Wentworth-Douglass Hospital, a subsidiary of Massachusetts General Hospital, is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.
1. Physiological: Basic - Provides individualized age specific care that supports physical functioning.
o Collaborates with physicians, nurse practitioners and physician assistants to provide patient centered care through the comprehensive evaluation of patient's needs.
o Utilizes time management to maintain office flow, allowing patient needs to be met in a time effective manner.
o Intake assessment reflects a comprehensive approach to the patient/family and presenting complaint/need.
o Assess vital signs, inclusive of pain, accurately.
o Anticipates and accurately performs screening assessments as needed (e.g., hearing, vision, urine screens, hemmocults, etc.).
o Anticipates and accurately performs respiratory assessment (e.g. oximetry, peak flow, spriometry, respiratory history).
o Meaningfully assesses preventive health and social history, educating and referring issues as needed.
o Assesses and anticipates immunization needs of children and adults.
2. Physiological: Complex - Provides individualized, age-specific care that supports homeostatic regulation.
o Uses critical thinking skills to assess the patient's problems both in the office and on the phone to establish urgency.
o Critical analysis of patient laboratory data in order to assist in clinical decision making.
o Elicit patient concerns; listening and providing support or teaching in response to patient's stated concerns.
o Providing results of testing inclusive of patient education as indicated.
o Anticipates the needs of patients with chronic illness, triaging appointments, tracking referrals, etc.
o Evaluating patient's response determining potential problems as a result of previous treatment, examination or testing.
o Promotes patient education as a key to health maintenance and illness prevention.
3. Safety- Provides age-specific, individualized care that supports protection from harm.
o Properly administers and documents medications, immunizations and treatments ordered by providers.
o Ensures that all appropriate documents, consents, vaccine information sheets, etc. are provided to patients/parents/guardians.
o Ensures the integrity of all medications and vaccines as per regulatory guidelines and applicable policies and procedures prior to administering.
o Complies with all reporting requirements for medications, samples, communicable diseases, etc.
o Performs other related clinical duties under the specific order of a physician or provider, i.e. EKG's, injections, nebulizer treatments, obtaining specimens, phlebotomy, vision exams, hearing exams, pulse, etc. Based on protocol or vendor instructions.
o Performs CLIA waived tests (inclusive of internal and external controls) according to office needs and demonstrated competency.
o Maintains all safety/health logs as indicated and required by office protocol and regulatory requirements.
o Recognizes limitations and seeks advice and direction from the physician, provider, supervisor or other appropriate clinical staff member.
o Surveillance: Safety - Collects and analyzes information about the patient and the environment for use in promoting and maintaining patient safety.
4. Provides age-specific, individualized care that supports the family unit.
o Promotes family values, interest and goals.
o Utilizing the nursing process assesses patient and identified family unit, as appropriate.
o Involves the identified family unit, as appropriate, in the plan of care recognizing the impact of health issues on the family unit.
o Facilitates team approach to patient care in collaboration with the family to provide appropriate quality to achieve optimal patient outcomes.
o Provides health teaching to promote, attain and maintain the optimal health level of clients and families.
o Effectively communicates (using assistive devices and services as needed) with patient family members as appropriate.
o Protects the patients and family's confidentiality and rights and preserves dignity.
5. Health System - Provides care that supports effective use of the health care delivery system.
o Transfers the responsibility for performance of patient care while retaining accountability for the outcome.
o Records pertinent data in clinical record clearly and concisely, accurately documents all patient contacts.
o Providing assistance to the patient and another health care provider during procedure or exam.
o Proactively monitors the patient and provider schedules to ensure that patients are seen in a timely and efficient manner.
o Plans care to include ensuring patient follow-up return to the office as appropriate.
o Prepares, maintains and stocks examination rooms, treatment rooms and medication closets and other storage areas per office protocol.
o Maintains vaccine inventory inclusive of ordering as needed.
o Assists with administrative tasks as needed.
o Maintains work area in a professional and organized manner.
o Use technical equipment and devices to monitor patient condition or sustain life.
o Uses information technology appropriately.
6. Professional Development-Acquires and maintains current knowledge and competency in nursing professional practice.
o Participates in ongoing educational activities and acquires knowledge and skills appropriate to the specialty area.
o Shares information/in-services, interacting with others as valued colleagues.
o Assists and supports a new or transferred employee through a planned orientation to specific clinical area.
o Seeks/maintains certification.
o Seeks constructive feedback regarding his/her own practice.
o Maintains a personal portfolio that documents ongoing professional nursing competence.
7. Leadership - Works constructively with colleagues to advance clinical practice.
o Ensures good teamwork and effective interpersonal relationships.
o Treats team members with respect; acknowledging differences in motivation, work style, values and practice.
o Maintains strong and effective relationships with peers, staff, physicians, agencies and other organizations consistent with the hospital's strategic plan.
o Acts as a clinical resource to team members contributes to the continual learning of the clinical team identifying and coordinating continuing education.
8. Performance Improvement - Embraces opportunities to improve patient outcomes utilizing the nursing process.
o Monitors/evaluates practices & patient outcomes for patient populations, e.g. chronic disease, young children with immunization needs.
o Works with providers to develop/revises practice protocols for a select practice focus and is recognized as resource for same.
o Demonstrates professional, efficient abilities and contributes to office based and/or organization-wide committees/programs which improve patient care outcomes and/or administrative systems.
o Participates in team spirit and becomes involved in daily decision-making for improvements.
o Effective time management skills promoting an efficient and effective work environment.
Experience Minimum Required
• Over one year in a medical office
• Over one year in a medical office
Licensure and/or Certifications Required
• ARC or AHA BLS
• RN License
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