Registered Nurse

12-Mar-2024

University Health Services

64440BR

Position Description

Under the supervision of the Nurse Manager and in collaboration with the team physicians and Practice Manager, the registered nurse for the Internal Medicine areas supports the delivery of care including health maintenance, episodic and chronic care to the adolescent, adult, and elder population of the University Community according to department guidelines, policies and procedures. The Internal Medicine Registered Nurse also assists and provides coverage and support to the Acute Treatment Area (ATA) as needed. 

NURSING ASSESSMENT: 

• Interviews patients for assessment of current problem/s, medications and allergies. 
• Demonstrates knowledge and competence in ability to triage patient visits and/or calls; prioritize issues and make appropriate referrals. 
• Reviews medical record for pertinent previous and current medical information. 
• Documents nursing assessment of current problem and pertinent history. 

TREATMENT PLAN OF CARE: 

• Establishes and documents individualized patient treatment regimen. 
• Demonstrates collaboration with patient, family, multidisciplinary team and community providers to provide care needs. 
• Demonstrates an ability to work effectively and communicate frequently with other members of the patient care team. 

IMPLEMENTATION: 

• Adheres to nursing and department standards, policies, procedures and protocols. 
• Demonstrates proficiency in performing nursing procedures according to guidelines, policy and procedure. 
• Performs telephone triage within the scope of nursing practice. 
• Utilizes triage skills to facilitate patient access to primary care provider through visits or telephone consults. 
• Administers medications according to policy and procedure. 
• Performs prescription refills according to policy and procedure. 
• In collaboration with ordering provider performs follow-up of lab and diagnostic studies. 
• Identifies acute versus emergency situations and responds to emergencies according to policy. 
• Participates in the monitoring of patients in the Coumadin Program. 
• Maintains medical and emergency equipment and supplies. 
• Facilitates and assists in the coordination of patient referrals. 
• Documents all care provided in a concise and complete manner. 
• Communicates in writing and/or verbally patient’s response to treatment. 
• Provides and documents patient and family education related to disease, medication and treatment regimes. 
• Maintains pharmaceuticals in collaboration with other members of the health care team. 
• Maintains a smooth, organized flow of the clinic. 
• Demonstrates accountability for problem resolution. 
• Completes work assignment in given time. 

EVALUATION: 

• Provides oral and written communication of patient’s response to treatment plan. 
• Monitors patient satisfaction and responds accordingly. 
• Demonstrates improvements in personal performance and clinic operations based upon input from patient, family, team and supervisor. 

Basic Qualifications

• Graduate of accredited nursing program
• Minimum of 1 years relevant work experience

Additional Qualifications and Skills

• Bachelor of Science degree in Nursing 
• Knowledge of Microsoft Office Suite, intermediate Excel skills
• Knowledge of and previous experience working with an electronic medical record
• Ability to organize tasks, problem solve, and respond in times of multiple demands and urgent situations

Certificates and Licenses

• Registered Nurse license in Massachusetts

Physical Requirements

• Lifting (approximately 20 to 30 pounds), bending, and other physical exertion
• Ability to stand for extended periods

Working Conditions

All Harvard University Health Services (HUHS) staff and staff affiliates are considered Health Care Workers and as a condition of employment must provide documentation of the following:  

• Letter of good health from your personal health care provider.  
• TB skin test (within past 3 months) or, if known skin test positive, documentation of previous chest x-ray, information about any past treatment.  
• Documentation of immunity (positive antibody titers) for Measles, Mumps, Rubella and Varicella.  
• Proof of appropriate past immunization for Measles, Mumps, Rubella and Varicella. 
• Hepatitis B vaccine series – required for staff with possible exposure to blood or blood borne pathogens.  
• A current Flu vaccine (this season) and Covid vaccines to include the Primary series and Bivalent Booster.  

The required medical documentation/medical clearances can often be obtained by contacting your Pediatrician, PCP, medical provider. Titers, TB Skin testing can be performed by appointment at Occupational Health facilities. 

HUHS continues to place the highest priority on the health, safety and wellbeing of its faculty, staff and students, as well as the wider community. Being up to date with COVID vaccination, annual flu vaccination and other required medical vaccinations and documentation are required as a condition of employment at HUHS. You may claim exemption from the vaccine requirements for medical or religious reasons. 

Additional Information

POSITION DESCRIPTION CONTINUED

PROFESSIONAL/TEAM WORKPLACE ACCOUNTABILITY: 

• Adheres to regulatory guidelines i.e. AAAHC, DPH, OSHA, etc. 
• Adheres to departmental and unit specific policies, procedures, clinical guidelines and protocols. 
• Participates in development and revision of policies, procedures and protocols. 
• Participates in staff education. 
• Maintains licensure and continuing education requirements. 
• Attends staff meetings and educational offerings required by the Department. 
• Participates in organizational development activities. 
• Provides coverage to other areas as necessary. 
• Performs related duties as required. 
• Acts as a preceptor and participates in the orientation of new personnel. 
• Plans for time off in advance and according to clinic policy. 
• Provides proper notification for absences or tardiness. 
• Is dependable, punctual and prepared for duties at start of shift. 
• Is flexible and responsive to the needs of the clinic and department in regard to work schedule. 
• Assumes responsibility for transferring work assignment to another staff nurse when leaves from work are planned. 
• Participates in health assistant competency program. 
• Demonstrates caring and willingness to help in all interactions. 
• Cooperates and complies with goals/projects of clinic and department. 
• Utilizes time productively. 
• Maintains professional conduct and appearance. 
• Demonstrates essential knowledge and skills for identifying and treating anaphylaxis in the clinical setting. 
• Demonstrates knowledge and skills necessary to perform peak flow monitoring. 
• Demonstrates knowledge and skills necessary to identify and respond to life threatening arrhythmias. 
• Demonstrates knowledge and skill in performing nebulizer treatments. 
• Demonstrates skills necessary to perform an EKG. 

AGE SPECIFIC COMPETENCIES: 

• Administers medications according to patient age and with the knowledge of action, mode of administration, side effects, contraindications and departmental policies. 
• Determines pregnancy status in the adolescent and adult female patient prior to administration of inoculations.  
• Provides age specific patient education regarding routine health maintenance and prevention issues i.e. adult and geriatric patient – osteoporosis, adolescent – contraception.  
• Explains procedures to the adolescent patient using correct terminology and includes parents and family as necessary. 
• Encourages questions from the adolescent patient that address possible fears. 
• Encourages and supports self-care in the adult patient to maintain function and independence. 
• Recognizes age related changes in the elderly patient in sensory and perceptual abilities and adjusts communication style to meet individual elder needs. 
• Maintains a safe environment for the elderly patient based upon physical and psychological function. 

COMPLIANCE: 

• Adheres to the expectations and professional responsibilities of the department.  
• Employs the standards, practices, and procedures of the department.  
• Completes and complies with HUHS training requirements including HIPAA Privacy and Security.  
• Reports non-compliance incidents to the supervisor, manager, and/or Compliance Officer. 

• Harvard University requires a pre-employment reference and background screening.  
• Harvard University is unable to provide work authorization and/or visa sponsorship. 
• This position has a 90-day orientation and review period.  

Work Format Details

This position is based primarily on-campus, in Massachusetts. This may include in-person during emergency situations (if applicable). Additional details will be discussed during the interview process. Certain visa types may limit work location. Individuals must meet work location sponsorship requirements prior to employment.

About Us

Harvard University Health Services (HUHS) is a campus-based health care organization devoted exclusively to members of the Harvard community. Our work includes multi-specialty ambulatory medical care, behavioral and mental health services, and campus public health. HUHS also manages two self-funded health insurance plans, the Harvard University Group Health Plan (HUGHP, for university employees and dependents) and the Student Health Insurance Plan (SHIP, for students and dependents). 

Benefits

This position is eligible for a sign-on-bonus!

We invite you to visit Harvard's Total Rewards website (https://hr.harvard.edu/totalrewards ) to learn more about our outstanding benefits package, which may include:

• Paid Time Off: 3-4 weeks of accrued vacation time per year (3 weeks for support staff and 4 weeks for administrative/professional staff), 12 accrued sick days per year, 12.5 holidays plus a Winter Recess in December/January, 3 personal days per year (prorated based on date of hire), and up to 12 weeks of paid leave for new parents who are primary care givers.
• Health and Welfare: Comprehensive medical, dental, and vision benefits, disability and life insurance programs, along with voluntary benefits. Most coverage begins as of your start date.
• Work/Life and Wellness: Child and elder/adult care resources including on campus childcare centers, Employee Assistance Program, and wellness programs related to stress management, nutrition, meditation, and more.
• Retirement: University-funded retirement plan with contributions from 5% to 15% of eligible compensation, based on age and earnings with full vesting after 3 years of service.
• Tuition Assistance Program: Competitive program including $40 per class at the Harvard Extension School and reduced tuition through other participating Harvard graduate schools.
• Tuition Reimbursement: Program that provides 75% to 90% reimbursement up to $5,250 per calendar year for eligible courses taken at other accredited institutions.
• Professional Development: Programs and classes at little or no cost, including through the Harvard Center for Workplace Development and LinkedIn Learning.
• Commuting and Transportation: Various commuter options handled through the Parking Office, including discounted parking, half-priced public transportation passes and pre-tax transit passes, biking benefits, and more.
• Harvard Facilities Access, Discounts and Perks: Access to Harvard athletic and fitness facilities, libraries, campus events, credit union, and more, as well as discounts to various types of services (legal, financial, etc.) and cultural and leisure activities throughout metro-Boston.

Department Office Location

USA - MA - Cambridge

Job Code

W0657P HLT Registered Staff Nurse III

Department

Law School Clinic

Union

00 - Non Union, Exempt or Temporary

Pre-Employment Screening

Criminal, Education, Identity

Schedule

Monday: 8 Hours
Tuesday: 8 hours
Wednesday: 4 hours 

Total: 20 hours per week 

Commitment to Equity, Diversity, Inclusion, and Belonging

Harvard University Health Services is committed to fostering a diverse, inclusive, and equitable workplace in which all employees feel valued and have a sense of belonging. These principles are integral to our work and are at the core of who we are. We actively seek applicants with demonstrated commitment and/or experience promoting and fostering a working and learning environment that is supportive of individuals from diverse backgrounds. We welcome, respect, and embrace individuals from varied backgrounds, cultures, races, identities, life experiences, perspectives, abilities, beliefs, and values. 

EEO Statement

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions, or any other characteristic protected by law.