The professional registered nurse 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 at Tufts Medical Center provides clinical excellence, which fosters and supports an environment central to our patient and family-centered model of care.
The Clinical Research Nurse is responsible for the implementation, management, and administration of clinical trial protocols in the Tufts Clinical and Translational Science Institute (CTSI) (https://www.tuftsctsi.org) Clinical and Translational Research Center (CTRC). The CTRC interfaces with federal and corporate sponsors, inpatient and outpatient facilities, departments and personnel to ensure a collaborative environment and high quality outcomes. The Clinical Research Nurse implements clinical protocol management via study requirements within the CTRC, in collaboration with the Principal Investigator; safeguards the rights and well being of the study participant; and provides general operational support and administrative duties related to clinical activities for the research study. The Clinical Research Nurse also coordinates and delivers patient care, oversees and trains support personnel.
Screening of all new Research Subjects for actively enrolling clinical trials within different departments.
As needed on call requirement, per diem-variable status.
Screening of all new patients for actively enrolling clinical trials.
Attendance and active participation in startup meetings.
Presentation of new clinical trials at CTRC.
Attendance and active participation in each assigned New Study.
Assist Principal Investigators in obtaining consent from clinical trial patients.
Registration and randomization (if applicable) of all clinical trial patients, based on study sponsor requirements.
Scheduling study patient visits for all clinical trial patients.
Perform nursing assessments of all clinical trial patients.
Nursing note preparation and telephone triage.
Documentation and processing of all internal SAEs for all clinical trial patients.
Daily completion and submission of Study Encounter Forms for all clinical trial patients.
Other duties delegated by the CTRC Manager and Charge Nurse.
Nursing Process: Uses theoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement, and evaluate age appropriate care.
Collaborates with patient, family/significant others, and other disciplines to identify expected outcomes based on synthesis of data and diagnosis.
Identifies cultural needs (i.e., language, etc.) to develop a care plan that enhances the healthcare experience.
Develops individualized outcomes-based care plans incorporating the patient and family readiness and barriers to learning.
Orchestrates and validates a plan of care for each clinical trial patient.
Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care for the clinical trial.
The plan of care utilizes principles and concepts of project, organizational, or systems management.
Implements the plan in a safe and timely manner.
Documents the implementation and any modifications, including changes or omissions, of the identified plan.
Collaborates with nursing colleagues and others to implement the plan.
Provides and coordinates health and clinical trial teaching which is required by individuals, families, and groups to maintain an optimal level of health.
Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response based on patient clinical trial involvement.
Evaluates the effectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge.
The nurse uses the evaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved.
Clinical Practice: The professional registered nurse demonstrates and applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry. The plan of care is evidence-based and utilizes research when appropriate.
Incorporates new knowledge and strategies to initiate change in nursing care practices.
Demonstrates the knowledge and skills necessary to provide age appropriate culturally and ethnically sensitive care to all patients and families.
Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards.
Maintains clinical competency with respect to technology and utilizes equipment in a safe manner.
Performs as an advocate and as an educator for patients and families.
Quality: The professional registered nurse provides high quality in an efficient and a safe manner. The professional nurse utilizes data trends to support and improve clinical practice.
Participates in hospital and/or unit based patient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local, state and federal patient safety initiatives).
Participates in performance improvement activities through data collection, analysis, and evaluation.
Champion for quality, safety, regulatory, and patient-family satisfaction.
Collaboration: Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care delivery.
Maintains a collaborative work relationship with peers and colleagues in order to create a positive and professional work environment.
Supports collaboration with nursing colleagues and other disciplines to implement plan of care by participation in nursing, physician, and case management reporting rounds.
Delegates responsibilities to others with an understanding of their roles, knowledge and capabilities.
Service Excellence: The professional nurse influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development.
Treats both internal and external customers with courtesy, respect, and caring behavior.
Promotes a safe, clean, therapeutic environment for patients, families, and staff.
Acknowledges cultural differences that exist among staff and patients.
Identifies customer service needs on the unit.
Presents self in a professional and calm manner.
Provides responsible and efficient use of resources.
Professional Development: The professional registered nurse 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.
The professional registered nurse maintains current licensure and adheres to the Massachusetts Nurse Practice Act.
Assumes responsibility for participating in educational opportunities to support and meet clinical competency requirements.
Seeks out educational and professional resources.
Develops professionally as a self-directed, motivated learner.
Seeks out advanced certification opportunities and ongoing education opportunities.
Precepts and mentors newly hired staff and nursing students.
Investigates available technology and resources to apply evidence-based practice and research into daily professional activities.
Provides leadership as a delegator, collaborator, facilitator, and communicator for clinical trial activities, as assigned.
Promotes unit and organizational growth through a shared governance model.
Communication: The professional registered nurse seeks out and shares job-related information that supports a culture of respect and responsibility.
Assumes responsibility and ownership for professional conduct.
Accepts responsibility for positive and productive communication skills.
Attends and actively participates in staff meetings and accepts responsibility for reading staff meeting minutes when not able to attend.
Accepts responsibility for reading emails to keep current with unit and hospital-based information.
Bachelor’s degree in Nursing required.
An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above requirements for licenses, etc.
Minimum of 3 years as an RN, preferred as a Research Nurse. 2 years of RN-level nursing experience in direct patient care preferred. Current or recent clinical research experience.
Current Massachusetts Registered Nurse License.
Possesses and applies the skills and knowledge necessary to provide care to patients throughout their participation in clinical trials, with consideration of aging processes, human development stages, and cultural patterns in each step of the care process.
Ability to provide care for a designated group of clinical trial patients according to unit guidelines and hospital policies, procedures, and protocols.
Strong preference for excellent IV skills.
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
Provide age-appropriate communication