Med/Surg Registered Nurse - 3 West
4100 Newton-Wellesley Hospital, Newton, MA, United States
Overview
Site: Newton‑Wellesley Hospital, Mass General Brigham. This Registered Nurse position works nights 7:15 p.m.–7:15 a.m. every third weekend and rotating holidays, totaling 36 hours per week.
Essential Functions
Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building.
Follows departmental policies and procedures.
Contributes to the overall quality of services.
Assumes responsibility for keeping informed about changes.
Makes independent decisions within the scope of nursing practice.
Uses the nursing process and evidence‑based practice to ensure quality patient care is provided throughout the episode of care.
Assesses the patient’s physical, psychological, spiritual, cultural, and social needs.
Provides competent and compassionate care specific to the unique needs of the individual patients and populations served.
Individualizes care in consideration of the patient’s age, developmental, or physical abilities, spiritual, religious or cultural practices, economic status, literacy skills, communication skills, cognitive abilities, and gender or sexual orientation.
Updates knowledge and skill of populations served to meet patient care needs.
Applies knowledge of illness, injury, and disease in the assessment process and recognizes those symptoms that need immediate intervention.
Individualizes a plan of care based on assessments and in collaboration with the patient/family/ significant other, as well as appropriate resources and multidisciplinary team members.
Engages patient/family/significant others as partners in caring.
Updates plan of care and nursing documentation based on continuing assessments.
Implements clinical and technical aspects of care and physicians’ orders in compliance with standards of practice and standards of care.
Evaluates the patient/family/significant other’s responses to established goals and interventions and revises the plan of care based upon this evaluation.
Demonstrates the ability to set priorities when planning and implementing patient care.
Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan.
Recognizes change in patient’s physical and mental status and informs physician and/or another health‑care professional.
Collaborates with Case Managers to anticipate discharge needs and address barriers.
Identifies the person primarily responsible for care at home and includes them in patient teaching and discharge planning.
Creates and maintains a safe and therapeutic environment for patients, self, and co‑workers.
Uses two patient identifiers to match the correct patient with the correct care, treatment, or services.
Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures.
Safeguards the rights of patients and hospital personnel to privacy by protecting information confidentially.
Provides patient comfort and hygiene.
Demonstrates proper use of equipment and supplies according to established procedures.
Assesses the patient’s need prior to application of restraints and utilizes alternative measures for restraints when appropriate.
Demonstrates proper technique and calibration of equipment when performing point‑of‑care testing.
Ensures equipment is operational and safe or removed from service.
Responds appropriately to emergency situations.
Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices.
Treats patients and family in a non‑judgmental respectful manner.
Takes initiative to advocate for the patient.
Informs the patient of rights and responsibilities.
Provides emotional, psychological, and spiritual support to patient and family needs.
Assures quality of nursing practice through participation in performance‑improvement activities.
Incorporates performance‑improvement recommendations into daily practice.
Controls patient care cost through efficient management of supplies and services.
Suggests new approaches to cost containment.
Ensures complete, accurate, and timely written communication of patient information.
Completes consistently all parts of the documentation system per hospital/unit policies.
Ensures appropriate documentation on or in patient’s discharge instructions.
Documents patient’s progress or lack of progress chronologically and organized.
Provides safe, accurate, and timely medication and IV administration.
Consistently applies the “5 rights” when administering medication to patients.
Scans patient, medication, and self barcodes where applicable.
Demonstrates knowledge of drug action and appropriate nursing interventions for adverse drug reactions.
Verifies or rectifies patient medication record per unit protocols.
Demonstrates critical assessment of correct drug, appropriate dose, and correct pump settings for continuous large‑volume infusion, PCA, or epidural.
Recognizes, reports medication variances and problems with the medication process.
Verifies and analyzes appropriateness of medication/IV fluid orders.
Ensures correct infusion rates when administering medications using the infusion pump.
Coordinates and collaborates with multidisciplinary team members for comprehensive educational plan.
Assesses need for patient/family/significant other education.
Formulates and implements an educational plan based on assessed needs and considers learning barriers, spiritual/religious, cultural needs.
Documents education in the patient record.
Evaluates outcomes of education plan, monitors learning process, elicits feedback, and modifies instruction accordingly.
Judgment and Decision Making:
Takes personal responsibility for performance and professional growth.
Initiates and facilitates changes to improve quality of nursing care on the unit.
Accepts and learns from constructive criticism.
Is self‑directed in maintaining clinical competence, mandatory training, and regulatory requirements.
Performs duties of charge nurse as needed, competently.
Acts as resource and professional role model for peers and students.
Assists in orientation and ongoing support of new staff.
Advocates for the patient by escalating care concerns up the chain of command.
Manages urgent and emergent situations effectively.
Communicates effectively and promotes cooperative working environment.
Solves problems effectively and ensures critical patient data are communicated across the continuum of care.
Supports decision‑making and promotes management goals and initiatives.
Device Clinic RN Role Specific Responsibilities:
Enrolls, interrogates, and programs outpatient pacemaker patients.
Recognizes abnormalities, malfunctions, and End‑of‑Service indicators, notifying cardiologist and assisting scheduling follow‑up or replacement.
Coordinates and prioritizes with team to respond to, plan, and initiate timely and efficient care.
Educates patients and families about device function and clinic follow‑up routine.
Forwards information to referring physicians.
Ensures timely and proper documentation and billing.
Leads device recall team.
Manages administrative duties of all device tele‑telephonic monitoring, including purchase orders, billing, and reporting.
Oversees Cardiac Arrhythmia Service event monitoring.
Provides cross‑coverage as necessary.
Serves as resource to staff, other departments, and administration; provides recommendations to develop and maintain budgetary goals.
Maintains knowledge of hospital, department, and regulatory agency policies and requirements.
Participates in continuing education.
STAT RN Role Specific Responsibilities:
Assists with rapid responses and Code Blue on inpatient units.
Assists with admissions/transfers of critically ill patients to the ICU from the ED, OR, PACU, medical/surgical, or Labor and Delivery/Post‑partum units.
Assists with care of unstable or critically ill, ICU‑level patients in the ED, PACU, and medical surgical units as needed.
Assists with IV access and phlebotomy.
Assists with transport and supervision of patients requiring diagnostic testing off a patient unit.
Performs other clinical duties as assigned when no critical care support needs arise.
Works under direct supervision of the Nursing Administrator and overall direction of the nurse manager of intensive care.
Specialty Area Additional Requirements
Adult GI – 2 years of Critical Care/GI experience required; ACLS within first year, CCGRN preferred.
ARTC – Dual practice with BWH and MGH fertility; must provide compassionate care; BSN required; completes ASRM RN certificate course within first year; minimum 1 year reproductive endocrinology practice.
Cancer Center – Minimum 1 year outpatient chemotherapy (single‑agent and multi‑drug regimen) required; thorough assessment of hematology/oncology; 3 years ambulatory oncology nursing strongly preferred; Oncology Nursing Certification (OCN) required, or obtained within first year; Chemotherapy/Biotherapy Administration Certification Card required.
Cardiovascular Center – 2 years Critical Care experience required; Cardiac ICU/CCU or Cardiac Surgery, Cath Lab experience preferred; requires IV catheter insertion and IV sedation in acute procedural setting; BLS/ACLS required upon employment.
Device Clinic – 2 years device clinic experience with pacemaker programming and follow‑up; Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications required; HRS/NASP preferred.
Emergency Department – 2 years ED experience required; ACLS, PALS, CPI certifications required within first year; CEN or CCRN preferred.
ICU – 2 years Critical Care experience required; ACLS required within first year.
Labor & Delivery / AETU – 2 years L&D experience required; NRP required within first year; Fetal Monitoring experience preferred.
Maternal Fetal Medicine – Minimum 2 years perinatal services; 1 year reproductive endocrinology experience; BSN required; BLS required prior to hire, ACLS preferred.
Med/Surg – 1 year Med/Surg experience required; telemetry experience preferred; training within first year.
Mother/Baby – 2 years Mother/Baby experience required; NRP required within first year.
Operating Room – 2 years OR experience required; Peri‑operative Nursing Program completion preferred; AORN certification preferred.
PACU/Henderson – 2 years Critical Care/PACU experience required; ACLS and PALS required within first year; CPAN/CAPA certification preferred.
Pediatrics – 2 years Pediatrics experience required; NRP required within first year for mother/baby cross‑training.
Pedi GI – 2 years Pedi GI experience required; PALS required within first year.
Psychiatry – 2 years Psychiatry experience required; CPI required within first month.
SCN – 2 years SCN experience required; NRP required within first year.
STAT RN – 2 years Critical Care/Emergency nursing experience required; ACLS, PALS, CPI required within first year.
Primary Care Triage RN – 2 years Triage, ER, Urgent Care, or Out‑Patient experience required; Ambulatory Care Nursing Certification ANCC RN‑BC preferred.
Qualifications – Education
Nursing degree required (BSN preferred).
Qualifications – Licenses and Credentials
Registered Nurse (RN – State License) required.
Qualifications – Knowledge, Skills, and Abilities
Uses nursing process and evidence‑based practice for quality patient care.
Creates and maintains a safe and therapeutic environment.
Ensures quality through performance‑improvement participation.
Ensures complete, accurate, and timely written communication.
Provides safe, accurate, and timely medication and IV administration.
Coordinates and collaborates with multidisciplinary team for comprehensive education plans.
Physical environment capable of exposure to communicable diseases, hazardous drugs, radioisotopes, radiation, human waste and unpleasant elements.
May work with angry, agitated, and combative patients.
Additional Job Details
Physical Requirements: Standing frequently (34–66%), walking frequently (34–66%), sitting occasionally (3–33%), lifting frequently (35 lbs+ with assisted device), carrying frequently (20–35 lbs), pushing occasionally (3–33%), pulling occasionally (3–33%), climbing rarely (≤ 2 %), balancing frequently (34–66%), stooping occasionally (3–33%), kneeling occasionally (3–33%), crouching occasionally (3–33%), crawling rarely (≤ 2 %), reaching frequently (34–66%), gross manipulation frequently (34–66 %), fine manipulation frequently (34–66 %), feeling constantly (67–100 %), foot use rarely (≤ 2 %), vision far constant (67–100 %), vision near constant (67–100 %), talking constant (67–100 %), hearing constant (67–100 %).
Remote Type: Onsite.
Work Location: 2014 Washington Street.
Work Hours: 36 hours per week.
Employee Type: Regular.
Work Shift: Night.
Compensation and Benefits
Pay Range: $41.38 – $100.00 hourly.
Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses, recognition programs.
EEO Statement
Newton‑Wellesley Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and other protected status. Reasonable accommodation will be provided upon request.
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Site: Newton‑Wellesley Hospital, Mass General Brigham. This Registered Nurse position works nights 7:15 p.m.–7:15 a.m. every third weekend and rotating holidays, totaling 36 hours per week.
Essential Functions
Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building.
Follows departmental policies and procedures.
Contributes to the overall quality of services.
Assumes responsibility for keeping informed about changes.
Makes independent decisions within the scope of nursing practice.
Uses the nursing process and evidence‑based practice to ensure quality patient care is provided throughout the episode of care.
Assesses the patient’s physical, psychological, spiritual, cultural, and social needs.
Provides competent and compassionate care specific to the unique needs of the individual patients and populations served.
Individualizes care in consideration of the patient’s age, developmental, or physical abilities, spiritual, religious or cultural practices, economic status, literacy skills, communication skills, cognitive abilities, and gender or sexual orientation.
Updates knowledge and skill of populations served to meet patient care needs.
Applies knowledge of illness, injury, and disease in the assessment process and recognizes those symptoms that need immediate intervention.
Individualizes a plan of care based on assessments and in collaboration with the patient/family/ significant other, as well as appropriate resources and multidisciplinary team members.
Engages patient/family/significant others as partners in caring.
Updates plan of care and nursing documentation based on continuing assessments.
Implements clinical and technical aspects of care and physicians’ orders in compliance with standards of practice and standards of care.
Evaluates the patient/family/significant other’s responses to established goals and interventions and revises the plan of care based upon this evaluation.
Demonstrates the ability to set priorities when planning and implementing patient care.
Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan.
Recognizes change in patient’s physical and mental status and informs physician and/or another health‑care professional.
Collaborates with Case Managers to anticipate discharge needs and address barriers.
Identifies the person primarily responsible for care at home and includes them in patient teaching and discharge planning.
Creates and maintains a safe and therapeutic environment for patients, self, and co‑workers.
Uses two patient identifiers to match the correct patient with the correct care, treatment, or services.
Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures.
Safeguards the rights of patients and hospital personnel to privacy by protecting information confidentially.
Provides patient comfort and hygiene.
Demonstrates proper use of equipment and supplies according to established procedures.
Assesses the patient’s need prior to application of restraints and utilizes alternative measures for restraints when appropriate.
Demonstrates proper technique and calibration of equipment when performing point‑of‑care testing.
Ensures equipment is operational and safe or removed from service.
Responds appropriately to emergency situations.
Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices.
Treats patients and family in a non‑judgmental respectful manner.
Takes initiative to advocate for the patient.
Informs the patient of rights and responsibilities.
Provides emotional, psychological, and spiritual support to patient and family needs.
Assures quality of nursing practice through participation in performance‑improvement activities.
Incorporates performance‑improvement recommendations into daily practice.
Controls patient care cost through efficient management of supplies and services.
Suggests new approaches to cost containment.
Ensures complete, accurate, and timely written communication of patient information.
Completes consistently all parts of the documentation system per hospital/unit policies.
Ensures appropriate documentation on or in patient’s discharge instructions.
Documents patient’s progress or lack of progress chronologically and organized.
Provides safe, accurate, and timely medication and IV administration.
Consistently applies the “5 rights” when administering medication to patients.
Scans patient, medication, and self barcodes where applicable.
Demonstrates knowledge of drug action and appropriate nursing interventions for adverse drug reactions.
Verifies or rectifies patient medication record per unit protocols.
Demonstrates critical assessment of correct drug, appropriate dose, and correct pump settings for continuous large‑volume infusion, PCA, or epidural.
Recognizes, reports medication variances and problems with the medication process.
Verifies and analyzes appropriateness of medication/IV fluid orders.
Ensures correct infusion rates when administering medications using the infusion pump.
Coordinates and collaborates with multidisciplinary team members for comprehensive educational plan.
Assesses need for patient/family/significant other education.
Formulates and implements an educational plan based on assessed needs and considers learning barriers, spiritual/religious, cultural needs.
Documents education in the patient record.
Evaluates outcomes of education plan, monitors learning process, elicits feedback, and modifies instruction accordingly.
Judgment and Decision Making:
Takes personal responsibility for performance and professional growth.
Initiates and facilitates changes to improve quality of nursing care on the unit.
Accepts and learns from constructive criticism.
Is self‑directed in maintaining clinical competence, mandatory training, and regulatory requirements.
Performs duties of charge nurse as needed, competently.
Acts as resource and professional role model for peers and students.
Assists in orientation and ongoing support of new staff.
Advocates for the patient by escalating care concerns up the chain of command.
Manages urgent and emergent situations effectively.
Communicates effectively and promotes cooperative working environment.
Solves problems effectively and ensures critical patient data are communicated across the continuum of care.
Supports decision‑making and promotes management goals and initiatives.
Device Clinic RN Role Specific Responsibilities:
Enrolls, interrogates, and programs outpatient pacemaker patients.
Recognizes abnormalities, malfunctions, and End‑of‑Service indicators, notifying cardiologist and assisting scheduling follow‑up or replacement.
Coordinates and prioritizes with team to respond to, plan, and initiate timely and efficient care.
Educates patients and families about device function and clinic follow‑up routine.
Forwards information to referring physicians.
Ensures timely and proper documentation and billing.
Leads device recall team.
Manages administrative duties of all device tele‑telephonic monitoring, including purchase orders, billing, and reporting.
Oversees Cardiac Arrhythmia Service event monitoring.
Provides cross‑coverage as necessary.
Serves as resource to staff, other departments, and administration; provides recommendations to develop and maintain budgetary goals.
Maintains knowledge of hospital, department, and regulatory agency policies and requirements.
Participates in continuing education.
STAT RN Role Specific Responsibilities:
Assists with rapid responses and Code Blue on inpatient units.
Assists with admissions/transfers of critically ill patients to the ICU from the ED, OR, PACU, medical/surgical, or Labor and Delivery/Post‑partum units.
Assists with care of unstable or critically ill, ICU‑level patients in the ED, PACU, and medical surgical units as needed.
Assists with IV access and phlebotomy.
Assists with transport and supervision of patients requiring diagnostic testing off a patient unit.
Performs other clinical duties as assigned when no critical care support needs arise.
Works under direct supervision of the Nursing Administrator and overall direction of the nurse manager of intensive care.
Specialty Area Additional Requirements
Adult GI – 2 years of Critical Care/GI experience required; ACLS within first year, CCGRN preferred.
ARTC – Dual practice with BWH and MGH fertility; must provide compassionate care; BSN required; completes ASRM RN certificate course within first year; minimum 1 year reproductive endocrinology practice.
Cancer Center – Minimum 1 year outpatient chemotherapy (single‑agent and multi‑drug regimen) required; thorough assessment of hematology/oncology; 3 years ambulatory oncology nursing strongly preferred; Oncology Nursing Certification (OCN) required, or obtained within first year; Chemotherapy/Biotherapy Administration Certification Card required.
Cardiovascular Center – 2 years Critical Care experience required; Cardiac ICU/CCU or Cardiac Surgery, Cath Lab experience preferred; requires IV catheter insertion and IV sedation in acute procedural setting; BLS/ACLS required upon employment.
Device Clinic – 2 years device clinic experience with pacemaker programming and follow‑up; Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications required; HRS/NASP preferred.
Emergency Department – 2 years ED experience required; ACLS, PALS, CPI certifications required within first year; CEN or CCRN preferred.
ICU – 2 years Critical Care experience required; ACLS required within first year.
Labor & Delivery / AETU – 2 years L&D experience required; NRP required within first year; Fetal Monitoring experience preferred.
Maternal Fetal Medicine – Minimum 2 years perinatal services; 1 year reproductive endocrinology experience; BSN required; BLS required prior to hire, ACLS preferred.
Med/Surg – 1 year Med/Surg experience required; telemetry experience preferred; training within first year.
Mother/Baby – 2 years Mother/Baby experience required; NRP required within first year.
Operating Room – 2 years OR experience required; Peri‑operative Nursing Program completion preferred; AORN certification preferred.
PACU/Henderson – 2 years Critical Care/PACU experience required; ACLS and PALS required within first year; CPAN/CAPA certification preferred.
Pediatrics – 2 years Pediatrics experience required; NRP required within first year for mother/baby cross‑training.
Pedi GI – 2 years Pedi GI experience required; PALS required within first year.
Psychiatry – 2 years Psychiatry experience required; CPI required within first month.
SCN – 2 years SCN experience required; NRP required within first year.
STAT RN – 2 years Critical Care/Emergency nursing experience required; ACLS, PALS, CPI required within first year.
Primary Care Triage RN – 2 years Triage, ER, Urgent Care, or Out‑Patient experience required; Ambulatory Care Nursing Certification ANCC RN‑BC preferred.
Qualifications – Education
Nursing degree required (BSN preferred).
Qualifications – Licenses and Credentials
Registered Nurse (RN – State License) required.
Qualifications – Knowledge, Skills, and Abilities
Uses nursing process and evidence‑based practice for quality patient care.
Creates and maintains a safe and therapeutic environment.
Ensures quality through performance‑improvement participation.
Ensures complete, accurate, and timely written communication.
Provides safe, accurate, and timely medication and IV administration.
Coordinates and collaborates with multidisciplinary team for comprehensive education plans.
Physical environment capable of exposure to communicable diseases, hazardous drugs, radioisotopes, radiation, human waste and unpleasant elements.
May work with angry, agitated, and combative patients.
Additional Job Details
Physical Requirements: Standing frequently (34–66%), walking frequently (34–66%), sitting occasionally (3–33%), lifting frequently (35 lbs+ with assisted device), carrying frequently (20–35 lbs), pushing occasionally (3–33%), pulling occasionally (3–33%), climbing rarely (≤ 2 %), balancing frequently (34–66%), stooping occasionally (3–33%), kneeling occasionally (3–33%), crouching occasionally (3–33%), crawling rarely (≤ 2 %), reaching frequently (34–66%), gross manipulation frequently (34–66 %), fine manipulation frequently (34–66 %), feeling constantly (67–100 %), foot use rarely (≤ 2 %), vision far constant (67–100 %), vision near constant (67–100 %), talking constant (67–100 %), hearing constant (67–100 %).
Remote Type: Onsite.
Work Location: 2014 Washington Street.
Work Hours: 36 hours per week.
Employee Type: Regular.
Work Shift: Night.
Compensation and Benefits
Pay Range: $41.38 – $100.00 hourly.
Benefits: Comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses, recognition programs.
EEO Statement
Newton‑Wellesley Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and other protected status. Reasonable accommodation will be provided upon request.
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