RN II - Ambulatory
Location: Lowell
Posted on: June 23, 2025
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Job Description:
Sign on Bonus Eligible! Hours: 40 hours weekly, Monday-Friday
8am-5pm with Saturday rotation 8am-12pm every other month.
Location: Merrimack Family Medicine, Tewksbury MA. Job Profile
Summary ? This role focuses on providing professional and
nonprofessional nursing care services in accordance with physician
orders . In addition, this role focuses on performing the following
Clinical Nurse duties: Assesses, plans, implements, and evaluates
the care needs of a designated group of patients or provides
nursing care and identified clinical support tasks within the scope
of practice for achievement of the patient’s plan of care as
directed . Provides professional nursing care to patients. Requires
a nursing license . A professional individual contributor role that
may direct the work of other lower level professionals or manage
processes and programs . The majority of time is spent overseeing
the design, implementation or delivery of processes, programs and
policies using specialized knowledge and skills typically acquired
through advanced education . An experienced level role that applies
practical knowledge of job area typically obtained through advanced
education and work experience . Works independently with general
supervision, problems faced are difficult but typically not
complex, and may influence others within the job area through
explanation of facts, policies and practices. Job Overview Th is
nursing position possesses and applies the skills and knowledge
necessary for the delivery and management of patient care from
admission through discharge. The professional registered nurse is
knowledgeable of current trends in healthcare including but not
limited to advances in technology, pharmacology, treatment care
modalities, quality and patient safety. The professional registered
nurse serves as a patient and family advocate while facilitating a
cooperative and collaborative environment among all health care
providers. The professional registered nurse is responsible for the
planning, delivery and management of patient/family centered care
utilizing the nursing process and adhering to the standards of
nursing practice embedded in research, evidence based practice
and/or best practices. The professional registered nurse provides
clinical excellence, which fosters and supports an environment
central to our patient and family centered model of care. The
professional staff nurse practices in accordance with the
Massachusetts Nurse Practice Act, American Nurses Association scope
and Standards of Practice, Quality Caring framework and
professional practice model at Lowell General Hospital. Job
Description Minimum Qualifications : 1. Associates degree in
Nursing 2. Registered Nurse (RN) license 3. Two (2) years of
clinical nursing experience in hospital setting Preferred
Qualifications : 1. Bachelors degree in Nursing . 2. Three (3)
years of clinical nursing experience in med/surg or ambulatory
setting 3. Cardiopulmonary Resuscitation (CPR) certification. 4.
Advanced Cardiovascular Life Support (ACLS) certification. 5.
Specialty nursing certifications based on nu r sing unit needs.
Duties and Responsibilities : The duties and responsibilities
listed below are intended to describe the general nature of work
and are not intended to be an all-inclusive list . Other duties and
responsibilities may be assigned. 1. Performs nursing activities
that create a compassionate, supportive, and therapeutic
environment for patients and staff, with the aim of promoting
comfort and healing and preventing unnecessary suffering. Includes,
but is not limited to, vigilance, engagement, and responsiveness of
caregivers, including family and healthcare personnel. 2. Shows
respect for patients/family dignity and privacy in all
patient/family interactions . Establishes and maintains mutual
trust within the nurse-patient/family relationship . 3.
Appropriately triages patients presenting to the clinic/physician
office(s) . Coordinates care of patients seen by assigned
physician; including assessment, preparing patients for
examinations, treatments, and administering medications. 4.
Effectively triages telephone calls, relaying medical advice in a
timely and efficient manner under the direction and approval of the
physician. Accurately documents all telephone conversations in the
patients chart and ensure all medical advice is cosigned by a
physician. 5. Assesses and identifies expected patient outcomes
based on diagnosis, data, and patient’s concerns. 6. Listens and
acknowledges patients/family knowledge and engages their
participation in care . Identifies cultural needs ( i.e. language,
etc ) to develop a care plan that enhances the health care
experience. Recognizes patient/family rights through support of
their informed decisions and advanced directives. 7. Develops and
implements individualized outcomes-based care plans incorporating
the patient and family’s readiness and barrier to learning.
Provides and coordinates health teaching which is required by
individuals, families and groups to maintain an optimal level of
health. 8. Utilizes evidence-based interventions and treatments
specific to the diagnosis or problem. 9. Documents per hospital and
regulatory requirements/policies, all aspects of care, including
but not limited to, treatments/procedures performed and patient
response. Documents the implementation and any modifications,
including changes or omissions, of the identified plan. 10.
Performs procedures (including IV therapy) and treatments
(including nutrition) using nursing knowledge and judgment,
according to established unit/practice area guidelines and
professional standards 11. Safely administers and assesses the
patient response to medication utilizing essential knowledge of
pharmacology and Hospital and Department Standards of Care 12.
Evaluates the effectiveness of the planned strategies in relation
to patient responses and the attainment of expected outcomes
including patient response and if desired outcomes have not been
achieved. 13. Develops, communicates, and coordinates a
comprehensive discharge plan utilizing appropriate resources and
referrals to community resources to ensure a seamless transition
for the patient and their family. 14. Develops a comprehensive
educational plan for the patient and family, utilizing appropriate
resources and documents according to the department’s documentation
standards. 15. Participates in hospital and/or unit based patient
safety, quality improvement, and process improvement activities to
support and improve patient outcomes . Activities may include data
collection, analysis and evaluation. 16. Provides leadership at the
bedside as a delegator, collaborator, facilitator, and communicator
17. Maintains a collaborative work relationship with peers and
colleagues in order to create a positive and professional work
environment 18. Supports collaboration with nursing colleagues and
other disciplines to implement plan of care by participation in
nursing, physician, and case management reporting rounds 19.
Delegates responsibilities to others with an understanding of their
roles, knowledge and capabilities 20. Identifies and treats both
internal and external customers with courtesy, respect and caring
behavior. Acknowledges cultural differences that exist among staff
and patients 21. Promotes a safe, clean, therapeutic environment
for patients, families and staff. 22. Presents self in a
professional and calm manner . Assumes responsibility and ownership
for professional conduct. 23. Participates in lifelong learning
activities that assist in developing and maintaining their
continuing competence, enhance their professional practice and
support achievement of their career goals. 24. Completes all
education to remain current with registrations, licenses,
certifications, and unit/hospital mandatory requirements as
appropriate to position or role. 25. Incorporates new knowledge and
strategies to initiate change in nursing care practices 26. May
assume charge nurse functions in collaboration with unit leadership
27. Precepts and mentors newly hired staff and nursing students 28.
Seeks out advanced certification opportunities and ongoing
education opportunities 29. Investigates available technology and
resources to apply evidence based practice and research into daily
professional activities 30. Promotes unit and organizational growth
through a shared governance model 31. Attends and actively
participates in staff meetings . Accepts responsibility for reading
staff meeting minutes when not able to attend. Physical
Requirements : 1. Prolonged, extensive, or considerable
standing/walking 2. Lifts, positions, pushes and/or transfer
patients and equipment 3. Considerable reaching, stooping, bending,
kneeling, crouching 4. Frequent exposure to hazardous chemicals,
sick patients, bodily substances, noise and possible exposure to
radiation, lasers, electric shock, etc. 5. Regularly exposed to the
risk of bloodborne diseases and other transmissible infections 6.
Contact with patients under wide variety of circumstances 7.
Subject to varying and unpredictable situations 8. Handle emergency
and crisis situations 9. Subjected to irregular hours 10. May have
contact with hazardous materials Skills & Abilities: 1. Ability to
effectively communicate with patients, families, physicians, and
healthcare team . 2. Knowledge and application of the nursing
process to implement a nu r sing plan of care. 3. Possesses and
applies the skills and knowledge necessary to provide care to
patients throughout the life span, with consideration of aging
processes, human development stages and cultural patterns in each
step of the care process. 3. Ability to provide care for a
designated group of patients according to unit guidelines and
hospital policies, procedures and protocols. 4. Has the skills and
knowledge to provide care to the age groups of the population
served including: Knowledge of growth and development ; Ability to
interpret age specific data and response to care ; and Provide age
appropriate communication 5. Clinical skills including
venipuncture, glucometer, and electrocardiogram. 6. Demonstrates a
complete knowledge of Patient Safety and Infection Control . Tufts
Medicine is a leading integrated health system bringing together
the best of academic and community healthcare to deliver
exceptional, connected and accessible care experiences to consumers
across Massachusetts. Comprised of Tufts Medical Center, Lowell
General Hospital, MelroseWakefield Hospital, Lawrence Memorial
Hospital of Medford, Care at Home - an expansive home care network,
and large integrated physician network. We are an equal opportunity
employer and value diversity and inclusion at Tufts Medicine. Tufts
Medicine does not discriminate on the basis of race, color,
religion, sex, sexual orientation, age, disability, genetic
information, veteran status, national origin, gender identity
and/or expression, marital status or any other characteristic
protected by federal, state or local law. We will ensure that
individuals with disabilities are provided 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. Please contact us to request
accommodation by emailing us at careers@tuftsmedicine.org .
Keywords: , Lowell , RN II - Ambulatory, Healthcare , Lowell, Massachusetts