Part-time Nurse (RN) - Diagnostic Imaging (Waltham)

Part-time Nurse (RN) - Diagnostic Imaging (Waltham)

The dynamic functions of the Off-Campus Diagnostic Imaging Nurse include, but are not limiated to, the following:

PROFESSIONAL ROLE MODEL IN IMAGING

• Emphasizes personalized and individualized patient care

• Demonstrates leadership and effective communication skills

• Complies with the National Patient Safety Goals

• Facilitates and fosters teamwork

PATIENT ADVOCATE

• Assists in pre-screening for imaging exams

o CT/MRI, including but not limited to:

§ renal function, allergy history, pre-medication requirements and medication review

• Ensures that the patient’s rights are respected and protected, including patient confidentiality and privacy

• Reviews the patient’s understanding of imaging tests

• Assists in meeting communication needs of patients who are non-English speaking/sight/hearing/speech impaired

o providing interpreter services

• Assists in developing tools and education to provide care that is sensitive to developmental needs and problems across the lifespan.

• Acts as a resource in developing environmental adjustments to minimize stress and promote an optimal patient experience

BASIC NURSING RESPONSIBILITIES (where applicable)

• Administration of annual TB testing for Off-Campus Imaging staff

• Administration of seasonal Flu shot for Off-Campus Imaging staff

• Performs blood glucose testing

• Performs 12 lead ECG

• Phlebotomy

• Takes and records vital signs including height and weight

• Computer data entry related to institutional documentation system as applicable

• Documentation of data collection in accordance to departmental standards

• Maintaining par levels and reordering supplies

• Assists with activities of daily living

• Removes and applies splints/devices

• Adheres to standard precautions

• Adheres to hand hygiene guidelines

• Performs tube care/foley catheter care

• Performs ostomy care on established ostomy

• Discontinues short peripheral IV catheters

• Assists with arrival/discharge process

• Ensures safekeeping of patient valuable

• Packs and stores patients belongs per departmental guidelines

• Performs patient ID process per departmental policy

• Obtains doppler pulses

• Insert urinary drainage catheters

MEDICATION SAFETY

• Acts as a resource for radiologist, imaging technologist and patients with areas of concern or risk:

o medications for contrast reaction

o pre-medication protocols

o meds that require patient teaching in regard to imaging, (Metformin and its derivatives)

• Consults and maintains an active role in the development of policies and procedures for appropriate screening and patient preparation for receiving contrast media, specifically for the development of renal protection, contrast reactions and extravasation treatment

EMERGENCY RESPONSE RESOURCE

• Recognizes emergencies and works cohesively with physician and technologist staff when dealing with emergencies

• Coordinates effective handling of patient care emergencies arising from contrast media reactions, seizures, respiratory and cardiac emergencies, and other unexpected events

• Works with allied health team and radiologists to promote rapid response in patient care emergencies. Initiating Medical response – 911

• Assists with tracheostomy care including ventilator support with ambu bag in the presence of healthcare professional

• Records documentation of emergency drugs, equipment, and supplies

LABORATORY/CLINICAL & CRITICIAL TEST RESULTS

• Reviews serum laboratory results, including, but not limited to, serum creatinine and eGFR prior to iodinated contrast studies per departmental policy

• ensures that appropriate pre-contrast regimen is implemented in cooperation with the radiologist

• Communicates abnormal or critical results to Radiologist, referring physician or designee

LIAISON/RESOURCE

• Provides open line of communication between the Off-Campus imaging department, Main Campus Imaging department, referring physician offices, patient care units, and patient care services (MGH and/or NON-MGH)

• Serves on hospital and departmental/divisional committees

• Meets routinely with hospital nursing staff to facilitate the exchange of ideas

• Recommends and implements changes to improve nursing performance

• Ensures continuity of patient care by participating in coordination of care among practitioners, including the use of organization-wide policies and procedures

• Provides nursing and patient care perspective to department policies and procedures

• Provides patients with the tools and follow up necessary to ensure safety at home following contrast reaction/extravasations and hydration.

• Acts as a resource person and liaison with the radiologist in early reporting of problems following procedures and identification of treatment plan.

• Works with nursing colleagues to develop and maintain orientation and training programs that reflect new and current therapies, interventions, and diagnostic studies, including skill labs, mock codes.

• Functions as new staff preceptor during orientation.

DOCUMENTATION

• Maintains compliance by following institutional and departmental established guidelines for appropriate documentation

• Assists other health professionals in documenting pertinent information on approved forms, Epic and any Imaging related system, as needed.

EDUCATION

• Participates in personal continuing education opportunities to maintain current certifications and departmental initiatives.

• Participates in education of other imaging staff in areas that involve patient safety including, but not limited to:

o contrast induced nephropathy (CIN)

o nephrogenic systemic fibrosis (NSF)

o contrast media reactions

o extravasations

o infection control

• Provides consistent patient / family education relating to scheduled exam and follow –up care.

PERFORMANCE IMPROVEMENT

• Monitors the safety of patients pertaining to Intravenous Access that may place patients at risk for the use of contrast media.

• Evaluates standards of patient care and actively recommends areas for improvement

• Maintains aseptic technique during IV access, identify central access for “power injectable” device / catheters: i.e. ports & PICCS.

PROFESSIONAL DEVELOPMENT:

• Maintains and updates clinical knowledge and skills based on current nursing practices.

• Adheres to Imaging compliance for competency based training.

• Identifies self learning needs and goals and develops a plan to meet them.

• Maintains and develops professional practice through continuing educational programs and appropriate learning experiences.

• Contributes to relevant committees, professional meetings, continuing educational and/or formal academic programs.

• Provides Basic Life Support (BLS) recertification for Off-Campus Imaging staff

• Demonstrates clinical competence in nursing practice predominant to Imaging Tests

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.