RN ER Other
Dartmouth Hitchcock Medical Center

Nurse FlexChoice Regional Hospital ED Float (RN) - System Staffing Float, PRN

Dartmouth Hitchcock Medical Center Lebanon, NH, US

Overview

Nurse Regional Float (PRN) - System Staffing Office, (Emergency Department)

48 hours in a 4 Week period (includes one weekend shift)

 

This position is part of the System Staffing Office. Our Hospital Float nurses are experienced inpatient nurses with Critical Care experience and who have agreed to go to at least two hospital facilities within the Dartmouth-Health System

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.
  • System Wide Responsibilities
  • Assigned to a variety of affiliate hospitals and units within scope of demonstrated competence. Care area types include: Critical Care, General Care (Med-Surg), Progressive Care (Step-Down), Emergency Department, and Ambulatory Care.
  • Identifies patient health-related problems and risk states and develops nursing care plans accordingly. Assists other nurses in assessment, diagnosis, care planning, and evaluation of outcomes.
  • Provides individualized nursing care, recognizes and takes appropriate action for significant changes in patient conditions.
  • Evaluates effectiveness of nursing care and makes necessary modifications to assist with optimal patient outcomes.
  • Establishes relevant, evidence-based and safe nursing interventions and priorities when providing nursing care, including administering of medications.
  • Collaborates effectively with patient, patients significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, student nurses, medical students, house officers, and other health care providers.
  • Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.
  • Observes patient to recognize nursing needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.
  • Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.
  • Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.

    • Qualifications

    • Graduate from an accredited Nursing Program required.
    • Bachelor of Science Degree in Nursing (BSN) preferred.
    • Minimum 2 years Emergency Department experience, Level 1 trauma preferred

    Required Licensure/Certifications

    • Licensed Registered Nurse with New Hampshire and Vermont.
    • ACLS required upon hire.
    • PALS within 6 months
    • TNCC within 1 year

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