RN Jobs in Brattleboro, VT

apartment Covenant Living Communities location_onKeene, NH

Nurse, RN Full Time Days

$35.09 - $44.59 / HOUR

We Are Inspired to Serve. Join us! Making a difference in the lives of others – that’s what working at Covenant Living is all about. Our healthcare professionals have the opportunity each and every day to make a difference in the lives of older adults. From improving our residents’ quality of life, to creating peace of mind for them and their families, our team members know that as a part of our community, they are changing lives. Covenant Living, the nation’s sixth-largest nonprofit senior living provider, is seeking qualified candidates for Registered Nurses (RNs) to help in fulfilling our common purpose: to create joy and peace of mind for our residents and their families by creating a better way of life. Join our organization, where teamwork, respect, and service is part of our everyday environment and build your health care career in a supportive, faith-based community. Positions are available in assisted living, skilled nursing and memory care. This position to ensure that quality care is delivered through assessment and monitoring of staff performance, physician contact, care planning and daily resident assessment. This position also provides direct care to residents. All this is done according to nursing standards of practice, standard procedures, and established State and Federal regulations for skilled nursing facilities. In this role, the Registered Nurse will: Provide routine daily direction and monitor the work of the LPNs and nursing assistants on the unit, assuring a high standard of nursing care and satisfactory completion of tasks. Assist in the orientation of new nursing personnel and reinforce training standards to maintain a high quality of care. Assist in motivating LPNs and CNAs assigned to the nursing unit. Provide explanation of nursing procedures and assistance to staff to assure ongoing understanding and training. Communicate on a regular basis with the Director of Nursing regarding assessments, observations, and suggestions of problem areas, resident and employee activities, concerns, needs, conditions, etc. Observe and evaluate residents' health, mental and emotional conditions and communicate significant changes to appropriate staff. When indicated is responsible for notifying the physician and family members according to prescribed procedures. The ideal candidate will have: Graduate of an approved school of nursing. Current license as a Registered Nurse in the State. One year nursing experience necessary. Devotion to standards and principles of professional nursing. Skill in assessing problems, planning and evaluating solutions in relationship to routine supervision of LPNs and nursing assistant and resident needs. Understanding, patience and tact in dealing with people. Must be tactful and possess excellent communication skills (written and verbal, English). Genuine compassion for senior adults and the disabled. Requires good human relation skills and the ability to monitor and direct the activities of others. Availability when necessary to work beyond normal working hours and in other related positions on a temporary basis; as well as availability on weekends and holidays, or on days and shifts other than those for which hired. #RN Compensation Pay Range: $35.09 - $44.59 per hour Reasonable Pay Estimate A reasonable estimate of the pay range for this position is $35.09 - $44.59 per hour. There are numerous factors taken into consideration in determining the actual offered rate of pay, including but not limited to: job-related qualifications, experience, skills, education, geographic location, and consideration of internal and external equity. For full time employees, we offer a generous benefits package that includes: Medical, dental and vision insurance Employer paid group term life and disability Paid Time Off (PTO) & six paid holidays 403(b) with a 3% employer match Fitness center use at most facilities. Various voluntary benefits: Life, AD&D Tuition assistance and scholarships Employee assistance program Legal services, home/auto insurance, discount purchasing program Pet Insurance For more information about Covenant Living and CovenantCare at Home, please visit www.covliving.org or www.covenantcareathome.org . Covenant Living and CovenantCare Home Health and Hospice are equal opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, or any other characteristics protected by local laws, regulations, or ordinances.

Hospice

apartment Amedisys, Inc. location_onAthol, MA

RN Case Manager Hospice

Overview

Oncology

Other

Registered Nurse, Oncology/Spec Proc, Per Diem. Weekdays as needed, Hours vary

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem. Weekdays as needed, Hours vary $37.26 - $76.63 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Initiates and administers IV's in accordance with physician orders and nursing policy and procedure to support required treatment. Observes and documents patients' response to intravenous therapy. Safely administers and monitors patients receiving blood and blood products according to policy and procedure and observes and documents patient’s response to blood transfusions. Initiates and safely administers chemotherapeutic agents in accordance with physician orders and nursing policies, procedures and protocols. Monitors and observes patients receiving chemotherapy and documents patient responses to treatments. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork, impact and influence, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Bachelor of Science in Nursing preferred Completion of Chemotherapy/Biotherapy Program required, unless Oncology Certification is obtained Minimum Work Experience Three years med/surg experience preferred Experience with IVs, port-a-cath, and central lines preferred Outpatient/Specialty Clinic experience preferred Must be willing to flex hours as needed Required Licenses Registered Nurse, Current MA License AHA BLS required AHA ACLS preferred Oncology Certification (OCN) required when eligible for exam Completion of Chemotherapy/Biotherapy Program within 90 days of hire, unless holds a Certification as an Oncology Nurse (OCN) Oncology Certification (OCN) preferred Required Skills Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Must be willing to flex hours and take call

Other

Registered Nurse, Emergency Room, Per Diem, Varied Shifts

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, Varied Shifts $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

apartment Langdon Place of Keene location_onSurry, NH

Registered Nurse (RN)

Under New Ownership! Locals Caring for Locals – A New Hampshire-Only Provider Registered Nurse (RN) Langdon Place of Keene – Keene, NH Are you a compassionate and dedicated Registered Nurse (RN) looking to make a meaningful impact? Join the caring team at Langdon Place of Keene , where your clinical expertise, leadership, and compassion are valued every day. Whether you’re an experienced nurse or a recent graduate, we welcome you to grow with Available Shifts: Full Time Day shift: 700 A.M. - 7:00 P.M. Full Time Evening shift: 3:00 P.M. - 11:00 P.M. Part Time Overnight shift: 7:00 P.M - 7:00 A.M Part Time & Per Diem Weekend Sign-On Bonus: Full Time $6,500, Part Time $3,200 Compensation: Competitive hourly rates based on shift and experience Additional shift differentials available Why You’ll Love Working Here: Supportive, team-oriented workplace culture Flexible scheduling and consistent leadership Professional growth and development opportunities A resident-centered approach that makes a real difference Locally managed facility with strong community roots Qualifications: Current Registered Nurse (RN) license in the state of New Hampshire Compassionate, dependable, and team-focused Excellent communication and interpersonal skills New graduates encouraged to apply Join Our Team Today! Call (603) 357-3902 for an immediate interview Apply today — walk-ins are always welcome! All offers of employment are subject to required background and registry screenings in accordance with state and federal regulations.

Registered Nurse, Emergency Room, 24-Hours, Days/Evenings, 7:00am - 7:00pm, Every third weekend and holiday, $12,500 Sign-On Bonus

apartment Soliant Health location_onSurry, NH

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $12,500 Sign On Bonus! Hours: 24-Hours, Days/Evenings, 7:00am - 7:00pm, Every third weekend and holiday $37.26 - $76.63 Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

School

Contract

School RN in Keene, NH

A school-based nursing professional (LPN or higher) is needed to provide one-on-one substitute nursing care for a middle school student in Keene, NH. This contract position is scheduled throughout the school year and requires specific clinical skills and a compassionate approach to student health needs. Key Responsibilities: Provide one-on-one nursing care during assigned days and times. Monitor and manage residual and delay bolus feeding via pump and G-tube. Administer feedings using feeding pumps and maintain accurate records. Monitor vital signs including heart rate and oxygen saturation as needed. Perform oral and nasal suctioning and provide mouth wound care when necessary. Collaborate with school staff to ensure student health and safety. Scheduled Dates and Hours: February 2: 7:00–8:30 AM (additional hours up to a half-day may be available) February 14, 15, 16: 7:00 AM–2:30 PM March 13: 11:00 AM–2:30 PM March 16: 7:00–8:30 AM (additional hours up to a half-day may be available) March 25, 26, 27: 7:00 AM–2:30 PM March 30, 31: 7:00 AM–2:30 PM May 6, 7: 7:00 AM–2:30 PM May 12, 13, 14: 7:00 AM–2:30 PM Qualifications: Licensed Practical Nurse (LPN) or Registered Nurse (RN) with relevant school nursing experience. Ability to safely administer G-tube feedings and provide suctioning care. Strong assessment skills and attention to detail. Comfort working with pediatric populations in a school environment. Effective communication skills to collaborate with school personnel. This contract offers the opportunity to contribute important nursing care in an educational setting while supporting a student’s health needs. Candidates meeting these qualifications are encouraged to apply promptly.

School

Contract

Registered Nurse School Setting - Swanzey, NH

apartment Soliant Health location_onSwanzey, NH

A school-based nursing professional (LPN or RN) is needed for a 1:1 substitute nurse role at a middle school location in Swanzey, NH. This contract position covers specific dates throughout the school year, providing critical health support to a student requiring specialized care. Responsibilities include: Providing 1:1 nursing support to a student during school hours Monitoring residual and delay bolus feedings administered via pump and G-tube Observing heart rate and oxygen saturation as needed Performing oral and nasal suctioning along with mouth wound care when necessary Collaborating with school staff to ensure the student’s health needs are met throughout the school day Required qualifications: Licensed Practical Nurse (LPN)/Licensed Vocational Nurse (LVN) or Registered Nurse (RN) credential meeting school nursing standards Experience or comfort with medical feedings, suctioning procedures, and monitoring vital signs in a school setting Ability to maintain professional communication with students, staff, and families Reliable availability on the following dates and times: Feb 2: 7:00–8:30 a.m. (flexible for up to half-day) Feb 14, 15, 16: 7:00 a.m.–2:30 p.m. March 13: 11:00 a.m.–2:30 p.m. March 16: 7:00–8:30 a.m. (flexible for up to half-day) March 25, 26, 27: 7:00 a.m.–2:30 p.m. March 30, 31: 7:00 a.m.–2:30 p.m. May 6, 7: 7:00 a.m.–2:30 p.m. May 12, 13, 14: 7:00 a.m.–2:30 p.m. This role offers the opportunity to work closely with a student requiring specialized care, making a meaningful impact through attentive health support. Qualified nursing professionals interested in this assignment are encouraged to apply promptly to ensure consideration for this important position.

apartment Five Star Nursing location_onKeene, NH

Registered Nurse / RN

Hiring Registered Nurses (RNs) for Long Term Care Facilities Hourly pay rate: $44 Make a difference on your own schedule and terms. As one of FS Nursing’s Registered Nurses, you will have access to: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Lucrative Referral Bonuses RN/ Registered Nurse Requirements: Currently holds an active RN license to work in New Hampshire Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable transportation to worksite location Strong patient assessment skills and demonstrated clinical competency We look forward to hearing from you soon. Apply today!

MDS

apartment Greenfield Rehabilitation and Nursing Center location_onGreenfield, MA

MDS Coordinator

Director of Nursing

apartment Greenfield Rehabilitation and Nursing Center location_onGreenfield, MA

Assistant Director of Nursing

Fusion Healthcare Rehabilitation and Nursing Center is the home where people work together to make great things happen every day. We offer a pleasant, family-friendly environment and a wonderful reputation providing services to our residents, families and local community. TEAMWORK * EXCELLENT BENEFITS * STABLE WORK ENVIRONMENT Daily Pay option available!! Duties and Responsibilities: Assist the Director of Nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the nursing department, in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Participate in developing, maintaining, and updating our written policies and procedures that govern the day-to-day functions of nursing department. Ensure that reference material maintained at the nurse’s station is current. Recommend to the Director written material that will assist the nursing department in meeting the day-to-day needs of residents. Develop and periodically update nursing service objectives and statements of philosophy. Assist in developing and implementing a nursing organization structure. Make written and oral recommendations to the Director as necessary/required, concerning the operation of the nursing department. Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. Ensure that all nursing personnel are following their respective job descriptions. Participate in the development, maintaining, and periodically updating the written job descriptions for each level of nursing personnel in accordance with pertinent laws and regulations. Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. Assist the resident and Discharge Planning Coordinator in planning the nursing portion of the resident’s discharge plan. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc. Monitor the facility’s QI, QM and survey reports and provide the Director with recommendations that will be helpful in eliminating problem areas. Assist the Director in obtaining staffing information that must be posted on a daily basis. Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to Administrator. Service on the Quality Assurance and Assessment Committee as directed. Schedule, attend, and participate in developing the agenda for the Care Plan Team Meetings as required. Assist the Director in determining the staffing needs of the nursing department. Recommend to the Director the number and level of nursing personnel to be employed. Assist the Director in the recruitment and selection of nursing personnel. Ensure that a sufficient number of licensed practical and/or registered nurses are available for each shift to ensure that quality care is maintained. Ensure that a sufficient number of Certified Nursing Assistants are available for each shift to ensure that routing nursing care is provided to meet the daily nursing care needs of each resident. Also ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistants program. Develop work assignments and schedule duty hours, and/or assist nursing supervisory staff in completing and performing such tasks. Delegate to the Charge Nurse and Nurse Supervisors the administrative authority, responsibility, and accountability necessary to perform their assigned duties. Assist the Director in preparing performance evaluations as directed. Make daily rounds of the nursing department to ensure that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to Director. Review complaints and grievances made or filed by department personnel. Make appropriate reports to Director as required or as may be necessary. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Interpret the department’s policies and procedures to personnel, residents, visitors and government agencies as necessary. Participate in the interviewing and selection of residents for admission to the facility. Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Greet newly admitted residents upon admission. Escort them to their rooms as necessary. Review nurse’s notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. Schedule daily rounds to observe residents and to determine if nursing needs are being met. Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. Report medication errors to the Director. Provide direct nursing care as necessary. Report problem areas to Director. Assist in developing and implementing corrective action. Participate in developing, planning, conducting, and scheduling in-service training that provide instructions on “how to do the job” and ensure a well-educated nursing department. Participate in the mandatory new hire orientation. Assist Director in scheduling annual mandatory in-service training for staff. (OSHA, HIPAA, Abuse Prevention, Infection Control, etc.) Assist the Safety Officer in developing safety standards for the nursing department. Assist the Director of Nursing in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that nursing personnel work areas (nurse’s station, medication rooms, etc.) are maintained in a clean and sanitary manner. Ensure all resident care rooms, treatment areas, etc., are maintained in a clean, safe and sanitary manner. Ensure that all nursing personnel participate in and conduct all fire safety and disaster preparedness drill in a safe and professional manner. Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to adequately meet the needs of the residents. Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing department’s equipment and supplies in a safe and operable manner. Ensure that only trained and authorized personnel operate the department’s equipment in a safe manner. Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident. Assist the MDS/CPC in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. Encourage the resident and his/her family to participate in the development and review of the resident’s plan of care. Be sure that staff members are providing care that reflects the wishes of the resident. Maintain confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information. Ensure all nursing personnel are knowledgeable of the residents’ responsibilities and rights include the right to refuse treatment. Performs other duties as assigned. Requirements: Must possess, as a minimum, a Nursing Degree from an accredited college or university. Registered Nurse with current unencumbered state licensure. Benefits: Health insurance Dental insurance Vision insurance Retirement plan/401k Paid time off #HP24

MDS

apartment American Medical Associates location_onGreenfield, MA

MDS Coordinator

MDS Coordinator Located near Deerfield, MA Salary Range: $85K to $100K Per Year *Based On Experience* Responsibilities : Completes assessments, Minimum Data Set (MDS) and care plans for all residents assigned. Monitors completion of MDSs by other disciplines within timeframes prescribed by regulatory guidelines Advises supervisor of incomplete and/or untimely assessments by disciplines other than nursing. Ensures accurate, timely completion of the MDS/RAPs/Triggers sheet for assigned residents. Initiates care plans and supporting activities that will result in best possible outcome for assigned residents. Generates and distributes monthly care plan calendar for the following month. Conducts care plan conferences for assigned residents. Qualifications: Must have Massachusetts RN license Must know MMQ Must have experience as an MDS Coordinator Must have long term care experience Must know MDS 3.0 #5381

Med-Surg

Registered Nurse, 2nd FL Med/Surg, 24-Hours, Night, (2) 12 hour shifts, 7:00PM-7:00AM, Every third weekend, Every third holiday, Saturday through Friday, Every third Friday and Saturday $15,000 Sign on bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-Hours, Night, (2) 12 hour shifts, 7:00PM-7:00AM, Every third weekend, Every third holiday, Saturday through Friday, Every third Friday and Saturday Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Med/Surg. patients. Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to Med/Surg. patients. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Experience 1 year med-surge experience preferred. Previous telemetry experience preferred. Skilled Nursing experience preferred. Basic Dysrhythmia Course completion within 6 months of hire if no telemetry experience Required Licenses Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire

Med-Surg

Other

Registered Nurse, 2nd FL Med/Surg, Per Diem, 16-hour minimum requirement per month, One major and one minor holiday per year

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! Hours: Per Diem, 16-hour minimum requirement per month, One major and one minor holiday per year Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Med/Surg. patients. Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to Med/Surg. patients. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Experience 1 year med-surge experience preferred. Previous telemetry experience preferred. Skilled Nursing experience preferred. Basic Dysrhythmia Course completion within 6 months of hire if no telemetry experience Required Licenses Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire

apartment Integritus Healthcare location_onGreenfield, MA

REGISTERED NURSE (RN)

$38 - $48 / HOUR

Come join this collaborative and innovative team. At Integritus Healthcare you will enjoy WEEKLY pay, generous time off, exceptional health insurance and the ability to grow in your career. Integritus Healthcare wants you! SIGN ON BONUS - FT $7,500, PT $3,750 REFERRAL BONUS - FT $1,000, PT$500 Starting Salary Range RN : $38.00 - $50.00 Benefits: Weekly Pay, Day 1 low cost benefits, 403B retirement plan, Generous PTO, Career advancement opportunities, Stepping stone program (pay for RN/LPN tuition) We are looking for a Registered Nurse (RN) to join our caring, compassionate team. Licensed Nurses plan, monitor, and provide nursing care to the residents within the facility. The successful candidate will work within their entire scope of practice, ensuring the utmost in competent care and safety is consistently delivered to all residents. Essential Job Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide basic nursing care such as checking blood pressure, inserting catheters, and helping comfort patients by performing tasks such as changing and dressing Document accurate and ongoing assessment of patient status: Document patient care, including nursing intervention, patient response to care provided, patient needs, problems, capabilities, limitations, and progress toward goals Communicate with RNs and physicians regarding patients’ needs Perform direct patient care, using established procedures, policies, and standards Prepare and administer medications according to policy and procedure. Observe and document patients’ responses to pertinent medications. Admit, transfer, and discharge residents as required. Chart all reports of accidents/incidents involving residents. Follow established procedures. Ensure narcotic records are accurate for your shift. Notify DON of all drug and narcotic discrepancies. Licenses & Certifications Required Active Registered Nurse (RN) license in the state of Massachusetts (MA) At Charlene Manor Extended Care Facility, we have been caring for area families since 1987, providing top-quality skilled nursing care for short-term rehabilitation, long-term care and specialized memory care. We focus on maximizing patient recovery, comfort and independence for the highest possible quality of life, with our highly skilled care teams providing compassionate attention and specialized care every step of the way.

apartment Grace Cottage Family Health & Hospital location_onTownshend, VT

Registered Nurse (RN) - Inpatient Unit, Night Shift - Part-time

$37 - $67 / HOUR

Description Part-time night shift Position Summary: Primary responsibility is to deliver and coordinate patient care on the assigned shift and provide leadership to the staff with direct oversight of LPNs and LNAs. Qualifications: Education/ Experience: Graduate of an accredited school of nursing. Current Vermont RN license in good standing. AHA BLS certification required. Other Requirements: Computer skills and familiarity with using an electronic medical record essential. Excellent customer services skills. Strong team player. Requirements Essential Functions Of The Position: Provides care, treatments, and services within the RN scope of practice. Implementation of provider’s orders to include medication administration and treatments. Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Prepares and administers prescribed medications with appropriate documentation. Reports adverse reactions to medications or treatments in accordance with the policy. Identifies psychosocial needs of patients and family and incorporates them into the patient’s care plan. Educates patients on medical procedures and patient’s personalized plan of care. Provides bedside care for a variety of medical patients. Initiates patient education plan. Teaches patients how to manage their care. Complies with Pyxis Medication Dispensing policies and protocols. Maintains POC competency and documents per hospital standards and policies. Assist Providers with procedures as requested and within scope of practice, demonstrating good technical and manual skills. Consults other departments, as appropriate, to provide for an interdisciplinary approach to the patient’s needs. Aware of available support services. Is flexible, organized, and able to function in stressful situations. Performs all aspects of patient care in an environment that optimizes patient safety. Manages and operates all equipment safely and correctly. Records patients’ medical information, vital signs and care information concisely, accurately and completely, in a timely manner.

Hospice

apartment Integritus Healthcare location_onGreenfield, MA

NIGHT SHIFT - Hospice Registered Nurse (RN)

$38 - $47.97 / HOUR

NIGHT SHIFT - Hospice Registered Nurse (RN) Weekly Pay | Mileage Reimbursement Salary Range: $38.00 - 47.97/hr (based on experience) This is a full-time 40-hour per week position . The RN helps triage, coordinate, and administer hospice care for patients, families and caregivers through the utilization of hospice services and resources. The hospice RN is responsible for utilizing hospice and community resources to coordinate and drive services through a plan of care to meet the needs of patients and families. Essential Job Functions · Demonstrates understanding of the hospice philosophy/principles and an ability to clearly articulate these with others. · Manages the plan of care from referral through discharge for assigned hospice patients and families per regulations and agency standards. · Completes initial nursing assessment of patient/family to determine hospice needs. · Provides complete physical assessment and history of current and previous illness(es). · Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. · Administers medications/treatments as prescribed by the physician. Observe/document responses to interventions and promptly communicate untoward reactions and modify the plan of care as indicated. · In collaboration with interdisciplinary team, provides teaching and guidance to patient/family regarding interventions for pain and symptom management. · Coordinates patient care with team, family, and physician for assigned patients. · Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care. Documents measurable outcomes related to symptom management. · Completes patient discharges, both pronouncement visits and live discharges, to include the appropriate communication and documentation per regulations and agency standards. · Appropriately documents at the point of service, synchronizes patient data and effectively communicates with the IDT. · Communicate with the medical director and attending physician regarding patient needs and changes. Obtains physicians’ orders as required. · Participatory member of Interdisciplinary team meetings. · Provides and maintains a safe environment for the patient. · Keeps supervisor informed of potentially problematic patient/family issues and significant changes in patient status. · Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. · Manages multiple priorities and demonstrates effective problem-solving and decision-making. · Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-services. · Provides complete and timely nursing reports/handoffs to hospice staff, facility staff, and providers. · Participates in agency Quality Improvement Program. · Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. · Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: · Minimum of one (1) to two (2) years of experience in health care. · Experience in a hospice, or home health preferred. · Experience in acute care in an institutional setting preferred. · Understand hospice philosophy and issues of death/dying. Education and Training: · An associate’s degree in nursing is required. · A bachelor’s degree in nursing is preferred. License, Certification & Registration: · Possesses and maintains current CPR Certification. · Current Massachusetts licensure: Registered Nurse · Valid driver’s license · Hospice and Palliative Care Nurse Certification preferred

apartment Integritus Healthcare location_onGreenfield, MA

RN Weekend Coordinator

$38 - $47.97 / HOUR

RN Weekend Coordinator – Pioneer Valley Hospice & Palliative Care Weekly Pay | Mileage Reimbursement Salary Range: $38.00 - 47.97/hr with an additional $7 per hour on top of base rate (based on experience) This is a full-time 32-hour Friday/Saturday/Sunday 8a-8p weekend position . The Weekend Coordinator is a Registered Nurse responsible for the oversight of total care of census, including assessing, planning, implementing, and evaluating phases of the nursing process by coordinating care on weekends. Through the utilization of hospice and community resources, the Weekend Coordinator administers hospice care for patients, families, and caregivers by driving services through a plan of care. Essential Job Functions Demonstrates understanding of the hospice philosophy/principles and can clearly and effectively articulate these with others. Performs informational visits as required. Schedules and assigns patient visits as needed and oversees other weekend clinicians in the field. Completes patient visits. Receives and processes calls promptly, including new referrals. Provides EHR support for weekend staff to ensure the timely electronic documentation of patient visits. Develops, implements, and manages the plan of care from referral through discharge for hospice patients and families per regulations and agency standards. Completes initial nursing assessment of patient/family to determine hospice needs. Provides complete physical assessment and history of current and previous illnesses. Initiates and implements plan of care in collaboration with patient/family with goals and interventions that promote optimal patient outcomes while maintaining patient dignity, autonomy, and comfort. Coordinates ongoing provision of medications, durable medical equipment, medical supplies, and contracted services with effective cost management strategies. Anticipates/makes provisions for after-hours needs. Makes referrals to other IDT members as indicated. Administers medications/treatments as prescribed by the physician. Observes/documents response to interventions, promptly communicates untoward reactions, and modifies plan of care as indicated. Develops hospice aide plan of care and supervises with revisions in plan of care as appropriate. Provides LPN supervision as indicated. In collaboration with the interdisciplinary team, provides teaching and guidance to patients/family regarding interventions for pain and symptom management. Provides emotional and spiritual support per plan of care. Coordinates plan of care for patients residing in facilities. Acts as liaison to family members and facility staff regarding communication of plan of care. Completes, maintains, and records accurate and relevant clinical notes regarding the patient’s condition and care. Document measurable outcomes related to symptom management. Appropriately documents at Point of Service, has timely synchronization of patient data & effectively communicates with the IDT. Communicates with the physician regarding patient needs and changes. Obtains physicians’ orders as required. Participatory member of IDT meeting. Arrives on time and prepared with clinical notes in EMR before meeting. Keeps the administrator informed of complex patient/family/staff issues and significant changes in patient status. Demonstrates excellent communication skills in person, writing, phone, and computer. Provides exceptional customer service. Has working knowledge of Hospice regulations, COPS, and standards. Manages multiple priorities and demonstrates effective problem-solving and decision-making skills. Assumes responsibility for personal growth and development. Maintains and improves professional knowledge and skills through continuing education and in-service. Provides complete and timely nursing report/handoffs to hospice staff, facility staff, and providers. Meets individual program expectations and goals as identified through performance appraisal, annual plan, and by supervisor. Other duties as assigned. Qualifications (Minimum qualifications will be considered required unless specifically stated otherwise) Experience: Minimum of three (3) years of experience in health care. Experience in a hospice, home care, or long-term care required. Understands hospice philosophy and issues of death/dying. Education and Training: (Acquired through formal education, outside study, training on jobs of lesser degree, or by any combination of these. May be expressed in terms of formal educational equivalents): An Associate’s Degree in Nursing is required. A Bachelor’s Degree in Nursing is preferred. License, Certification & Registration: Possesses and maintains current CPR Certification. Current Massachusetts licensure: Registered Nurse Valid driver’s license and car registration Hospice and Palliative Care Nurse Certification preferred Other Requirements: Demonstrates strong verbal and written communication and organization skills. Strong observation and problem-solving skills. Strong computer skills Working Conditions: Uniform / Dress Requirements (see policy). Workspace primarily in the Greenfield office, which is a busy, professional office with a moderate level of noise, activity and interaction with others. Significant time may be spent on visits to patient/family homes where space, climate, facilities and conditions may vary. May be exposed to extremes of heat and cold in all weather conditions. Must have a reliable vehicle and be able to drive in various weather conditions on roads in varying repair. May be exposed to infections and contagious diseases. Contact with patients under a wide variety of circumstances. May be exposed to /occasionally exposed to patient elements. Subject to varying and unpredictable situations. Handles emergency or crisis situations. Travel required. OSHA exposure category. OSHA exposure category: Category I Category I : Position includes tasks that involve exposure to blood, body fluids, and tissues. Category II : Position includes tasks that involve no exposure to blood, body fluids, tissues, but employment may require unplanned Category I tasks. Category III : Position includes tasks that involve no exposure to blood, body fluids, tissues; would not be requir gory I tasks.

Med-Surg

Registered Nurse, 2nd FL Med/Surg, 36-Hours, Evenings/Nights 7:00 PM - 7:00 am, Every third weekend and every third holiday, $30,000 Sign-on Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $30,000 Sign On Bonus! Hours: 36-Hour, Nights 7:00 PM - 7:00 am, Every third weekend and every third holiday Responsibilities Essential Functions Conducts interactions with everyone in a friendly, courteous and respectful manner. Goes out of his/her way to offer assistance to others. If he/she cannot offer assistance, then finds someone who can. Advocates to ensure privacy and confidentiality while helping others to maintain awareness. Maintains a clean and safe hospital. Responds appropriately and immediately in emergency situations. Maintains a safe and healthy environment for patients, visitors, and/or staff to provide the highest level of physical comfort, and minimize risk and injury. Ensures compliance with regulations to maintain accreditation and licensure. Complies with the Hospital Attendance and Tardiness Policy. Completed all Hospital and Department Specific Mandatory requirements in the prior calendar year. Reports Incidents in a timely and effective manner. All employees with direct patient contact are responsible for actively engaging in the practice of, monitoring and enforcing compliance to hand hygiene. Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Performs pre-admission testing on Med/Surg. patients. Performs nursing assessment and coordinates ancillary testing for patients undergoing day surgery including performing blood draws and EKG's. Reviews pre-operative orders and consults with the surgeon and/or anesthesiologist as necessary to assure appropriate tests are ordered per guidelines. Reviews test results, checks for abnormal results and communicates abnormalities to the surgeon, anesthesiologist and/or primary physician prior to surgery. Reviews preoperative chart for completeness verifying that all paperwork is present and complete preoperatively, such as consent form, H&P, and lab results. Provides emotional support to patients undergoing a change in body image and/or activity level due to surgery. Initiates and documents post-operative phone calls to Med/Surg. patients. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements:Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), and kneels (bending the legs at knee to come to rest on knee or knees). Organizational Expectations Behavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education Graduate of an accredited school of nursing Minimum Experience 1 year med-surge experience preferred. Previous telemetry experience preferred. Skilled Nursing experience preferred. Basic Dysrhythmia Course completion within 6 months of hire if no telemetry experience Required Licenses Current MA RN License ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire

Registered Nurse, Emergency Room, 36-Hour, Varied schedule, Monday-Sunday, 7:00pm - 7:00am, every other weekend, every other holiday, $30,000 Sign-on Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $30,000 Sign On Bonus! Hours: 36-Hour, Varied schedule, Monday-Sunday, 7:00pm - 7:00am, every other weekend, every other holiday Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Registered Nurse, Emergency Room, 36-Hour, Varied schedule, Monday-Sunday, 7:00pm - 7:00am, every other weekend, every other holiday, $30,000 Sign-on Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $30,000 Sign On Bonus! Hours: 36-Hour, Varied schedule, Monday-Sunday, 7:00pm - 7:00am, every other weekend, every other holiday Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

apartment Baystate Health location_onGreenfield, MA

Registered Nurse- Emergency Department (24 hours, 3p-11:30p)

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically, a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidate's relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees. Minimum - Midpoint - Maximum $37.98 - $50.43 - $62.87 Location: Baystate Medical Center Department: Emergency Department Schedule: 3p-11:30p Summary: Responsible for the provision of basic nursing care to assigned patients in accordance with current FMC Standards of Care. Administers and monitors therapeutic interventions proficiently. Demonstrates proficiency in applying the nursing process to assigned patients and families. Assumes accountability for the outcomes of nursing care. Collaborates with health team members, patients/families in the provision of care. Provides direct supervision to other health team members in the implementation of the patient care plan. Effectively delegates care to peers, Licensed Practical Nurses, Nursing Assistants, Orderlies and other direct care givers consistent with their level of education and expertise. Acts as an advocate for patients/families/significant others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Assumes accountability for own professional practice and for aspects of nursing care delegated to others. Practices within accepted ethical and legal parameters of nursing. This description covers the essential functions of the position. Job Responsibilities: 1) Provides age-appropriate care to patients. Demonstrates knowledge of developmental stages for the following age groups and applies developmental theories and concepts when planning and implementing care for patients. 2) For each assigned patient, the nurse will proficiently perform a comprehensive nursing assessment and use professional judgment to obtain selective data to arrive at nursing diagnoses and discharge planning needs. The nurse will perform a systematic comprehensive assessment of the health needs of all assigned patients 100% of the time. Ensures that all assigned patients have a completed admission profile, health database/patient history. Elicits relevant selective data for a comprehensive nursing history, incorporating patient strengths and limitations. Integrates a variety of methods to collect relevant patient data, (e.g., nursing history, observation, examination, communication with colleagues and chart review) to formulate realistic nursing diagnoses. Anticipates appropriate health care needs beyond acute care setting. 3) Performs a proficient ongoing assessment of assigned patients recognizing subtle changes in health status 100% of time. Recognizes changes that require immediate intervention. Anticipates consistently predictable changes in patient status. Determines frequency of observation based on an ongoing assessment. Furnishes physician and appropriate health team members with pertinent assessment data. Documents pertinent assessment data in a clear and concise manner. 4) For each assigned patient, the nurse will formulate a detailed, realistic plan of care specific to each patient's identified needs. Develops and updates a realistic plan of care with measurable and achievable goals 100% of the time. Upon identification of an actual or potential problem, the nurse promptly initiates a plan of care and updates per unit specific guidelines. Reassesses priorities and makes appropriate changes in plan of care with patient/family's input. Formulates realistic and attainable goals appropriate to the hospital setting and discharge needs. 5) Analyzes the psycho-social impact of illness & hospitalization on individuals and families 100% of the time Collaborates and negotiates with patients and families to arrive at an agreed upon plan of care. utilizes and communicates with physicians and interdisciplinary team members to establish goals. Incorporates psycho-social, spiritual and cultural needs into plan of care. 6) For each assigned patient the nurse will proficiently implement the individualized plan of care. Demonstrates proficiency in clinical nursing skills 100% of the time. Independently organizes own assignment and prioritizes plan of care accurately. Delegates aspects of care to other personnel consistent with job description and skill 100% of the time. Consistently initiates interventions to maintain a safe and therapeutic environment 100% of the time as evidenced by an absence of preventable incidents. Anticipates outcomes of physician orders and nursing actions and seeks explanation when in question. Demonstrates flexibility in care without deviating from FMC standards, procedures or policies. Responds consistently, to urgent and life-threatening situations with appropriate actions. 7) Provides formal and informal teaching relevant to health care needs of patients utilizing available resources 100% of the time. Ensures patients/families are informed concerning treatments, procedures and hospital policies and routines. Documents each phase of the learning process, reinforcing teaching and implementing change as needed. Considers patient/family's level of knowledge and readiness to learn. 8) Effectively implements and revises the discharge plan 100% of the time. Initiates interdisciplinary discharge plan at time of admission. Completes appropriate discharge/transfer form and documents accordingly. Prepares patient/family for the changes in the health care delivery system. 9) For each assigned patient the nurse will establish a pattern of ongoing evaluation and modification of patient care interventions while demonstrating accountability and responsibility for professional nursing practice. Evaluates and modifies patient plan of care on a continuing basis 100% of the time. Observes patient responses to treatment, illnesses and hospitalization and compares the expected with the actual outcomes. Documents present status and notes significant alterations from anticipated status. Utilizes available resources to assist in the evaluation process. 10) Accurately determines the effectiveness of his/her nursing care 100% of the time. Evaluates whether selected nursing interventions were appropriate to reach set goals. Uses patient outcomes to evaluate effectiveness of nursing interventions. Continually re-evaluates strengths and weaknesses for accountability of nursing care. Demonstrates credibility and honesty in nursing practice. 11) Accurately and concisely communicates pertinent patient information while maintaining confidentiality 100% of the time. Documents patient care and patient responses promptly, clearly and thoroughly on appropriate forms. Understands and utilizes professional hierarchy in problem solving related to significant changes in patient status and documents appropriately. Communicates pertinent patient information in a concise manner through shift to shift report and intra-hospital transfer. Maintains a patient's right to privacy and confidentiality. 12) Acts as an advocate for patient families 100% of the time. Acts as a representative in communicating patient/family's needs to physicians and other health care team members. Understands and supports Franklin Medical Center's "Patients' Bill of Rights." Intervenes consistently, in situations where patient integrity is threatened. Supports and encourages patient/family's decisions maintaining respect for life and dignity. 13) Will assume accountability for management of patient care and will provide direct supervision to other health team members. Demonstrates behaviors that will promote effective management of patient care 100% of the time. Develops and evaluates patient care assignments, considering the patient needs and capability of the nursing personnel. Promotes cost containment by utilizing human and material resources efficiently. Provides constructive feedback regarding performance of peers to unit supervisor/designated individuals. Consistently initiates incident reports when indicated and provides information for timely follow-up. Orients to charge role and acts as alternate charge nurse as designated. 14) Will demonstrate proficiency in applying the principles of teaching/learning to patient/family & with minimal assistance identify own professional educational needs. Assesses each patient/family's comprehensive learning needs in relation to health and illness 100% of the time. Individualizes standardized teaching plans to meet specific needs of patient/family. Participates in patient care conferences (discharge planning) and communicates critical information at change of shift report. 15) Identifies own professional educational needs with minimal guidance 100% of the time. Performs a realistic self evaluation to determine own strengths and weaknesses. Orients to preceptor role. Consistently supports the growth and development of students and new personnel. Attends continuing education programs (5-8 contact hours or equivalent) related to the achievement of own professional goals as evidenced by self report with appropriate documentation. Is a member of unit-based committee, task force or change producing group. Attends and participates in 80-90% of Unit Staff meetings as evidenced by attendance roster/review of minutes. Demonstrates ability to develop a therapeutic relationship with patients, families and other members of the health care team. Promotes collaboration/team building and healthy interpersonal relationships with others. 16) Will promote active participation in quality assurance research activities of health team members within realm of responsibility. Demonstrates active participation in quality assurance/research activities 100% of the time. Identifies 1-2 patients and/or nursing problems that need to be systematically investigated as evidenced by committee reports and/or evaluation/research tools. Communicates consistently with colleagues about quality assurance/research findings and their relevance to nursing practice. Participates in and ensures follow-through of research/quality assurance data collection. Is able to state current Unit CQI initiatives. Communicates an attitude of positive customer focused interactions in daily work activities. Required Work Experience: 1) None Preferred Work Experience: 1) Minimum of 1 year of nursing experience Skills and Competencies: 1) Evidence of a commitment to professional growth through participation in continuing education Department Certification Requirements MHU - CPI within 30 days of hire Oncology - Oncology certification required within 2 years of hire Quality – no required certifications Cardiopulmonary – ACLS required by end of orientation ICU and Med/Surg - ACLS required by end of orientation OB – NRP and ACLS required by the end of orientation Surgical Services - ACLS and PALS required by the end of orientation ED - ACLS, PALS, and CPI by the end of orientation Education: Diploma in Nursing (Required) Certifications: Basic Life Support - American Heart AssociationAmerican Heart Association, Registered Nurse - State of MassachusettsState of Massachusetts Equal Employment Opportunity Employer Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Registered Nurse, Emergency Room, 24-Hour, Varied schedule, Monday-Sunday, Nights, 7:00 pm - 7:00 am, Every 3rd Weekend & Holiday, $15,000 Sign-on Bonus

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $15,000 Sign On Bonus! Hours: 24-hour, Varied schedule, Monday-Sunday, Nights, 7:00 pm - 7:00 am, Every 3rd Weekend & Holiday Job Summary: Under the direction of the nurse manager, performs a variety of direct and indirect patient care activities based on standards defined by the Emergency Department. Ability to function independently in the Emergency Department. Assessment skills, critical thinking skills and communication skills a must as well as a team player. Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge incorporating support systems/resources as necessary Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self (e.g. functions as preceptor, instructor, trainer, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan to address. Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patients’ response to medication. Performs and documents initial assessment upon patients’ arrival and implements triage protocols as needed. Identifies patients at risk for potential/alleged abuse. Initiates safety plans for domestic violence, child, and elder abuse patients. Completes required mandated reporting in a timely manner. Collects and documents forensic evidence as per policy. Maintains chain of evidence per policy and procedures Completes mandated reports for stabbings, gunshot wounds, burns, and sexual assault per policy and procedure. Maintains knowledge of Disaster Policy and Procedure. Identifies patient at risk for violent behavior and appropriately implements non-violent intervention (i.e. Code 100). Demonstrates knowledge of the indications for, alternatives, monitoring and documentation of restraint to use. Recognizes normal and abnormal laboratory and diagnostic results and appropriately notifies the physician of changes in a timely manner. Safely administers vasoactive medications demonstrating understanding of dosage, action, use, side effects, and titration parameters associated with maintenance of critical drips. Performs accurate and timely identification of cardiac arrhythmias. Institutes, monitors, and documents thrombolytic and anticoagulation therapy standards and protocols. Demonstrates skills associated with initiation and maintenance of the intubated patient including, suctioning, troubleshooting, and weaning. Accurately interprets arterial blood gases, pulse oximetry, and clinical features of impaired gas exchange and/or airway clearance. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Responsible for implementing components of the VAP bundle consistently and per protocol. Responsible for alerting the Nurse Manager/Director/Nursing Supervisor if there is a deviation from VAP bundle by Attending MD for case review and follow up as indication. Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Functional Demands Physical Requirements Exerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), handles (seizing, holding, grasping, turning, or working with hands), and feels (perceiving attributes of items such as size, shape, temperature, or texture by means of fingertips). Occasionally stoops (bending the body downward and forward by bending the spine at the waist), kneels (bending the legs at knee to come to rest on knee or knees) and distinguishes colors. Organizational Expectations Behavioral Attributes The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking. Qualifications Job Requirements Minimum Education AS in nursing required, BS in nursing preferred. Minimum Work Experience 3-5 years ED experience preferred. Minimum Licenses and Certifications Registered Nurses, Current MA license ACLS upon hire OR must hold an active BLS card and obtain AHA ACLS within 60 days of hire AHA PALS within six (6) months of hire TNCC, ENPC and CEN preferred

Registered Nurse, Emergency Room, 24-Hour, Varied schedule, Monday-Sunday, 7:00pm - 7:00am, Every third weekend, Every third holiday, $15,000 Sign-on Bonus