Overview Registered Nurse, Trauma Acute Care 3x12 hour Night shifts with rotation to weekend This is a 36-bed post-surgical unit that specializes traumatic injury and acute care surgical patients. You will see patients in varying stages of pre and post-surgical care as well as medical co-morbidities. The majority of our focus is our trauma population, so we have a great emphasis on teamwork, open communication and the ability to work in a fast pace environment. Our unit is a great place to work because we pride ourselves on teamwork and a nurturing, friendly environment. We have implemented unit initiatives to improve safety, reliability and team-based patient care Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse in New Hampshire required. Basic Life Support (BLS) Certificate required upon hire.
Overview Full-time 3x12 D/N rotation Short Stay Unit The Licensed Practical Nurse – Inpatient/Procedural is responsible for providing safe, high quality care to general care patients as a team member in an assignment supervised by a Registered Nurse. Demonstrates commitment to patient/family engagement and effective communication. Practices consistently with applicable state nursing practice regulations, applicable D-H policies and procedures. The LPN-IP/Prcd may administer intravenous medications upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse. Responsibilities Provides and documents nursing care assessments, nursing interventions and patient/family education to stable patients under the supervision of a Registered Nurse in accordance with the patient’s plan of care. Alerts Registered Nurse to any observed change in patient presentation or unexpected assessment findings. Reviews assigned patient plan of care and pertinent active orders in the patient medical record prior to providing care. Assists assigned patients with activities of daily living, nutrition and hydration according to orders and goals of care. Performs and documents focused nursing assessments of assigned patients, including but not limited to vital signs, assessment of pain, skin and wound assessment, functional status assessment, assessment of drains and ostomies, assessment of fluid balance, assessment of nutritional status. Administers oral, topical and inhaled medications. May administer intravenous medications to upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse. Applies dressings and assistive devices as indicated by assessment or as ordered by the interdisciplinary team, if applicable. Reports relevant assessment findings and suggestions to enhance patient care directly to members of the interdisciplinary team in addition to the supervising Registered Nurse. Complies with policies, procedures, and area-specific expectations related to maintaining a safe environment of care. Initiates reporting or action when needed to address safety concerns. Complies with policies, procedures and area-specific expectations related to medication safety; patient identification; specimen collection and specimen labeling activities; documentation of patient information and patient care activities; as well as dependability, attendance and scheduling. Participates in staff meetings, required learning, attestation, competency, and training activities according to area-specific and organizational expectations. Independently monitors email and other communications as necessary to meet these expectations. Performs other duties as required or assigned. Qualifications Graduate of an accredited school of practical nursing. Required Licensure/Certifications Licensed Practical Nurse (LPN) in the State of NH required. Basic Life Support (BLS) for Healthcare Provider certification required.
Overview Our Behavioral Health Emergency Department unit consists of a 6 beds supporting high risk mental health patients during a critical psychiatric event. Our care team’s priority is to provide therapeutic nursing care in a safe and controlled environment to stabilize their illness while developing a healthy care plan. As the primary nurse, you will work with our crisis team, the psychiatric and emergency physician/nursing team, care managers and security staff. An effective candidate will have a passion for critical care psychiatric nursing, empathy, and demonstrate a compassionate approach, high level of emotional intelligence and be diligent in their work environment to provide one on one support for patient needs. This is a FT (3x12hr shifts) rotating position. The 12hr shift rotation is between 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, and 7p to 7a Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire AVADE Workplace Violence Prevention Training within one year of hire date.
Overview This is a unique opportunity to serve as the dedicated Nurse Navigator for the Diagnostic Mammography team, guiding patients through one of the most important moments in their healthcare journey. You’ll partner with patients after an abnormal finding, providing education, support, and compassionate care as they move through diagnostic testing and next steps. In this highly relationship-centered role, you’ll meet with patients before procedures, answer questions, coordinate care, facilitate the consent process, and work alongside physicians and technicians to ensure each patient feels informed and supported. While the position is primarily focused on patient navigation and education, there will also be opportunities to start IVs for contrast-enhanced imaging. Beyond the role itself, you’ll be joining a close-knit, collaborative team that genuinely enjoys working together and is committed to providing exceptional patient care. The schedule is primarily M-F, 7:30a-5p, to ensure patients receive the support they deserve. If you’re looking for a position where you can build meaningful relationships, make a lasting difference during a vulnerable time in patients’ lives, and be part of a supportive, mission-driven team, this is an exceptional opportunity. Goals: Provide clinical as well as emotional support to the diagnostic and screening breast patient; to be readily available for concerns/questions throughout the imaging diagnostic process; to work closely with the radiologists in accumulating results and conveying results to the patient—in person and/or on the telephone. Consult with patients needing immediate diagnostic work-up Provide support for required MQSA and ACR Accreditation audits under the guidelines of the Lead Interpreting Physician and in support of breast imaging excellence. Develop a close working relationship with the DH-Breast Imaging Center Staff-Radiologists, Technologists, Coordinators/Technologist Aides, Schedulers Form collaborative working relationship with the Comprehensive Breast Program staff-referring providers/ breast specialists/breast surgeons and their support staff. Share responsibility for the integrated approach to breast cancer patient care which coordinates care from the departments of radiology, surgery, oncology, pathology, and radiation oncology Establish and actively engage in collaborative involvement and leadership in DH local and regional community (DH north and DH south) through events sponsored by the Comprehensive Breast Program. Radiology Breast Imaging Center and/or Norris Cotton Cancer Center (NCCC) including but not limited to Community Health Fairs/planned Marketing events and patient Education forums and collaboration in the development of written education materials as coordinated through NCCC and DH Public Affairs and Marketing and the Department of Radiology Image Right Image Safe initiative (IRIS) Responsibilities At the direction of the Director, Breast Imaging Center Work with the radiologists to determine recommendations to patients following biopsies and contact patients directly to share or discuss biopsy results. Includes check on patient’s breast condition. Assist patients with the scheduling of appointments for follow-up visits for breast imaging (short interval follow-up) and or follow-up with surgeon. Make phone calls to patients instructing them of the need for additional imaging procedures that must be performed to clarify interpretation. Exercise and utilize the utmost sensitivity when responding or interacting with the patient; maintain focus at all times on clinical/emotional needs while demonstrating excellent communication and organizational ability. Assist with biopsy procedures as directed by the Breast Imaging Center Director. Work with radiologists, technologists, and tech aides to prepare patient for biopsy, provide care during biopsy, and provide post-biopsy care. Perform assessment on patient presenting with breast problem; discuss with radiologist and work with technologists in getting necessary procedures performed. Ensure that all follow up data is entered for mammography audits and EQUIP program as well as needed or desired for quality assurance and quality control. Includes but not limited to audits required by MQSA, ACR, or other local, state, or national regulatory bodies. Orient, familiarize and utilize all aspects related to the Mammography Quality Standards Act (MQSA) requirements ; American College of Radiology(ACR) Breast Imaging Reporting and Data System (BI-RADS®); ACR accreditation for a Breast Imaging Center of Excellence (now ACR Designated Comprehensive Breast Imaging Program); Radiology Information System/Mammography module reporting functions/requirements; Picture Archival Communication System (PACS);Electronic Medical Record ( e-DH) Assist in the preparation of cases for weekly Breast Conferences. Participate in the collection and evaluation of data that may contribute to improvements in the quality of care provided in the Department of Radiology. Engage in Quality Improvement Projects in the Breast Imaging Center. Actively participate in outcomes research. Develop, coordinate, educate and ensure safe nursing procedures and processes pertaining to the Breast Care Center services. Communicate and collaborate with other providers and staff involved in the care of patients undergoing diagnostic breast procedures/biopsies and follow-up in order to optimize patient care in all circumstances. Actively supervises nursing activities serves as a resource to other breast specialties in the care and management of the breast patient. Act as a liaison/resource between healthcare providers, the patients and family and financial resource services. Collaborate with staff and colleagues within the Department of Radiology and with other Departments and Sections of the clinical setting to ensure optimal care of all patients. Ensure that the program nursing practices meet professional and regulatory standards and to that end participate in Nursing Services meetings and committees as designated. Provide counseling and education for patients and families as it pertains to their health status or health care. Ensure immediate response to physician and patient telephone calls. Maintain competency by participation in appropriate continuing education activities. Provide flexibility in work schedule to meet center and patient care needs. Provide assistance and support with other duties /other areas as needed. Qualifications RN currently licensed in NH with a minimum of 2 years clinically experience. BSN preferred Experience with Breast Imaging and Breast Cancer patients helpful. Required Licensure/Certifications RN currently licensed in NH
Overview As part of the New London Hospital Medical Group, ensures safe and effective patient transitions across the patientcare continuum. As a patient educator, advocate, and patient empowerment facilitator, this position providesinformation to the patient and/or caregiver resulting in effective care transitions, improved self-management skills,and enhanced communications between the patient and the healthcare team. Responsibilities Transitional Care Responsibilities Attends discharge planning meetings. Reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient. Provides information to patients and caregivers about NLH post acute discharge plans. Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout. Advocates on behalf of the patient and the healthcare provider for needed patient resources and services. Provides written communication to the receiving clinician as the patient transitions from one level of care to the next. Contacts the patient’s PCP with each transition of care, providing a summary of the patient’s clinical status. Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status. Maintains excellent documentation of patient encounter records. Enters specified data elements into electronic dashboard with each patient transition or discharge. Develops and maintains plan of care for NLH-based patients. Qualifications Graduate of an accredited School of Nursing 3 to 5 years related experience Case Management certification from accredited organization strongly preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility
