Brigham & Women's Hospital(BWH)

Boston, Massachusetts

Posted in Health and Safety


Job Info


GENERAL OVERVIEW:
The Graduate Nurse is a professional nurse graduate in Massachusetts who is responsible and
accountable for planning and providing patient care for assigned patients in accordance with Nursing
Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The graduate
nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs.
The Graduate Nurse demonstrates the ability to effectively manage patients by assuming full
responsibility for the assessment, plan, implementation and evaluation of patient care and is directly
responsible to a designated nurse manager, or supervisor.

At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and
the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the
diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe
in equal access to quality care, employment and advancement opportunities encompassing the full
spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all
the other forms of human presence and expression that make us better able to provide innovative and
cutting-edge healthcare and research.

PRINCIPAL DUTIES AND RESPONSIBILITIES

CLINICAL PRACTICE:
A. Organization of Patient Care
1. Accountable for assessing, planning, implementing and evaluating a plan of care for a specific
patient assignment.
2. Sets priorities when organizing care for patients with varying acuity.
3. Maintain continuity through clear and concise (verbal and written) communication.
4. Demonstrates appropriate knowledge of growth and development of the adult and geriatric
patient. In areas, such as the NICU and Obstetrics the principals of growth and development are
applicable to the neonate.

B. Quality of Care
1. Documents patient care in a manner that is clear, complete, concise and in compliance with
nursing documentation standards.
2. Develops a comprehensive plan of care based on data from an initial assessment of patient
and family, information from other members of the health care team, intra-agency referral
and previous medical records.
3. Develops a comprehensive educational plan for the patient and family, utilizing appropriate
resources and documents according to the department's documentation standards.
4. Develops a comprehensive discharge plan utilizing appropriate resources and referrals
including community resources.
5. Evaluates the effectiveness of the plan of care, and documents progress in meeting stated goals.
Revises plan of care as needed to achieve desired outcomes.
6. Participates actively in the unit-based and organizational quality management and/or
quality improvement programs.
7. Provides a safe environment for patients, staff, family and visitors.
8. Administers medication safely according to established policies and procedures.
9. Performs nursing procedures safely and efficiently.
10. Uses equipment safely and efficiently.
11. Demonstrates awareness of potential/actual risks of infection and modes of transmission.
12. Utilizes universal precautions in nursing practice.

C. Coordination/Collaboration
1. Interacts with patients, families, and colleagues in a professional manner.
2. Collaborates with other discipline(s).
3. Develops, utilizes and evaluates unit-specific standards of care.
4. Upholds the A.N.A. code of ethics and acts as a role model to other staff members.
5. Participates in determining and implementing goals and objectives for the unit.
6. Participates in determining goals and objectives in the periodic review and evaluation.
7. Serves on unit-based and organizational committees and disseminates information to peers.

D. Education
1. Assumes responsibility for personal and professional growth through identification of own
learning needs.
2. Shares knowledge and experience with colleagues.
3. Participates in unit-based and organizational educational programs.
4. Seeks and accepts guidance for additional learning needs.

E. Research
1. Utilizes nursing research findings in clinical practice.
2. Contributes to nursing and/or medical research endeavors by supporting investigators.

F. Budget
1. Utilizes time and materials in an effective and economical manner.
2. Provides suggestions which support the delivery of cost-effective health care.
3. Assesses patient's acuity accurately when making decisions regarding staffing, transfers and
assignments.
4. Demonstrates awareness of the need to manage within established budgetary boundaries.

G. Personnel
Adheres to hospital and nursing policies and aids in their interpretation to others.
5. Recommends change in policies and procedures through appropriate channels.
6. Participates in the cooperative effort and peer support required for the smooth running of the unit, e.g., flexibility in relation to patient assignments, shift assignment, or work schedule.

WORKING CONDITIONS:
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. Work
entails walking and lifting.

Lifting, Pushing and Pulling Policy Statement, The Department of Nursing has
adopted the National Institute for Occupational Safety and Health (NIOSH)-recommended maximum
weight limit of 35 lbs. for lifting, and a reasonably comparable standard for pushing and pulling, as part
of the physical requirements for this position.

SUPERVISORY RESPONSIBILITY:
Functionally responsible for the supervision of technical and support personnel.

Qualifications
QUALIFICATIONS:
A. Education: Graduate of an approved school of nursing. A Bachelor of Science Degree in Nursing is required.
B. Experience: Prior experience not required unless specified for certain specialty areas.

SKILLS AND ABILITIES REQUIRED:
The graduate nurse must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills and the ability to set priorities. Must be able to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.

SPECIAL NOTES:
• The Graduate Nurse shall practice under the direct supervision of a Registered Nurse physically present in the health care practice setting and readily available where nursing students and graduate nursing students are practicing.
• Graduate Nurses must have graduated from a Bachelor of Science in Nursing (BSN) program.
• The Graduate Nurse position is expected to last no more than 14 weeks from date of hire. A person may remain in the Graduate Nurse position until one of the following occurs:
1) They become a Registered Nurse (RN) licensed in the state of Massachusetts at which time they will be transferred to the Nurse Resident position, OR
2) They receive a failing score on the nurse licensure exam and be transferred to the Patient Care Assistant position, OR
3) They fail to become a Registered Nurse (RN) licensed in the state of Massachusetts within the required timeframe, at which time their employment will be terminated.
4) The state order expires.

EEO Statement
Brigham and Women's Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.



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