Diabetic RN - Per Diem
At Steward Health Care System, we are committed to improving the health of our communities by delivering exceptional, personalized behavioral health care with dignity, compassion and respect. Our continued focus on the patient experience informs our caregivers in how to provide care that is respectful of and responsive to individual patient and family preferences, needs and values.
We dedicate ourselves in the communities we serve to delivering affordable health care to all and being responsible partners. No matter what your role, as a member of the Steward family, you are a specialist in the making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues.
In support of this, we commit ourselves to the following values:
If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, our organization may be a good fit for you.
Diabetic RN- Per Diem- $37.24/hr-$77.63/hr based on Collective Bargaining Agreement with Carney MNA and years of experience.
- Develops and directs the local Diabetes Care Program (DCP) to meet requirements for program accreditation by the American Diabetes Association (ADA) and other regulatory agencies:
- Assists with the annual planning and ongoing evaluation of the local DCP’s resources and effectiveness for the Network Diabetes Advisory Committee
- Acts as a liaison between the local program staff, local DCP Medical Director, local facility Administration, Clinicians, Network Diabetes Program Manager and Network Diabetes Advisory Committee
- Ensures all Network DCP policy and procedures are adhered to
- Submits monthly statistics and local program activity reports
- Assists in the development and implementation of Network DCP Continuous Quality Improvement activities
- Assists in engagement of patients in the risk management contracts
- Distributes bi-annual patient satisfaction surveys
- Provides at least six diabetes support groups and two community events each year
- Assists in the annual review and/or revision of DCP curriculum, education materials, policies and procedures
- Assists with marketing of program
- Orients and trains staff as needed
- Participates in Network Diabetes Educator meetings, Network Advisory Committee meetings and other meetings as needed
- Provides 1:1 and group Diabetes Self-Management Education and Support (DSMES) to patients referred to the program per ADA Education Recognition Program standards, Network DCP policies and procedures, evidence-based guidelines and referring clinician’s instructions.
- Trains patients on use of home blood glucose monitoring and Continuous Glucose Monitors (CGM). Inserts glucose sensors for professional CGM.
- Initiates insulin administration and/or administers insulin and/or titrates insulin per DCP Insulin Titration protocol as ordered by the prescribing clinician. Occasionally administers other medications as ordered by the Endocrinologist.
- Assesses readiness of patients wishing to initiate insulin pump therapy. Educates and supports patients on insulin pumps.
- Inquires if patients would like referral to Registered Dietitian for Medical Nutrition Therapy. Requests orders as needed from treating physicians and assists in coordination of services.
- Assists the primary care physician or specialist in tailoring diabetes management programs for their patients.
- Provides age appropriate education considering each individual’s intellectual level, cultural and religious practices, physical and psychological barriers, motivation, and readiness to learn.
- Documents assessment, treatment plan and follow-up of patients’ progress in the medical record.
- Communicates summary of treatment plan and self-management training to the referring clinician.
- Enters required information on patients into the Network DCP Diabetes Registry.
- Provides educational offerings to the general public by participating in hospital-sponsored programs.
- Provides consultative support and training to inpatients and hospital staff as requested.
- Demonstrates knowledge of commonly used medications: action, dose and side effects
- Observes 5 R’s for administering meds: right patient; right drug; right dose; right method; right time
- Demonstrates proper procedures in all methods of medication administration
- Monitors patients response and intervenes appropriately
- Demonstrates ability to use critical thinking skills in all aspects of practice.
- Collates and integrates multiple sources of data
- Recognizes the limits of clinical judgment and seeks interdisciplinary collaboration and consultation
- Maintains a global grasp of situations, and utilizes nursing skills acquired through a process of integrating formal and experiential knowledge
- Functions appropriately during medical emergencies.
- Maintains current knowledge/certification/licensure.
- Practices within legal boundaries of nurse practice act and according to Carney Hospital policies and procedures
- Attends continuing education programs in order to maintain licensure
- Attends Carney Hospital sponsored skills programs as required by department.
- Functions as a role model for current and new staff.
- Performs competently in fulfilling job responsibilities as required by the Division.
- Maintains all unit based competencies
- Demonstrates knowledge of procedures/theories of capillary blood glucose testing
- Demonstrates ability to use computer system.
- Directs other licensed and non-licensed personnel in the provision of care to patients as assigned.
- Demonstrates willingness to assume charge nurse role as required
- Delegates responsibility based on patient care needs, skills and competence of the caregiver.
- Assumes all other duties and responsibilities as necessary.
- Demonstrates dependability/flexibility in meeting scheduling needs of the unit and Hospital
- Maintains professional composure and confidence during stressful situations
- Maintains open communication using appropriate chain of command regarding issues
- Seeks opportunities to participate in decision making regarding standards, policies, practice and/or education
- Demonstrates knowledge and principles of Performance Improvement works as a team member to achieve Performance Improvement
- Participates in a minimum of 50% of staff meetings.
- Demonstrates respect and regard for the dignity of all patients, families, visitors, and fellow employees to ensure a professional, responsible, and courteous environment.
- Commits to recognize and respect cultural diversity for all customers (internal and external).
- Communicates effectively with internal and external customers with respect of differences in cultures, values, beliefs and ages, utilizing interpreters when needed.
Compassion: Demonstrates a genuine concern for others (including patients and co-workers), and a willingness to continually seek to alleviate suffering, problems or other obstacles which impede the patient’s progress.
Advocacy: Acts as an advocate in addressing the needs of patients, employees, visitors, volunteers, the poor and the community.
Respect: Demonstrates a high regard for the worth of each individual person by showing respect to patients, families, visitors and co-workers. Evidences respect for and sensitivity to the cultural, ethnic and racial diversity of others.
Excellence: Strives for excellence in work performed and particularly in the personal manner in which work is accomplished.
CORE Work Behavior
Cooperation & Teamwork: Exhibits a positive work ethic, thus enabling the rendering of care in the most professional manner.
Accepts reassignments at the request of the supervisor, and performs additional duties
Cooperates with other staff in completing assignments as deemed appropriate by the supervisor.
Participates by offering practical suggestions in a constructive manner on how to improve service within the department or hospital.
Confidentiality: Maintains all aspects of confidentiality as it relates to hospital business, patient affairs, personnel and other matters.
Maintains the confidentiality of patient, personnel, department and hospital information without exception.
Dealings with others are straight forward and honest and demonstrates integrity in all instances.
Customer Service: Demonstrates on a daily basis a commitment to the principles of customer service.
Performs work responsibilities in a manner that is consistently patient (customer) oriented.
Strives to provide patient (customer) with compassionate service regardless of circumstances.
Adheres to the values of courtesy, sensitivity, responsiveness, and professionalism in all interactions.
Displays sensitivity to the cultural customs or practices of others.
Is open-minded and respectful of cultural beliefs, values and practices.
Communicates effectively and respectfully, either through an interpreter or attentive listening.
ADHERENCE TO HOSPITAL POLICIES
Acts in a manner consistent with the Absence From Work Policy (951-15).
Adheres to Absence From Work Policy (#951-15).
Arrives at workstation, at scheduled time, prepared to work.
Adheres to all safety regulations and policies.
Employee completes all mandated orientation regarding Carney Hospital Safety, JCAHO, Hazardous Communications, OSHA and Blood Born Pathogen Regulations. Attends all mandated ongoing training/inservice programs as required by the hospital, with 100% compliance.
The individual shows 100% compliance with all safety, life safety, and equipment management programs set forth by this institution in order to maintain a functionally safe environment for all patients, personnel, and visitors as required by JCAHO or any regulatory agencies.
Adheres to hospital and departmental dress codes, according to policy.
Adheres to hospital and departmental dress codes, according to policy, with no more than one formal verbal warning per year.
Education and Requirements:
- Graduate of an accredited School of Nursing
- Demonstrated proficiency in acute care nursing, knowledge and skills
- Current registration in the Commonwealth of Massachusetts
*Per Diem Commitment Required*-
All Per Diem staff must be available to work the equivalent of:
- Twelve (12) weekend shifts per year, which may be in the form of on-call upon the needs of the department, and;
- Two (2) holiday shifts per year, one summer (Memorial Day, Independence Day, or Labor Day), and one winter (Thanksgiving, Christmas, or New year’s), and;
- Two (2) shifts per month
Steward Health Care is an Equal Employment Opportunity (EEO) employer. Steward Health Care does not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic
Important COVID message
Please note, Carney Hospital is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment - with confidence and without fear. Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience: Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible. Any COVID-19 related care takes place in designated areas away from other patients and their families. Emergency Departments are reorganized to be a safe place to treat all emergency patients. A stringent cleaning policy has been implemented throughout the hospital. A strictly controlled visitor and masking policy is required for patient safety. You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.