Exiting opportunity for a Clinical Nurse Specialist/Nursing Practice Specialist to join our team in the Phillips House 22 and IV Therapy units.
Phillips House 22 is a 19-bed premier inpatient unit caring for a wide variety of surgical and medical patients. The patient population is diverse and includes general surgery, gynecology, neurology, orthopedics, urology and general medicine. Our goal is to provide the highest quality patient centered care to patients and families for a successful and safe hospital experience.
Educational and development opportunities allow RN''s to actively participate in a variety of committees to enhance their practice on an ongoing basis. Unit orientation is preceptor based, individualized and determined by the Nurse Manager, Clinical Nurse Specialist and the new employee. The length of orientation is also individually determined
The IV Therapy team is a highly skilled group of nursing professionals who provide a key clinical service to our patients and who are highly valued by the staff nurses whom they support and partner with. The depth of experience of many members of this team is significant as is the leadership role which will require engagement in several multidisciplinary and inter-professional collaborations to promote the coordination of standards of practice across numerous departments and organizations. Many of the members of the staff hold positions in various IV/Infusion/Vascular Access Nursing associations.
The clinical nursing staff in both units support the vision and practice under the guiding principles of the Department of Patient Care Services. The staff is committed to providing highly skilled, high quality family centered care to the patients and their families.
Reporting to an Associate Chief Nurse, the Nurse Director provides leadership in an environment that celebrates and empowers nurses. In collaboration with a Clinical Nurse Specialist, hire, develop and provide direction to patient care providers and unlicensed clinical support staff. Partner with nurses, physicians, administrative colleagues and other disciplines to guide and direct clinical practice, systems improvement, network development, and operations. Negotiate and plan for interdepartmental resources with other department managers to ensure best level of services to direct care providers, and ultimately patients. Promote professionalism and autonomy by engaging staff in planning, decision-making and the many educational resources available for further development.
The patient care delivery model is patient and family centered; care is exceptional, comprehensive, accessible, supportive and personalized.
The Clinical Nurse Specialist/ Nursing Practice Specialist is a master's prepared nurse with an area of specialization within nursing who promotes competent, compassionate and professional nursing care for patients/families across the continuum. The role includes patient care, teaching, consultation and research.
The CNS/NPS demonstrates excellence in professional nursing practice. The CNS/NPS develops, implements, and evaluates educational programs based upon assessed learning needs of patients, families, and staff; provides expert consultation to patients, families, nurses, and other health care providers to promote positive patient care outcomes; participates in research activities that will positively affect patient care and patient care outcomes; demonstrates accountability for ongoing personal/professional development. On this unit, expertise in managing complex surgical wounds is required.
1. Clinical Practice - Provides expert-level consultation and advises clinical staff on the formulation of diagnoses and treatment plans for patients and families. Demonstrates excellence in providing direct and indirect nursing care to patients and their families.
1.1 Expert-level consultation
i. Supports independent nursing practice of professional nurses through collaborative, consultative, and role modeling activities.
ii. Analyzes clinical and non-clinical variables to influence, supervise, manage or oversee patient care needs and predict and manage responses.
iii. Provides expert consultation within their specialty area at the unit, program, service, administrative, and community level(s).
iv. Identifies current trends in health care and their implication for nursing practice.
v. Promotes the attainment of the goals of the patient/family plan of care.
vi. Applies new technology, nursing theories, research findings and experiential knowledge to improve patient/family health care outcomes and to assist in the development of nursing practice as applicable.
vii. Responds to change in clinical practice by planning, designing, implementing and evaluating guidelines, protocols and standards in collaboration with clinicians and other members of the health care team.
viii. Identifies and recommends interventions regarding ethical issues in patient/family care and guides staff and other providers in application of ethical concepts to address patient care issues.
ix. Applies innovative approaches to solving complex problems.
x. Acts as a content resource to colleagues, patient/families, and others as identified.
xi. Analyzes and evaluates the effectiveness of the consultative process.
1.2 Provide direct patient care as applicable.
i. Initiates, facilitates, coordinates, and manages interdisciplinary collaboration for the purposes providing direct care of the patient and family.
ii. Participates in the attainment of the goals of the patient and family.
2. Education - Plans and delivers relevant staff and patient education to nurses and other members of the health care team on matters regarding plan of care of the patient and family.
2.1 Identifies learning needs and develops and implements programs for patient education within the area of specialization.
2.2 Supports, participates, and contributes to educational programs for clinical and support staff both locally and across the larger organization.
2.3 Facilitates the acquisition of advanced clinical skills in staff nurses and students through role modeling, practice, and consultation in the clinical setting.
3. Research and Evidence-Based Practice - Actively participates in research and evidence-based practice activities that will positively affect patient care and patient care outcomes.
3.1 Uses nursing theories, research findings and evidence-based practice to plan, design, evaluate nursing practice and to generate researchable clinical problems.
3.2 Promotes staff and student utilization of the research process.
3.3 Participates in and supports research.
3.4 Utilizes scientific method in collecting data on clinical practice issues.
3.5 Initiates, participates in and continually evaluates quality assurance and performance improvement activities for evaluation of structure, process and outcome criteria as it relates to clinical practice. Identifies improvement opportunities, designs and plans programs for improvement and implements programs in the clinical environment.
4. Professional Development - Demonstrates accountability for ongoing personal/professional development.
4.1 Maintains and updates clinical knowledge and skills based on current nursing and health care practices.
4.2 Identifies own learning needs and goals, and designs a plan to meet them.
4.3 Takes responsibilities for leadership and participation on committees and task forces of the Department of Nursing, MGH at large, and across Partners.
4.4 Participates in activities that foster peer support and networking.
4.5 Fulfills professional role through involvement in professional organization activities, presentations, and publications.
Primary responsibilities of the CNS include:
Supporting independent nursing practice through collaborative, consultative and role modeling activities
Applying new technology, nursing theories, research findings and experiential knowledge to improve nursing practice
Responding to changes in clinical practice by planning, designing, implementing or evaluating guidelines, protocols and standards in collaboration with the nursing director, nursing staff and others.
Implementing and evaluating educational programs and practice changes based upon assessed learning needs of patients, families, and staff.
Current Massachusetts RN License required.
Master's degree in Nursing required.
Knowledge of surgical nursing and CNS/NPS experience preferred.
Wound Certification is a plus.
Dedication to both bedside teaching and formal hospital education programs.
Ability to multi-task and to support staff nurses, who range from new graduates to those with 30+ years of experience.
Ability to develop and support unit-based quality improvement/research projects.
a. Graduation from a graduate degree program with a clinical practicum designed to prepare the graduate for practice as a CNS that is approved by a national accrediting organization for academic programs acceptable to the Board; and
b. Successful completion of, at minimum, core content at the graduate level in advanced assessment, advanced pathophysiology and advanced pharmacotherapeutics.
c. Current CNS certification granted by a Board recognized certifying organization
Nursing Practice Specialist Requirements
a. Master’s degree in Nursing.
b. Relevant professional experience in clinical nursing specialty.
c. Certification in specialty area, if available, desired.