Nursing Jobs in Dunstable, MA

IntelyCare Hudson, NH

$54 - $65 / hour

Make as much as $65 an hour as a Registered Nurse (RN) in Hudson, NH, and the surrounding area, while working a flexible schedule that allows you to work as much (or as little) as you like at any of our partnering facilities. With IntelyCare, you get to select the shifts you prefer and skip the rest. Even better — you get to have this freedom with the security and support that only a W2 job can provide. Signing up for the shifts you prefer means that you can make room in your schedule for your personal life, then schedule your job around it. Arrange work around hockey games at Cyclones Arena, or playdates for the kids at the Benson Park playground. When you're in control, you can easily take time off when it suits you. If you're ready for a better work-life balance, take a look at the benefits we offer and consider joining our supportive team today. Benefits Registered Nurse (RN) hourly pay range: $54-$65 (25% higher than average) Choice of shift types (day/night, weekday/weekends, per diem, etc.) and facilities Get paid weekly or daily Eligibility for health, vision, and dental benefits (for qualifying family members) Hazard pay and bonus pay for travel, overtime, and holidays Malpractice insurance, taxes, and workers' comp paid for by employer Manage your shifts and other job functions through our user-friendly mobile app Free access to training and continuing education courses through the app 401k retirement benefits Complementary IntelyCare scrubs, water bottles, and other merch At IntelyCare, we've built our company around our nursing professionals, not the other way around. That makes all the difference for our nursing professionals (called "IntelyPros"). Here's what some of them have to say about their experience with us: "IntelyCare allows me to have the work-life balance I needed. Working for this company is a privilege – my life has been better ever since!" "I really enjoy working with IntelyCare! The app is very easy to use, the staff is always available and helpful, and the pay is great! I have completed shifts through IntelyCare in three different states and I can’t complain. This company is very organized!" "IntelyCare gives you the opportunity to work on your own terms. It offers you the flexibility to work when you want and gives you all the tools necessary to achieve financial freedom. They display the amount of money you’ll make prior to accepting a shift and allows you to work overtime, which is great." "I love IntelyCare because of the flexibility. Being a single mother of a disabled child while pregnant with another child is hard enough. Not having a set schedule allows me to work around mine and my child’s doctor appointments while still earning a living." Job Responsibilities Providing quality care as an RN in post-acute care facilities Creating care plans by collaborating with medical staff and residents Delivering the best treatments and administration of medications to each resident Reviewing care options and outcomes with physicians and other staff Educating residents and family members about best options for care Setting up, monitoring medical equipment as needed Making sure staff is compliant with nursing standards and facility policies Drawing fluids, such as blood and urine, for lab analysis Training and supervising nurses and support staff Ensuring the accurate documentation of medical interventions and histories Helping staff with incident investigations Qualifications and Skills Current New Hampshire state license to practice as a Registered Nurse (RN) Completion of an approved nursing program At least 4 months' experience in either post-acute care or in-patient hospital settings Strong communication and organizational skills Get the Work-Life Balance You Deserve — and More If you're looking for Registered Nurse (RN) jobs in your area, our team is ready to hear from you. Build your career with a job that doesn't force you to choose between work and your personal life — apply to the team ranked #1 in quality today. COVID-19 Considerations: Clinicians must be vaccinated against Covid-19. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

RN

Full-time

5 days ago

Residential Program Nurse (RN) - Brain Injury Services

Advocates Lexington, MA

Overview Starting Rate: $46.50/hour The Residential Programs Nurse provides direct nursing oversight and management of medical and care components in accordance with Advocates and funder requirements. The Residential Program Nurse provides training, supervision, and oversight for both residents and staff in all aspects of medical and medication management. They will collaborate with the Nursing Director, Residential Program Directors and nursing team in the implementation and follow-through of the individualized service plans and documentation in accordance with the mission and regulations of the program. Are you ready to make a difference ? Minimum Education Required Bachelor's Degree Responsibilities Responsibilities include, but are not limited to: Take a lead role in assessing potential program participants at his or her residential site; identify the program participant’s needs and functional abilities. Coordinate assessment for new durable medical equipment needs. Provide oversite and ensure on- going equipment checks and regularly scheduled maintenance. Participate initially and at least annually in a team assessment with the applicant, family member / guardian, and Residential Program Director as to whether the applicant can manage their personal care services. Complete the annual assessments related to the program participant’s support needs. Ensure Physician’s Authorization for each GAFC resident twice annually per Medicaid site policies (if applicable). Prior to an applicant’s admission to the program, complete a Medication Assessment and develop an Emergency sheet, Medication List, nursing care plan, guidelines, protocols, individualized ADL sheet and coordinate with the Residential Program Director to complete a risk plan. Develop an individualized Emergency Contact sheet, which includes family, guardian, physicians’ (PCP and specialists), clinic/hospital contact information, Social Security Number, MassHealth ID number, date of birth, gender, guardianship, health care proxy, marital status and code status, and program start date for each new resident prior to his/her start at the program. Assist residents with all aspects of medical management including physicals, referrals, prescriptions, appointments, and treatments. Coordinate with residents, family members, physicians, other medical providers, and site team regarding all medical care and changes in status, treatment, or medication. Implement, oversee, and supervise medication management and best practices in accordance with agency policy relating to MAP in a manner consistent with funder regulations. Provide supervision and oversight in Supported Living Program (SLP) programs and nursing team in coordination with the Nursing Director. Provide and document person-centered training to direct care staff as part of the nursing team. Develop and implement trainings as part of the nursing team as needed. Promote and maintain a safe environment: Complete all documentation in a timely manner to ensure the availability of accurate information in accordance with established standards. Monitor and evaluate resident care and generate ideas for quality improvement. Remain available on call 24 hours per day, 7 days per week. Schedule and notify off days with Nursing Director to ensure on call coverage. Actively participate in staff meetings, trainings, service planning meetings, care coordination meetings, resident, and family meetings. Attend trainings as assigned; maintains necessary certifications (CPR, MA Registration in Nursing). Ensure that individuals we support are treated with dignity and respect in accordance with the Brain Injury Services Division’s Human Rights Policy. Perform all duties in accordance with the agency’s policies and procedures. Qualifications Current license to practice in Massachusetts as a Registered Nurse required. Current certification in CPR / Basic Cardiac Life Support required. Graduate of an Accredited School of Nursing with at least 3 years’ clinical experience required. CRRN preferred. Experience in management, supervision, and bachelor’s degree or equivalent preferred. Experience with individuals with brain injuries in a community setting preferred. Must be able to perform each essential function satisfactorily. Strongly prefer that a candidate will have a demonstrated understanding of and competence in serving culturally diverse populations. Ability to correlate clinical data with resident's medical and nursing care plan. Ability to communicate effectively both verbally and in writing and ability to use good judgment. Ability to set priorities and handle multiple simultaneous tasks, organizing, prioritizing, planning, sequencing and completing tasks independently. Basic computer knowledge. Ability to understand, speak, read and write fluent English. Must hold a valid drivers’ license. Must have access to an operational and insured vehicle and be willing to use it to transport individuals. Ability to operate agency vehicles Advocates is committed to cultivating a diverse and welcoming community where everyone feels respected and valued. Advocates fosters a culture of inclusion that celebrates and promotes diversity along multiple dimensions, including race, ethnicity, sex, gender identity, gender expression, sexual orientation, partnered status, age, national origin, socioeconomic status, religion, ability, culture, and experience. Why Should I Consider a Career in Human Services? Our Team members are dedicated to engaging and empowering individuals by forming lasting relationships, collaboratively achieving personal goals, offering creative solutions to everyday and complex situations, and actively listening . We exercise independent judgement and contribute to the overall success and benefit of the Team. Is Human Services a Fit for Me? Successful Team members are open-minded, eager and compassionate, and will exercise solid, independent judgement while fostering trustworthy relationships with the individuals that we serve. We put the individual first.

REGISTERED NURSE-ICU- BAYLOR WEEKEND WORK 24 PAID FOR 36

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE- Progressive Care- Day Shift

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Night RN for Progressive Care Unit

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Registered Nurse - Critical Care

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

RN

Full-time

5 days ago

REGISTERED NURSE-PHYS PRAC

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Prepares patient for examination/visit. Obtains and thoroughly documents patient vital signs and reason for visit. Prepares patient chart for provider. Reviews current medications, allergies, treatments, height, weight, problem list and additional criteria as requested by provider. Reviews and documents patient history (immunization, screenings, etc.). Instructs patient in collection of samples and preparation for tests. Assists providers with patient examinations and procedures. Assists with the preparation of equipment/instruments Assists with patient education. Screens and documents patient calls determining the urgency of the problem; consults with provider regarding treatment and advises patient accordingly. Performs patient triage. Documents charts including returned phone calls, missed appointments or other clinical issues, with initials, date and time. Takes messages and assists providers with return phone calls. Calls in prescriptions per provider orders and protocols. Retrieves records and files/imports patient test results. Notifies patient of test results per provider direction thoroughly documenting patient outreach in a timely manner. Perform all required QCs (test and equipment) Preloads pertinent patient history in EMR. Performs tests as instructed (i.e., EKGs, lab, vision, hearing, PFT, non-stress). Administers allergy injections, medications, immunizations and other measured injectables per provider orders. Performs dressing applications and changes. Removes sutures. Performs venipuncture per provider orders. Prepares, cleans and stocks exam rooms. Schedules patient appointments and assists in scheduling patient tests. Prepares or performs pre-certifications and prior authorizations. Orders and maintains medical supplies. Orders and maintains vaccine inventory. Assists front office as needed. Completes general filing/scanning/importing Coordinates and completes paperwork/forms as directed related to referral, health/school/sports, immunizations, excused from/return to work/school, childcare and medication administration. Charts completion as required. Performs duties per scheduled hours arriving/leaving on time and completing assigned responsibilities. Demonstrates flexibility in assisting with support/coverage within the practice network. Other duties as consistent with this role. *For Specialty Practices: Performs appointment scheduling, procedure and/or surgery scheduling related activities based on department including ambulatory clinics in both IMG and HOD. Job Requirements: Job Knowledge and Skills Maintain competency in those activities which contribute to ongoing professional development and those required by department/organization policy. Demonstrates the ability to organize and prioritize work to expedite patient care. Education and Experience RN State of New Hampshire license. BLS/CPR, AED Certification Required (must be completed within 3 months of hire date) 3+ years nursing experience preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $31.84 - $43.85 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

RN

Full-time

5 days ago

RN

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital and carries out orders placed by provider responsible for the patient’s medical care. Provides comprehensive clinical documentation including care plans each shift Seeks feedback regarding practice and takes actions as appropriate. Communicates patient information appropriate for continuity and safe care through Bedside shift report, Multidisciplinary rounds, and Hourly Rounding (AIDET) Compliant in achieving unit specific competencies and requirements Completes all net learning modules within timeframe identified. Helps to promote a culture of well-being (ex. decreasing alarm fatigue). Promotes a positive culture/atmosphere within the department each shift. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Identifies and assists in correction of patient care safety issues. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Participates in Daily unit-based safety Huddles Knowledge and understanding of the organization's over-all strategic plan Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Actively participates in quality initiatives and performance improvement to improve patient outcomes. Collaborates with nurses in other department/units to draw upon expertise in other clinical areas/specialties Seeks opportunities to assist all team members Develops and implements performance goals based on self-assessment and performance feedback Assures patient education materials are culturally competent Serves as preceptor for new nurses Participates in DNV survey readiness. Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel. Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer feedback process of annual reviews. Participates in the employee engagement survey Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages use of ETO (Earned Time Off) per policy Completes dysrhythmia course prior to completion of orientation. Required for all telemetry-based departments. Maintains current nursing licensure and certifications, required for the department Other duties as consistent with this role. *For Occupational Health: Enter orders for labs, x rays, EKGs or other testing as per protocol. Access providers in basket to follow up on labs and tests ordered per protocol. Document point of care tests after completion of testing. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Basic Life Support certification required Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

REGISTERED NURSE- CRITICAL CARE

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!