Nursing Jobs in Epsom, NH

LICENSED PRACTICAL NURSE I-II

$31.11 - $51.02 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED PRACTICAL NURSE I-II Position #11955 $31.11 - $51.02 hourly Direct Care & Nursing Stipend up to $25.00/week Hiring Manager: Franciene Clement The New Hampshire Veterans Home has a full-time vacancy for a Licensed Practical Nurse I-II. Proposed Schedule Includes: Two 12-hour shifts (7:00pm - 7:00am) (additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s Life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LPN I Performs nursing care to residents within an assigned work unit under the supervision/direction of a Registered Nurse. Acts in accordance with the objectives set forth by the nursing department guidelines. LPN II Performs certified level nursing care to residents within an assigned work unit under the supervision/direction of a Registered Nurse. May work in a charge nurse capacity and acts in accordance with the objectives set forth by the nursing department guidelines. Your Experience Counts Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Minimum Qualifications: LPN I Education: Completion of a recognized school of practical nursing approved by the State Board of Nursing Education and Nurse Registration. Experience: No experience required other than that obtained through required training. License/Certification: Must possess a current license as a practical nurse or temporary permit issued by the New Hampshire Board of Nursing Education and Nurse Registration pending the results of the licensing examination. LPN II Education: Completion of a recognized school of practical nursing approved by the State Board of Nursing Education and Nurse Registration. Experience: Three year’s of experience as a Licensed Practical Nurse. License/Certification: Must possess a current license as a practical nurse and be certified by the National Federation of Licensed Practical Nurses (NFLPN), Inc. or an organization recognized by the NFLPN, Inc. licensing examination. SPECIAL REQUIREMENTS: Employees may be promoted to the Licensed Practical Nurse II level based on the following requirements: Completion of the experience and certification requirements of the LPN II level. Successful performance evaluation. Recommendation of the supervisor. Responsibilities: LPN I Documents provided nursing care in the residents’ records indicating problems, progress, and actions taken; describes application of prescribed treatments performed. Administers prescribed medications and makes notations, before and after, of effects of medications given to guard against polypharmacy issues and mismanaged medication regimes. Utilizes selective components of the nursing process to provide data for writing individual Plan-of-Care. Updates and revises care plans to reflect changes in resident status to ensure quality care. Supervises LNA’s and makes periodic rounds of the unit to ascertain quality of care given and checks for cleanliness and resident safety. Reports routine as well as unusual facts and situations to nurse manager or designee and receives report from off-going shift, transfers pertinent information to oncoming shift so that nursing care is provided in a consistent and continuing manner. Discusses problems and changes in residents to Physician and allied consulting health professionals, provides assistance during their in-house visits to assure quality medical care. Must provide nursing assistant support including but not limited to: direct ADL care, bathing, transfers, and lifting. Educates residents to their care plan and courses of action to be taken to reach goals agreed upon at the resident’s Plan-of-Care conference to comply with residents’ rights to know regulations. Briefs family members/guardians about the resident’s care, care plan and current progress and problems, alerts family/guardians of sudden changes noted with the resident to ensure continuity of information and family integration. Admits, transfers and discharges residents as directed by attending physician to provide for timely medical care or least restrictive housing options. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. LPN II Documents provided nursing care in the residents’ records indicating problems, progress, and actions taken; describes application of prescribed treatments performed Administers prescribed medications and makes notations, before and after, of effects of medications given to guard against polypharmacy issues and mismanaged medication regimes. Utilizes selective components of the nursing process to provide data for writing individual Plan-of-Care. Updates and revises care plans to reflect changes in resident status to ensure quality care. Supervises LPN I’s and LNA’s and makes periodic rounds of the unit to ascertain quality of care given and checks for cleanliness and resident safety. Reports routine as well as unusual facts and situations to nurse manager or designee and receives report from off-going shift, transfers pertinent information to oncoming shift so that nursing care is provided in a consistent and continuing manner. Discusses problems and changes in residents to Physician and allied consulting health professionals, provides assistance during their in-house visits to assure quality medical care. Counsel’s residents to their care plan and courses of action to be taken to reach goals agreed upon at the resident’s Plan-of-Care conference to comply with residents’ rights to know regulations. Briefs family members/guardians about the resident’s care, care plan and current progress and problems, alerts family/guardians of sudden changes noted with the resident to ensure continuity of information and family integration. Admits, transfers and discharges residents as directed by attending physician to provide for timely medical care or least restrictive housing options. Must provide nursing assistant support including by not limited to: direct care, bathing, transfers, feeding and lifting. Interacts cooperatively and provides certified paraprofessional nursing services with other healthcare providers to meet the health needs of residents, communicates information to intradepartment team. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

Surgical Tech

Concord Hospital Concord, NH

Certified Surgical Technologist | Operating Room | Days

Summary The Surgical Technologist/Certified Surgical Technologist is an allied health care professional providing surgical care to patients within the operating room under the supervision of perioperative nurses and surgeons. This job works in the main operating room. The Surgical Technologist utilizes AORN's Perioperative Standards and Recommended Practices and AST Standards of Practice as a reference to ensure quality, safety and appropriateness of patient care. Education High school or equivalent (GED). Graduate from an accredited Certificate or Associate Degree program in Surgical Technology. Certification, Registration & Licensure Certification Required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Medical Technician - NH Board of Registration of Medical Technicians National Board of Surgical Technology and Surgical Assisting certification within one year of hire date Experience None required. Responsibilities Plans for surgical procedures by assembling instrumentation, equipment, and necessary supplies. Maintains the integrity of the sterile field by utilizing knowledge of aseptic technique. Prioritizes needs of the surgical team and the department through analysis of the daily schedule and case mix. Assists with maintaining a clean and safe surgical environment. Ensures adherence to Surgical Services Infection Control, Safety and Risk Management Policies, Procedures and Guidelines. Serves as a preceptor for Surgical Technologist students and new employees. Performs job specific requirements and other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this job, the employee is regularly required to do repetitive motion, hear, perform activities that require fine motor skills, speak and stand. The employee is frequently required to bend, reach, and walk. The employee is occasionally required to climb, kneel, smell, squat, and sit. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. While performing the duties of this job, the employee is regularly exposed to bloodborne pathogens, and bodily fluids. The employee is frequently exposed to airborne contaminants, moving mechanical parts, non-weather related heat or cold, radiation, electrical hazards - shock and toxic or caustic chemicals. The employee is occasionally exposed to airborne pathogens, chemotherapeutic agents, slippery surfaces, and vibration. The noise level in the work environment is usually moderate.

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #41735 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Kris Day The New Hampshire Veterans Home has a full-time, 1st shift vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: 6:45am - 3:15pm shifts Every other weekend (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Criteria: Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria:31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08Broad Group Level Advancementmust be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria:31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09In-Band Advancementmust be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria:31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS : None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria:31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No Criteria: DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. LNA II Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments.Provides emotional support and companionship to residents. LNA III Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Kris Day, Nursing Coordinator, at kristine.a.day@nhvh.nh.gov or (603) 527-4879. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

BayMark Health Services Derry, NH

Nurse Practitioner for Residential Facility

Description Full Time APRN APRN will report directly to the Medical Director. The APRN is responsible for overseeing the day-to-day medical flow. The APRN is responsible for completing admissions process with all new clients. The APRN identifies and documents chronic and acute medical needs of clients and communicates this to the nursing team. The APRN represents the facility in a positive manner, both personally and professionally. The APRN promotes a mutually supportive environment that emphasizes a collaborative approach and one which values contributions of all members, including staff and clients. Qualifications: APRN Licensure and Certification in the appropriate state, maintains current licensure per state requirements Malpractice insurance coverage Current CPR and Standard First Aid Certificate DEA license preferred Previous experience working in and a strong commitment to a team environment Previous work with addictions, mental illness, and homelessness or willingness to learn understanding of the systemic issues affecting those we serve preferred. Knowledge/experience of how to safely de-escalate potentially volatile situations. Current CPR and Standard First Aid Certificate Skills: Competent in using EMR and information systems in providing effective documentation of client care. Abilities: Ability to monitor health issues and refer clients for specialized care as needed Ability to analyze situations quickly and apply sound judgement Provide client’s needs, make referrals to, and collaborate with appropriate resources and community organizations Discuss code blue and/or medical transfers with the participating team members in an open and respectful manner Perform admission assessment, including physicals, for newly admitted clients Report appropriate adverse drug reactions to appropriate authorities Discuss with client’s possible side effects of medications that are prescribed Diagnose and treat acute health problems such as injuries, infections, illnesses Provide medical on call Utilize critical thinking skills when treating and managing in a detox setting Other Characteristics: Ensure all documentation is non-judgmental Ensure all incidents are properly documented and any concerns/recommendations are communicated to supervisor Ensure the flow of critical information is communicated to the appropriate team members Take part in quality assurance audits and peer reviews Ensure continuous flow of communication with leadership to enhance the quality of care given to clients Recent Criminal Record Check Non-Judgmental attitude Ensure meets state and certifying bodies requirements for continuing education Ensure all documentation is timely and meets state and insurance standards Must meet then maintain all pre-employment requirements which includes reference checks, applicable state and national required background screening, 10 panel urine drug screen, DMV check, insurance (if applicable), and license/credential verifications Benefits: Competitive salary Comprehensive benefits package including medical, dental, vision and 401(K) Generous paid time off accrual Excellent growth and development opportunities Satisfying and rewarding work striving to overcome the opioid epidemic Granit Recovery Center a progressive substance abuse treatment organization is committed to the highest quality of patient care. Our ultimate goal is to address the physical, emotional, and mental aspects of treatment, to help each of our patients achieve long-term recovery and an improved quality of life. Granite Recovery Center is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #41721 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Franciene Clement The New Hampshire Veterans Home has a full-time vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (7:00pm - 7:00am) (Additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Criteria: None Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

Manager/Supervisor

$33.74 - $66.07 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 REGISTERED NURSE I-III - WEEKEND BAYLOR Position #16766 $33.74 - $66.07 hourly Direct Care & Nursing Stipend up to $25.00/week The New Hampshire Veterans has a full-time, 3rd shift, vacancy for a Registered Nurse I-III - Weekend Baylor. Proposed Schedule Includes: 7:00pm - 7:00am shifts Friday, Saturday, & Sunday or Saturday, Sunday, & Monday Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: RN I To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home; observes, compiles, and reports information concerning the wellbeing, care, and treatment of residents in order to ensure quality care is provided at all times. RN II To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home. Applies professional quality nursing standards of care when treating and making recommendations for residents’ with regards to wellness, healthcare, and treatment plans. RN III To provide care and treatment for residents in a long-term care facility setting, with responsibility for administration of medication, comprehensive medical treatment/care planning, and/or ongoing oversight and training of RNI and II nursing staff in accordance with policies, procedures and nursing standards of practice at the New Hampshire Veteran’s Home. Your Experience Counts Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Minimum Qualifications: RN I Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: Experience is limited to that required for registration. License/Certification: Current license as a Registered Nurse in New Hampshire . RN II Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: One year's experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. License/Certification: Current license as a Registered Nurse in New Hampshire . RN III Education: Bachelor’s degree from a recognized college or university with major study in nursing, human services, psychology, or a related field. Experience: One year of experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. OR Education: Graduation from a recognized nursing program and possession of an Associate’s degree in nursing, human services, psychology, or a related field. Experience: Two years' experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. AND License/Certification: Current license as a Registered Nurse in New Hampshire. Current certification in CPR. Must be certified by the American Nurses Association or another nationally recognized certifying entity in psychiatric and mental health nursing, Gerontological nursing, wound care, or a specialty related to long term nursing care. Responsibilities: RN I Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Interacts cooperatively with other nursing staff, health care professionals, and medical/therapeutic disciplines within the facility, in order to meet treatment care plans, health needs, and goals of residents; communicates information to the treatment team or supervisor as necessary. Performs specialized nursing tasks such as exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts supervisor or appropriate personnel if equipment needs to be repaired/replaced. Participates in preparing treatment plans and providing therapeutic activity such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Monitors the activities of the licensed practical nurses or nursing support staff to ensure equality of services rendered. Provides auxiliary nursing personnel with in-service training in the care of patients and participates in the orientation of new staff. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN II Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system, and modifies treatment plans based on resident’s response, medical changes, and/or doctor’s orders. Coordinates with other health care providers and medical/therapeutic disciplines within the facility to ensure individualized treatment and care plans for residents are being followed. Prepares nursing assessments and implements treatment plans, delegating appropriate aspects of care to auxiliary nursing personnel. Monitors the nursing care of RN I, less-skilled nursing staff, or healthcare personnel; provides in-service training in the care of patients and participates in the orientation of new staff. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Provides assistance with therapeutic activities such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Prepares residents for and assist with examinations or treatments; e valuates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN III Applies nursing process techniques in the care, evaluation, and treatment of residents with a variety of diagnoses; ensures that physical and/or emotional needs are addressed and facility policies and procedures are followed. Works with Nursing Supervisor and meets with care-plan team to develop and implement individualized resident treatment care plans, encompassing medical, wellness, and therapeutic activities as applicable, and delegates appropriate aspects of care to subordinate professional nursing staff and/or auxiliary nursing personnel. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Prepares residents for and assist with examinations or treatments; e valuates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Monitors resident outcomes or effectiveness of care and treatment regimes, and communicates complex information to the care planning team, Nurse Coordinator, Director of Nursing, or appropriate personnel. Writes annual nursing assessments and monthly summaries, mentors and oversees less skilled nursing staff and participates in new employee orientation as well as NH Veteran’s Home Nursing Policy and Procedure meetings. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. Disclaimer Statement: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information please contact Kimberly Caron, Assistant Director of Nursing, at kimberly.b.caron@nhvh.nh.gov or (603) 527-4445. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

LPN

LICENSED PRACTICAL NURSE I-II

$31.11 - $51.02 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED PRACTICAL NURSE I-II Position #19472 $31.11 - $51.02 hourly Direct Care & Nursing Stipend up to $25.00/week Hiring Manager: Franciene Clement The New Hampshire Veterans Home has a full-time vacancy for a Licensed Practical Nurse I-II. Proposed Schedule Includes: Two 12-hour shifts (7:00pm - 7:00am) (additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s Life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LPN I Performs nursing care to residents within an assigned work unit under the supervision/direction of a Registered Nurse. Acts in accordance with the objectives set forth by the nursing department guidelines. LPN II Performs certified level nursing care to residents within an assigned work unit under the supervision/direction of a Registered Nurse. May work in a charge nurse capacity and acts in accordance with the objectives set forth by the nursing department guidelines. Your Experience Counts Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Minimum Qualifications: LPN I Education: Completion of a recognized school of practical nursing approved by the State Board of Nursing Education and Nurse Registration. Experience: No experience required other than that obtained through required training. License/Certification: Must possess a current license as a practical nurse or temporary permit issued by the New Hampshire Board of Nursing Education and Nurse Registration pending the results of the licensing examination. LPN II Education: Completion of a recognized school of practical nursing approved by the State Board of Nursing Education and Nurse Registration. Experience: Three year’s of experience as a Licensed Practical Nurse. License/Certification: Must possess a current license as a practical nurse and be certified by the National Federation of Licensed Practical Nurses (NFLPN), Inc. or an organization recognized by the NFLPN, Inc. licensing examination. SPECIAL REQUIREMENTS: Employees may be promoted to the Licensed Practical Nurse II level based on the following requirements: Completion of the experience and certification requirements of the LPN II level. Successful performance evaluation. Recommendation of the supervisor. Responsibilities: LPN I Documents provided nursing care in the residents’ records indicating problems, progress, and actions taken; describes application of prescribed treatments performed. Administers prescribed medications and makes notations, before and after, of effects of medications given to guard against polypharmacy issues and mismanaged medication regimes. Utilizes selective components of the nursing process to provide data for writing individual Plan-of-Care. Updates and revises care plans to reflect changes in resident status to ensure quality care. Supervises LNA’s and makes periodic rounds of the unit to ascertain quality of care given and checks for cleanliness and resident safety. Reports routine as well as unusual facts and situations to nurse manager or designee and receives report from off-going shift, transfers pertinent information to oncoming shift so that nursing care is provided in a consistent and continuing manner. Discusses problems and changes in residents to Physician and allied consulting health professionals, provides assistance during their in-house visits to assure quality medical care. Must provide nursing assistant support including but not limited to: direct ADL care, bathing, transfers, and lifting. Educates residents to their care plan and courses of action to be taken to reach goals agreed upon at the resident’s Plan-of-Care conference to comply with residents’ rights to know regulations. Briefs family members/guardians about the resident’s care, care plan and current progress and problems, alerts family/guardians of sudden changes noted with the resident to ensure continuity of information and family integration. Admits, transfers and discharges residents as directed by attending physician to provide for timely medical care or least restrictive housing options. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. LPN II Documents provided nursing care in the residents’ records indicating problems, progress, and actions taken; describes application of prescribed treatments performed Administers prescribed medications and makes notations, before and after, of effects of medications given to guard against polypharmacy issues and mismanaged medication regimes. Utilizes selective components of the nursing process to provide data for writing individual Plan-of-Care. Updates and revises care plans to reflect changes in resident status to ensure quality care. Supervises LPN I’s and LNA’s and makes periodic rounds of the unit to ascertain quality of care given and checks for cleanliness and resident safety. Reports routine as well as unusual facts and situations to nurse manager or designee and receives report from off-going shift, transfers pertinent information to oncoming shift so that nursing care is provided in a consistent and continuing manner. Discusses problems and changes in residents to Physician and allied consulting health professionals, provides assistance during their in-house visits to assure quality medical care. Counsel’s residents to their care plan and courses of action to be taken to reach goals agreed upon at the resident’s Plan-of-Care conference to comply with residents’ rights to know regulations. Briefs family members/guardians about the resident’s care, care plan and current progress and problems, alerts family/guardians of sudden changes noted with the resident to ensure continuity of information and family integration. Admits, transfers and discharges residents as directed by attending physician to provide for timely medical care or least restrictive housing options. Must provide nursing assistant support including by not limited to: direct care, bathing, transfers, feeding and lifting. Interacts cooperatively and provides certified paraprofessional nursing services with other healthcare providers to meet the health needs of residents, communicates information to intradepartment team. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

Elliot Health System Manchester, NH

Licensed Nursing Assistant I- Surge Unit- Full Time- Days

Come work at the best place to give and receive care! Job Description: $3,000 Bonus Eligible paid in 3, 6, and 12 months!!! Hours: 36 hours (Full Time) Shift: Days 7am-7pm (12 hour shifts ---3x per week) Every other weekend commitment Licensed Nursing Assistant CICU Who We Are: The surge unit is a 14 bed unit that specializes in providing inpatient level of care to patients who are awaiting inpatient bed placement. We specialize in cardiac/telemetry and medical/surgical patients. The surge unit is overseen by the CICU inpatient managers. This position is based in the CICU, primarily assigned to the Surge Unit, with the expectation that you will float to other areas as needed. Strong teamwork and communication skills preferred as there will be collaboration with the ER and inpatient units. The surge RN has a 1:4 patient ratio and LNA 1:14. About the Job: The Surge Unit Licensed Nursing Assistant functions as an integral member of the care delivery team by providing direct and indirect patient care under the direction of a RN and within the scope of practice of a Licensed Nursing Assistant (LNA). Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of an RN. What You’ll Do: · Models Elliot Essentials behavior with patients, peers and all other members of the health care team. · Performs or assists patients in the completion of activities of daily living. · Utilizes basic knowledge of growth and development to provide age-specific patient care. · Provides basic support to patients and families in response to identified psychosocial needs and cultural and religious preferences. · Performs clinical tasks within the scope of LNA practice, in accordance with policies and procedures of the Elliot Health System. · Reports all observations, symptoms, deviations from normal, and changes in patient’s condition to the Registered Nurse · Assists others in performing selected patient care activities or tasks as appropriate. · Documents in selected areas of the medical record, as appropriate, according to policies and procedures and scope of practice · Follows all infection prevention/universal precautions policies as appropriate. · Incorporates safety principles, policies and procedures into daily practice. · Ensures confidentiality of all patient, employee, legal, budget, and company matters. Maintains patient privacy and dignity. · Performs designated direct and indirect patient care, clerical and environmental duties as assigned or directed. · Demonstrate and apply effective communication skills: verbal, written, visual and listening. · Demonstrate ability to work with others · Demonstrate ability to communicate effectively · Demonstrate ability to work as a team member · Demonstrate basic knowledge of growth and development and awareness of age-appropriate care Who You Are: · High school diploma or equivalent preferred. · Minimum of two (2) years of current experience in an acute care setting required. Must be at a clinical level that reflects proficiency and in-depth knowledge of nursing practice. · Current New Hampshire, Nursing Assistant License required. BLS authorization preferred or obtained within 90 days of date of hire. Why You’ll Love Us: Medical, Dental, Vision Benefits starting the 1st of the month following start date Accrued Earned Time 403b with matching (fully vested) and discretionary annual core contributions Tuition Reimbursement up to $4,000/year for full time coded employees over 30 hours/week Nursing Student Loan Paydown Program up to $20,000 Sign on Bonus Eligible Miscellaneous Benefits – Pet Insurance, Legal Services, Vendor Discounts Work Shift: Day Shift-- 7am-7p Every other weekend commitment SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

LICENSED NURSING ASSISTANT I-III / LMNA

$19.24 - $34.32 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #42664 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Justin Souther The New Hampshire Veterans Home has a full-time vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (7:00pm - 7:00am) (additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS : Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. Disclaimer Statement : The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information please contact Justin Souther, Nursing Coordinator, at justin.w.souther@nhvh.nh.gov or (603) 527-4894. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

Elliot Health System Manchester, NH

Licensed Nursing Assistant I- Surge Unit- Full Time- Nights

Come work at the best place to give and receive care! Job Description: $3,000 Bonus Eligible paid in 3, 6, and 12 months!!! Hours: 36 hours (Full Time) Shift: Nights 7pm-7am (12 hour shifts ---3x per week) Every other weekend commitment Licensed Nursing Assistant CICU Who We Are: The surge unit is a 14 bed unit that specializes in providing inpatient level of care to patients who are awaiting inpatient bed placement. We specialize in cardiac/telemetry and medical/surgical patients. The surge unit is overseen by the CICU inpatient managers. This position is based in the CICU, primarily assigned to the Surge Unit, with the expectation that you will float to other areas as needed. Strong teamwork and communication skills preferred as there will be collaboration with the ER and inpatient units. The surge RN has a 1:4 patient ratio and LNA 1:14. About the Job: The Surge Unit Licensed Nursing Assistant functions as an integral member of the care delivery team by providing direct and indirect patient care under the direction of a RN and within the scope of practice of a Licensed Nursing Assistant (LNA). Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of an RN. What You’ll Do: · Models Elliot Essentials behavior with patients, peers and all other members of the health care team. · Performs or assists patients in the completion of activities of daily living. · Utilizes basic knowledge of growth and development to provide age-specific patient care. · Provides basic support to patients and families in response to identified psychosocial needs and cultural and religious preferences. · Performs clinical tasks within the scope of LNA practice, in accordance with policies and procedures of the Elliot Health System. · Reports all observations, symptoms, deviations from normal, and changes in patient’s condition to the Registered Nurse · Assists others in performing selected patient care activities or tasks as appropriate. · Documents in selected areas of the medical record, as appropriate, according to policies and procedures and scope of practice · Follows all infection prevention/universal precautions policies as appropriate. · Incorporates safety principles, policies and procedures into daily practice. · Ensures confidentiality of all patient, employee, legal, budget, and company matters. Maintains patient privacy and dignity. · Performs designated direct and indirect patient care, clerical and environmental duties as assigned or directed. · Demonstrate and apply effective communication skills: verbal, written, visual and listening. · Demonstrate ability to work with others · Demonstrate ability to communicate effectively · Demonstrate ability to work as a team member · Demonstrate basic knowledge of growth and development and awareness of age-appropriate care Who You Are: · High school diploma or equivalent preferred. · Minimum of two (2) years of current experience in an acute care setting required. Must be at a clinical level that reflects proficiency and in-depth knowledge of nursing practice. · Current New Hampshire, Nursing Assistant License required. BLS authorization preferred or obtained within 90 days of date of hire. Why You’ll Love Us: Medical, Dental, Vision Benefits starting the 1st of the month following start date Accrued Earned Time 403b with matching (fully vested) and discretionary annual core contributions Tuition Reimbursement up to $4,000/year for full time coded employees over 30 hours/week Nursing Student Loan Paydown Program up to $20,000 Sign on Bonus Eligible Miscellaneous Benefits – Pet Insurance, Legal Services, Vendor Discounts Work Shift: Night Shift-- 7p-7a Every other weekend commitment SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

REGISTERED NURSE I-III

$33.74 - $66.07 / hour

State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 REGISTERED NURSE I-III Position #41747 $33.74 - $66.07 hourly Direct Care & Nursing Stipend up to $25.00/week Hiring Manager: Kris Day The New Hampshire Veterans Home has a full-time vacancy for a Registered Nurse I-III. Proposed Schedules Include: Two 12-hour shifts (7:00pm - 7:00am) (additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s Life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: RN I To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home; observes, compiles, and reports information concerning the wellbeing, care, and treatment of residents in order to ensure quality care is provided at all times. RN II To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home. Applies professional quality nursing standards of care when treating and making recommendations for residents’ with regards to wellness, healthcare, and treatment plans. RN III To provide care and treatment for residents in a long-term care facility setting, with responsibility for administration of medication, comprehensive medical treatment/care planning, and/or ongoing oversight and training of RNI and II nursing staff in accordance with policies, procedures and nursing standards of practice at the New Hampshire Veteran’s Home. Your Experience Counts Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Minimum Qualifications: RN I Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: Experience is limited to that required for registration. License/Certification: Current license as a Registered Nurse in New Hampshire . RN II Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: One year's experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. License/Certification: Current license as a Registered Nurse in New Hampshire . RN III Education: Bachelor’s degree from a recognized college or university with major study in nursing, human services, psychology, or a related field. Experience: One year of experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. OR Education: Graduation from a recognized nursing program and possession of an Associate’s degree in nursing, human services, psychology, or a related field. Experience: Two years' experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. AND License/Certification: Current license as a Registered Nurse in New Hampshire. Current certification in CPR. Must be certified by the American Nurses Association or another nationally recognized certifying entity in psychiatric and mental health nursing, Gerontological nursing, wound care, or a specialty related to long term nursing care. Responsibilities: RN I Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Interacts cooperatively with other nursing staff, health care professionals, and medical/therapeutic disciplines within the facility, in order to meet treatment care plans, health needs, and goals of residents; communicates information to the treatment team or supervisor as necessary. Performs specialized nursing tasks such as exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts supervisor or appropriate personnel if equipment needs to be repaired/replaced. Participates in preparing treatment plans and providing therapeutic activity such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Monitors the activities of the licensed practical nurses or nursing support staff to ensure equality of services rendered. Provides auxiliary nursing personnel with in-service training in the care of patients and participates in the orientation of new staff. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN II Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system, and modifies treatment plans based on resident’s response, medical changes, and/or doctor’s orders. Coordinates with other health care providers and medical/therapeutic disciplines within the facility to ensure individualized treatment and care plans for residents are being followed. Prepares nursing assessments and implements treatment plans, delegating appropriate aspects of care to auxiliary nursing personnel. Monitors the nursing care of RN I, less-skilled nursing staff, or healthcare personnel; provides in-service training in the care of patients and participates in the orientation of new staff. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Provides assistance with therapeutic activities such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Prepares residents for and assist with examinations or treatments; evaluates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN III Applies nursing process techniques in the care, evaluation, and treatment of residents with a variety of diagnoses; ensures that physical and/or emotional needs are addressed and facility policies and procedures are followed. Works with Nursing Supervisor and meets with care-plan team to develop and implement individualized resident treatment care plans, encompassing medical, wellness, and therapeutic activities as applicable, and delegates appropriate aspects of care to subordinate professional nursing staff and/or auxiliary nursing personnel. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Prepares residents for and assist with examinations or treatments; evaluates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Monitors resident outcomes or effectiveness of care and treatment regimes, and communicates complex information to the care planning team, Nurse Coordinator, Director of Nursing, or appropriate personnel. Writes annual nursing assessments and monthly summaries, mentors and oversees less skilled nursing staff and participates in new employee orientation as well as NH Veteran’s Home Nursing Policy and Procedure meetings. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information contact Kristine Day, Nursing Coordinator, at kristine.a.day@nhvh.nh.gov or (603) 527-4879. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964

Concord Hospital Concord, NH

Summary Reporting to practice leadership and under the direction of the providers, assists in the examination and treatment of patients and has basic skills in treatments and procedures. In addition, may be involved in other areas of medical office support including clerical, environmental and organizational . Education Graduate of an accredited medical assistant program preferred but will accept applicants with healthcare experience (formal medical training program, EMT, LNA, Military Medics, Technicians, etc.). Certification, Registration & Licensure Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers. Medical Assistants are encouraged to obtain certification or registration within the first three years of employment. Experience With completion of an accredited Medical Assistant program, no experience is required. For other candidates at least 1 year of healthcare experience preferred. Responsibilities Follows guidelines and prescribed format for answering the phone and identifies patient's health problem or concern and directs calls per practice guidelines. Interviews patients and measures vital signs. Updates patient's medications and allergy lists. Records information in the EMR. Prepares treatment rooms for examination of patients, including stocking and cleaning. Assists provider by preparing patients for physical examinations and by assisting with procedures. Demonstrates clinical skill in practice. Schedules patient appointments and orders referral per practice specific guidelines. Inventories and orders medical supplies and materials for assigned area of responsibility, removes outdated materials and ensures proper labeling. Uses software (Cerner, GroupWise, etc.) following established protocols for documentation, responding to requests, and initiating appropriate tests and orders. Greets patients and escorts them to exam room. Cleans and prepares instruments for sterilization. Performs job specific requirements and other duties as assigned. Performs other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. While performing the duties of this job, the employee is regularly required to hear, and speak. The employee is frequently required to do fine motor, do repetitive motion, and walk. The employee is occasionally required to bend, climb, kneel, reach, sit, smell, squat, and stand. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to blood-borne pathogens, and bodily fluids. The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, and toxic or caustic chemicals. The noise level in the work environment is usually moderate.

Outpatient

Elliot Health System Manchester, NH

5 days ago

Registered Nurse Ambulatory - Pediatrics Manchester - Full Time

Come work at the best place to give and receive care! Job Description: About Us Elliot Pediatrics at manchester, a department of Elliot Hospital, is committed to the healthy growth and development of our patients. All our physicians are fully trained, Board Certified Pediatricians. Position Summary: M - F 8 am - 5:00 pm The Registered Nurse for Elliot Pediatrics at Manchester will be primarily responsible for telephone triage. Additional duties may include nurse visits, rooming patients, vaccine and medication administration, performing point of care testing, conducting vision and hearing screening, and assisting providers with procedures. Key Responsibilities Embraces and promotes change to support optimal patient outcomes and an effective professional practice environment. Involves patient/family in goal setting and planning, and communicates that plan of care to patient and family for input; and to colleagues to ensure seamless care across shifts and settings. Utilizes current evidence and relevant national/specialty standards to guide practice and/or performance and identifies areas for improvement. Demonstrates competent clinical practice utilizing clinical decision making and critical thinking skills. Education/Experience/Licensure Education: Graduate of an accredited school of nursing. Bachelors of Science in Nursing preferred. Licensure: New Hampshire Registered Nurse or Compact State Registered Nurse License. Technical Certification: Ability to obtain BLS qualification during orientation period and maintain during employment. What Elliot Health System Has to Offer Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term disability, long-term disability, and life insurance coverage Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan And more ! Work Shift: This is a full-time, 40-hour position with a Monday through Friday schedule. We offer flexibility in scheduling and are open to discussing various workweek arrangements to accommodate both employee and operational needs. Specific hours and schedule structure will be determined collaboratively during the hiring process. SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

LNA | Medical and Oncology Specialty - Full Time D/N Rotation

Concord Hospital Concord, NH

Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.