Mass General Brigham Registered Nurse (RN), Pediatric Endocrinology, Southern NH Location, 20 hours (2022)

Description

Exciting part-timeRN position to join our MGH Pediatric Endocrinology practice in NH at Southern New Hampshire Medical Center in Nashua!

The staff nurse is a registered nurse who is responsible for assuring competent, compassionate, individualized, nursing care for specific patients and families, including delegation to and supervision of non-professional and support staff. The staff nurse is responsible and accountable for the overall nursing care management of a designated group of patients. She/he collaborates with the physicians and members of the Care Team to achieve optimal Patient outcomes. She/he also collaborates with the practice leadership toward efficient and effective personnel and unit management.

The staff nurse will report to the Administrative Manager and Clinical Director and/or designee within the Division of Pediatric Endocrinology.

STAFF RN GENERAL RESPONSIBILITIES:

  • Telephone triage of patients.
  • Prepares and submits prior authorizations.
  • Provides letters, school & medication forms, and other documentation as requested.
  • Renewal of prescription refills to pharmacies
  • Participates in the clinical competency review of the Pediatric Endocrine medical assistant staff
  • Participates in ongoing education for medical assistant staff, serving as resource.
  • Education of patients and families regarding pediatric endocrinology and medications commonly used.
  • Work with and support pediatric endocrinologists as needed
  • Recognition of medical emergency and initiates alert and treatment system
  • Performs other duties as assigned
  • STAFF RN PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Provides competent, compassionate nursing care based on scientific principles and the use of nursing process.
  • Provides and maintains a therapeutic environment for patients and families.
  • Articulates the professional nursing role to the patient, family and health team members.
  • Communicates the plan of care and other pertinent information to / from other patient care team members.
  • Coordinates involvement of the patient, family and health team members in patient care plan including patient and family teaching.
  • Uses Epic as the EMR for all patient care documentation and patient/provider communication.
  • Identifies, facilitates, and evaluates outcomes of nursing care for an individual patient or group of patients.
  • Participates in and contributes to performance improvement activities.
  • Collaborates with other professional and non-professional personnel in maintaining recognized standards.
  • Participates in orientation of new permanent and temporary staff members.
  • Teaches and directs nursing and other clinical support staff for whom she / he is responsible.
  • Appropriately utilizes nursing resources.
  • Interprets hospital and departmental policies and procedures to nurses and other health team members.
  • Participates in daily activities conducive to the comfort and safety of patients / their families and practice staff.
  • Appropriately utilizes equipment and supplies.
  • Provides input to the practice leadership regarding practice needs.
  • Participates in practice and other committees for formulation of nursing, practice and hospital policies and procedures.
  • Maintains and updates clinical knowledge and skills based on current nursing education practice.
  • Collaborates with practice leadership to identify his / her developmental level of practice and appropriate learning experiences to enhance development.
  • Adheres to Department of Nursing requirements for training as specified in the MGH Nursing Practice Manual.
  • Contributes to relevant committees, professional meetings, continuing educational and/or formal academic programs.
  • Certified Diabetes Care and Education Specialist (CDCES) GENERAL RESPONSIBILITIES:

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    A certified diabetes care and education specialist (CDCES) helps problem solve the challenges of diabetes care for pediatric patients and their families. The CDCES provides clinical expertise for the education and management of patients with pre-diabetes, Type 1 and Type 2 diabetes for pediatrics to young adult patients. The CDCES supports patients by collaborating and developing an individualized plan to improve diabetes management with all areas of diabetes self-care covered, including adjustments that may be required based upon age and stage of development for diet, physical activity, blood glucose monitoring, medication dosing, school challenges as well as social and environmental factors.

    The CDCES independently applies the principles of diabetes education and therapeutic lifestyle changes to plan, develop and direct diabetes care and education activities for pediatric patients and their families. Provides intervention recommendations and support to patients and referring providers. Works closely with patients and families to develop a plan of care; works with allied healthcare and other professionals to support coordination of care and support patients and families to address social and environmental factors.

    Essential Duties and Job Responsibilities

  • Conducts individualized needs assessment using both motivation interview and self-assessment forms for patients/families and significant others enrolled in the outpatient diabetes education program for both newly diagnosed and those with long standing diabetes.
  • Develops a comprehensive plan of care including either individualized and/or group instruction based upon the needs assessment.
  • Communicates/documents needs assessment and plan of care to members of the health care team.
  • Provide education related to diabetes and the disease process; medication, diet and nutritional monitoring; prevention and care of complications; blood glucose monitoring and the techniques of self-monitoring, pump management and injection.
  • Documents patient education using Pedi Diabetes DSME template in EPIC
  • Refers patients interested in pump therapy to the DSME Insulin Pump Class and assists patients and their families with education on all aspects of pump therapy as well as the transition from insulin injections to pump management
  • Develop and implement Diabetes educational programs staff, patients, and families.
  • Provide clinical resource and consultation to staff and physicians.
  • Assist patients in monitoring blood glucose for the purpose of medication control and adjustment for patients with Type 1 and Type 2 Diabetes insulin and noninsulin dependent diabetics
  • Assess, monitor and implement treatment plans for patients at various stages of the disease. The focus is on prevention of complications and management of stable diabetes.
  • Provide ongoing assessment and recommendations to the treatment team and patient/family for adjustments in the plan of care as required.
  • Evaluates and assesses nutrition status of patients, and screens patients for nutritional risk in accordance with established department protocols and standards.
  • Works in collaboration with the clinical nutrition specialist in Pediatric Endocrine to ensure appropriate dietary management for pediatric diabetes patients. Refers patients as appropriate to nutrition.
  • Educates and counsels patients and families on nutritional issues, either individually or in groups.
  • Communicates individual nutritional care plans to other health care providers as a member of a health care team.
  • Actively participates in transitions program, working with other care team members in preparing patients for transition for pediatric centered care to adult care as patient age progresses.
  • Utilize Motivational Interviewing or other client-centered approaches to assist patients to set selfcare goals to improve disease management.
  • Assists patients to set selfcare goals to improve disease management, in accordance with guidelines provided by ADA and AADE (accrediting agency)
  • Educate and refer patients to available health resources within the Diabetes Health Center and within community; through care coordination internally and with local health and human resource providers, assures that appropriate community services and resources are included in the care of the patient
  • Qualifications

    QUALIFICATIONS: (MUST be realistic, neither overstated nor understated, and related to the essential functions of the job.)

    Strong communication and interpersonal skills

    Attention to detail and strong organizational skills.

    Must have the ability to be function in a fast-paced environment and manage competing demands effectively.

    Requires a high level of empathy, compassion and confidentiality.

    Ability to take initiative and exercise sound clinical judgment

    SKILLS/ABILITIES/COMPETENCIES REQUIRED: Must be realistic, measurable, objective and related to the essential functions of the job.

    BLS certification preferred

    Provides competent age appropriate nursing care

    Proficient in administering injections to all age groups

    Excellent interpersonal skills, ability to communicate effectively to families, all RN team members and multidisciplinary team.

    Knowledge of HIPPA

    Competent knowledge of Microsoft Office and use of electronic medical records

    LICENSES, CERTIFICATIONS, and/or REGISTRATIONS (if applicable):

    Current licensure as a Registered Nurse in the State of New Hampshire and the Commonwealth of Massachusetts required

    Certification as a Certified Diabetes Care and Education Specialist (CDCES) strongly preferred

    EDUCATION: Specify minimum education and clearly indicate if preferred or required

    Graduate with a Bachelor of Science in Nursing required with active license required

    EXPERIENCE: Specify minimum creditable years of experience and clearly indicate if preferred or required

    At least 2 years of ambulatory and/or inpatient nursing experience required

    Prior pediatric experience preferred

    Knowledge of EPIC preferred

    WORKING CONDITIONS: Describe the conditions in which the work if performed.

    Outpatient clinic setting. Occasional after hours functions outside of defined working hours.

    EEO Statement

    Massachusetts General Hospital is an Equal Opportunity Employer.By embracing diverse skills, perspectives and ideas, we choose to lead. Applications fromprotected veterans and individuals with disabilities are strongly encouraged.

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