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Nursing Director
Stacy Hutton Johnson, RN, MS/MBA

PROFILE
Bigelow 11, part of the teaching service at MGH, is a twenty-five bed acute medical unit. The patients on this unit represent a diverse adult population with a wide range of complex medical problems including cardiovascular, pulmonary, endocrine, neurological, psychosocial and infectious disease. The nursing skills developed on this unit are endless…physical and psychosocial assessment, telemetry, complex dressing changes, peritoneal dialysis, ventilators, etc. Collaboration with other health care professionals across disciplines is fundamental to nursing practice on Bigelow 11.

UNIT FOCUS
Bigelow 11 opened in 1998 as the first and only All-RN general care

Operations Managers
Clinical Nurse Specialist



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unit at Massachusetts General Hospital. Each caregiver is a licensed nursing professional with a remarkable commitment to patients and each other. Teamwork defines who we are and how we provide care each day. In order to provide the highest quality care to our patients, we must rely on each other. This reliance is not limited to day to day nursing practice but also extends to the overall professional development of each team member.

PATIENT CARE DELIVERY MODEL

The patient care delivery model is a patient-focused model, supported by primary nursing. Patient-focused care is high quality, comprehensive, accessible, supportive and personalized care.

TEAM MEMBERS
The RN staff is supported by operations associates, unit service associates, pharmacy technicians nursing students and each other. To inquire about positions available on this unit, contact Jackie Lynch at jglynch@partners.org.

SCHEDULING PRACTICES
Staff schedules are driven by patient need. The scheduling process is staff driven and flexible to accommodate personal and educational needs. Once the schedule is posted, the staff manages changes. Self-scheduling is a routine practice on Bigelow 11.

STAFF ORIENTATION
All staff attends a one- week nursing orientation program. Unit orientation is preceptor based, individualized and determined by the Nursing Director, clinical nurse specialist and the new employee. The length of orientation is also individually determined. New nursing graduates participate in the New Graduate Mentorship Program.

EDUCATIONAL AND DEVELOPMENT OPPORTUNITIES
Staff education and development is supported by The Norman Knight Nursing Center for Clinical & Professional Development. Full and partial day programs are offered. Staff may also access outside educational opportunities. The teaching environment provides staff with a daily opportunity to discuss patient care related educational issues with members of the graduate medical education program and with other members of the care-delivery team.

Clinical Nurse Specialists provide educational support to staff on the nursing units. Staff has time allocated and the necessary support to offer educational programs to other staff members. Nursing Grand Rounds programs are offered on a regular basis. Staff RNs have the opportunity to participate as a nurse preceptor or a team leader. RNs may advance in their clinical practice and demonstrate proficiency through the Clinical Recognition Program.

Bigelow 11 has a culture of learning both formally and informally. From training on new equipment and diagnostic tests to reviewing a practice that becomes part of the daily routine, education is a major part of what keeps Bigelow 11 ticking. Unit based inservices are continually happening on Bigelow 11.

"Curbside consults," as we like to call them, are the informal conversations that take place all the time and everywhere on the unit. Whether in the medication room or at the bedside, we are always seeking the advice, reassurance or support from one another.