Nursing Jobs in Northfield, NH

Registered Nurse (RN) - PACU, Per Diem

Dartmouth Hitchcock Medical Center New London, NH

Overview Utilizes the nursing process in caring for all patients, to include: assessing symptoms, planning interventions, implementing treatment plans, evaluating responses to interventions, and revising plan based on overall effectiveness. Demonstrates the skills necessary to provide age appropriate care to the population served. Adheres to the established practices standards and procedure at New London Hosptial, in the administration of all medications. Makes knowledgeable decision in consideration of the facts and the disease/surgical condition Provides education to patients and caregivers based on assessment of learning needs. Creates and monitors patient environment to ensure it is safe and free from hazards. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Performs duties to meet the department needs to prepare patients during their time of care in surgical services. Responsibilities Pre-Operative Duties Manage patient's admission process to NLH surgical services Collaborate with anesthesia/surgeon to provide comprehensive admission care of the patient. Assess and document the status of patients' health per current ASPAN guidelines and hospital standards. Identify and report patient abnormalities to anesthesia/surgeon Ensure accuracy of patient, procedure and surgeon prior to surgical procedure. Work in conjunction with all appropriate team members to provide comprehensive care. Execute pre-procedure orders and document interventions. Assist anesthesia providers with pre-procedure interventions, document per current ASPAN guidelines and hospital standards. Oversee the work of the departments LNA. Collaborate with team members to ensure chart completeness prior to patients' surgical procedure. Post-Procedure Duties Demonstrates competence in phase 1 and phase 2 care of all post anesthesia needs of patients. Assess and documents patient condition per current ASPAN standards and hospital guidelines. Identify physical symptoms and changes and takes appropriate action in a timely manner. Reassess and documents patients response to interventions per current ASPAN standards and hospital guidelines. Demonstrates knowledge of medications and IV fluids and their correct administration, based on age and clinical condition of the patient. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, collaborates with appropriate team members and intervenes as appropriate. Perform interventions in cases of post procedure emergencies Assess and document patient status post radiology procedure, execute physician orders, and provide post procedure instructions in conjunction with radiology staff. Qualifications Graduate of an accredited school of nursing 2 years relevant clinical practice (preferred critical care experience or PACU experience) Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support • (BLS) Basic Life Support

Pre-Admission Testing RN - Operating Room, Per Diem

Dartmouth Hitchcock Medical Center New London, NH

Overview The Pre-Admission Testing Registered Nurse is responsible for ensuring preoperative optimization including patient education for those patients undergoing surgical and endoscopic procedures. The nurse works closely with key stakeholders in coordinating the patients’ perioperative needs. Responsibilities Assessment and Review of Records Monitor patient medical records for preoperative testing results and exercise professional nursing judgement to identify and address barriers to optimization for surgical, diagnostic, invasive, noninvasive and other special procedures. Performs accurate and comprehensive review of clinical factors, past medical history and relevant information. Use effective interviewing skills to perform patient health interviews with surgical and endoscopy patient by collecting and analyzing clinical and psychosocial data, identifying problems and health patterns/trends which may directly affect optimization for surgical/endoscopy procedures. Promote and maintain patient safety by assessing clinical and psychological needs in preparation for the day of surgery/procedure. Clinical Knowledge Utilize clinical knowledge to ensure optimization of patients scheduled for surgery prior to their admission date to prevent surgery cancellations and delays. Utilizes clinical knowledge and established perioperative protocols (surgical and anesthetic) to provide patient with individualized preoperative education. Demonstrates the ability to identify areas of knowledge deficit, and provides additional needed information to the patient. Possess adequate understanding of operative procedure, required patient preparations, and expected post-operative course. Care Coordination/Collaboration/Communication Bring pertinent information obtain during chart review and patient interview to the care team. Alerts the team to pertinent information that would affect patients’ perioperative risk and areas that are a risk for a safe discharge. Demonstrates ability to work both independently and as an effective member of the health care team. Take an active role in strengthening the climate for acceptance of positive change and initiatives that improve patient care outcomes. Provides assistance to the Post Anesthesia Care Unit (PACU) as case load indicates to the level of training. Participates in quality assessment and improvement plan as outlined by the department. Demonstrates effective and proper phone and email etiquette. Communicates with appropriate providers when indicated to ensure patients are optimized for surgical procedure and anesthesia administration. Communicates outstanding preoperative clearance requirements with appropriate members of the surgical team. Complies with hospital and departmental policies, procedures, regulations and standards. Attends and participates in hospital/department meetings. Meets or exceeds the standards of performance as established for employment at New London Hospital Education/Documentation Educate patients about the perioperative process, including but not limited to, patient preparation, day of surgery requirement and discharge planning. Maintain current professional education appropriate to perioperative services. Document in patients’ medical record all relevant data obtained during the health interview and all instructions/education provided. Demonstrate basic computer skills in an Electronic Medical Record. Qualifications 2 years relevant clinical practice Graduate of an accredited school of nursing Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support

Hospice Care Nurse Practitioner (NP) - Per Diem

Lake Sunapee VNA New London, NH

A Career That Offers More Lake Sunapee VNA and Hospice is seeking an experienced Nurse Practitioner (NP) to join our Hospice program in a per diem capacity to provide direct patient care visits for routine provider visits, symptom management and Hospice Face to Face. On-call rotation required. Who We Are Lake Sunapee Region VNA & Hospice provides home health care and hospice services that help individuals remain safe, healthy, and independent in the comfort of their own homes throughout Grafton, Merrimack, and Sullivan counties in New Hampshire. Who You Are You're a Nurse Practitioner (NP) who values personalized, patient-centered care and meaningful connections with patients and families. Whether you're experienced in home health and hospice or interested in learning more about these specialties, we'd love to connect with you. You Bring: Experience in hospice and/or end of life care, and sympathetic management Strong communication with demonstrated ability to collaborate with an interdisciplinary team Comfortability with educating and guiding patients, families, facilities and community in end-of-life discussions, and decision-making Why Join Us? Meaningful one-on-one patient care Professional autonomy Rewarding work that makes a difference every day Every home visit is an opportunity to improve a patient's quality of life and support them where they are most comfortable—at home. Benefits Include: Earned Time Retirement Account (w/eligibility for employer contributions) Continuing Education Mileage Reimbursement Paid Travel Time Between Clients And Much, Much More Qualifications: Current NH Nurse Practitioner (NP) license Minimum 2 years of health care experience required Hospice, Palliative or end-of-life care experience is preferred Additional requirements include reliable transportation, valid driver’s license, automobile insurance, current physical exam, TB testing, and required vaccinations. Join a team that values compassionate care, professional growth, and work-life balance. Apply today and discover why home health nursing offers more. As a mid-sized, community-based agency, Lake Sunapee Region VNA & Hospice is committed to providing compassionate care and supporting the nurses who make that care possible. Lake Sunapee Region VNA is an Equal Opportunity Employer.