Rheum/Derm STAFF NURSE-RN

About this role

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number:

R-23047

Facility: LOC0020 - 143 Longwater Norwell143 Longwater Drive
Norwell, MA 02061


Department Name:

SMC Surgical Services

Status:

Full time

Budgeted Hours:

36

Shift:

Day (United States of America)

Manages individualized, outcome oriented nursing care through the use of the nursing process. Provides care, treatment and services through the successful coordination and completion of a series of processes that include assessment, planning care, providing care, coordinating cross continuum care and assessing outcomes of interventions in accordance with system, departmental and ambulatory policies and procedures.

This role provides clinically-based, risk reducing care and coordination that facilitates the delivery of cost-effective quality healthcare along the continuum. It directly interfaces with physicians, care managers, health care teams, patients and their caregivers to achieve desired patient outcomes. Excellent communication skills, both written and verbal, a commitment to coaching patients on health promoting behaviors, and an ability to listen and assimilate complex clinical information are required in the role. The ability to work autonomously and in teams is essential. Participation in quality improvement efforts, research and evaluation processes related to the management of patient care is integral to the role.

Dermatology Specialty Tasks · Triage dermatology concerns — rash changes, wounds, lesions, signs of infection · Identify and escalate urgent issues — rapidly changing lesions, severe infection, concerning biopsy results · Review and route test/biopsy results — melanoma results communicated directly by provider · Manage medication refills — topicals, antibiotics, isotretinoin, biologics · Address medication questions and coverage issues — includes prior authorizations · Monitor for medication side effects — e.g., isotretinoin · Coordinate Accutane monitoring — monthly labs and iPLEDGE compliance · Perform suture removals — dermatology nurse only; disposable kits · Assist with basic wound care and reinforce care instructions · Support injection teaching and administration — includes shared bone-health injections · Manage in-basket messages — shared rheum/derm pool · Complete outgoing patient calls — results and follow-up · Assist with scheduling — procedures, biopsies, Accutane visits, injections · Support walk-ins and prioritize urgent cases · Provide patient education — skin care, medications, wound care · Assist with documentation and forms as needed

Rheumatology Specialty Tasks · Triage rheumatology concerns — joint pain, swelling, stiffness, flare symptoms, medication reactions · Identify and escalate urgent issues — severe flares, suspected infection, adverse medication effects · Review and route test results — labs, imaging; escalate abnormal findings · Manage medication refills — DMARDs, biologics, steroids, NSAIDs · Address medication questions and coverage issues — includes prior authorizations · Monitor for medication side effects and report concerns to provider · Support injection visits — Prolia, Evenity, Reclast; coordinate bone-health follow-ups · Provide injection teaching and patient education · Manage in-basket messages — shared rheum/dermatology pool · Complete outgoing patient calls — results and follow-up · Assist with scheduling — injection visits and urgent flare evaluations · Support walk-ins and help prioritize urgent cases · Provide patient education — disease management and medication adherence · Assist with documentation and forms as needed  

Compensation Pay Range: $36.00 - $58.15  

ESSENTIAL FUNCTIONS

1 - Medication Administration    a - *Demonstrates knowledge of and follows SSH policies and procedures for administering and documenting medications.    b - *Completes medication reconciliation process following SSH policy and procedure.     c - *Demonstrates safe procedures for the safe administration of medication and vaccines.

2 - Plan of care/Documentation/Patient Family Centered Care/Patient Experience Develops, discusses, and communicates a prioritized problem and plan of care for each patient.    a - Develops, evaluates and updates individualized plan for patient and documents outcomes.    b – Initiates patient outreach, identifies and documents patient/family/significant other needs and makes appropriate interventions, evaluating outcomes of interventions.    c - Continues assessment/reassessment and identifies care needs within established nursing practice.    d - Documents all patient care following the department of nursing policy, department-based standards, disease processes (CHF, PNA vaccines) and nurse sensitive indicators (falls, safety risk, isolation, etc.)    e - Assess/reassesses and documents patient's response to each intervention both pharmacological and non-pharmacological per South Shore Health and ambulatory policies and procedures.    f - Works on behalf of patient /family. Seeks help to represent patient/family when they are unable to represent themselves.    g - Raises ethical questions and concerns with clinical team.  Seeks available resources to help formulate and understand ethical decisions.    h - Actively communicates and collaborates with health team members: primary care, specialty care, and ancillary providers and departments.    i - Facilitates care across the continuum to insure patient needs are met in the right setting and at the right time.

3 - Safety/Quality - Foster's a "Culture of Safety" through personal ownership and commitment to a safe environment.    a - Verifies patient identification with two identifiers prior to the start of any procedure, including "time out", administration of care, medications, labeled specimen's and documents confirming the correct patient, procedure, site, equipment and consent.    b - *Complies with the current CDC

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