RN Jobs in Nashua, NH

Registered Nurse-Spec Care/OBGYN Per Diem

$36.86 - $50.76 / hour

Job Summary: Essential Duties and Responsibilities Maintains competencies on Mother/Baby, GYN, Pedi and basic Med-Surg. Maintains competencies in either L&D or ‘sick baby’ management (L&D track and/or Nursery track). Once training and competencies are completed in the RN’s designated ‘track’, and the Clinical Director and Clinical Resource Nurse deem appropriate, the RN may train to the other track if desired—both sets of competencies must be maintained. Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for all patients/patient types with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs , walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes appropriate rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department /units to draw upon expertise in other clinical areas/specialties Displays professional , positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. Job Requirements Job Knowledge and Skills STABLE course completion certification preferred or obtained prior to completion of orientation. K2 Maternity Crisis Modules required by 6 months post hire or prior to specialty track orientation completion (whichever is first) Basic Fetal Monitoring required by 6 months post hire or prior to L&D specialty track orientation completion (whichever is first) Intermediate Fetal Monitoring or K2 Fetal Monitoring module completion required or obtained prior to completion of orientation. Complete Breastfeeding Self Study / Clinical Management of Breastfeeding for Health Professionals (Jean Loiselle) completion required or obtained prior to completion of orientation. Complete Periop 101 OB required within 6 months after completion of specialty track orientation completion. NEDS (Organ Donation) education/review required annually Malignant Hyperthermia education/review required annually Vaccine education (per Vaccine For Children/NH Immunization Program) required Point of Care testing (pH testing, ROM+, glucose testing) Unit specific education review biannually, including but not limited to: Period of Purple Crying, Safeguarding Their Tomorrows, Safe Sleep, Metabolic Screening, Hearing Screenings, CCHD testing (Congenital Cardiac Heart Disease screening), etc. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation. Education and Experience Current New Hampshire RN license required Basic Cardiac Life Support required Basic Dysrhythmia preferred or obtained prior to completion of orientation. Neonatal Resuscitation Program required by 6 months post hire or prior to specialty track orientation completion (whichever is first) Pediatric Advanced Life Support (PALS) certification preferred Graduate of an approved Nursing program preferred Specialty Certification preferred upon hire; required within 2 years of eligibility Our Core Values: Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Resource Nurse- Adult Step Down Unit- Full Time- Days and Nights

Elliot Health System Manchester, NH

Come work at the best place to give and receive care! Job Description: Resource Nurse- Adult Step Down Unit Who We Are: Elliot Health System is excited to share the opening of a new Adult Stepdown Unit (ASDU). It is a 12-bed unit with private rooms incorporating aspects from our Intensive Care Unit that improve nursing satisfaction such as: ceiling lifts to assist with safe patient movement and supply carts in every room to streamline care. The unit will have substantial telemetry monitoring and a medication room to promote safe patient care. About the Job: The Resource Nurse directly oversees and serves as an immediate, first line clinical resource to staff on a designated unit and shift. The Resource Nurse demonstrates well developed clinical competencies appropriate to specialty area when providing direct patient care or guiding other staff. Functions as an integral member of the unit’s management team and works to ensure smooth real time operations of unit on assigned shift and adheres to values under the EHS Professional Practice Model which guide all dimensions of practice. Schedule Details: Shift: Days : 7a-7p Nights: 7p-7a Meetings: Leadership Meetings: Every 2nd Friday of the month, 10:00 AM – 12:30 PM Resource Meetings: Every last Wednesday of the month, 2:30 PM – 5:00 PM Weekend Requirement: Every 3rd weekend Holidays: Required to work two designated holidays in the summer and two in the winter Innovation & Inspiration Models skilled communication, true collaboration, effective decision-making, meaningful recognition, and authentic leadership, as described in Establishing and Sustaining Healthy Work Environments (AACN, 2005). Participates in professional enhancement activities. Examples include: membership in hospital-wide committees, health system initiatives, development of education materials, professional association activities. Provides leadership to the health care team in developing integrated approaches to care. Collaboration & Continuity in Caring Collaborates with and serves as a resource to medical staff for relevant clinical and other issues. Consults with and/or communicates questions and concerns to the Clinical Nurse Manager and/or Administrative Supervisor as appropriate in a timely manner. Assists staff with the provision of care to assigned patients; assumes a partial patient assignment. Accountability Provides oversight and ensures smooth shift-based operations including but not limited to completion of unit specific tasks, patient flow, interdisciplinary collaboration, patient satisfaction, issue resolution and occurrence reporting. Collaborates with the Clinical Nurse Manager to effectively control costs through innovative and economical utilization of personnel, materials and equipment and assists in the mentor[1]ship of staff as stewards of resources. Respect & Role Modeling Applies well developed critical thinking skills in guiding and assisting staff to identify and address clinical concerns in order to promote optimal patient outcomes. Serves as a role model; coaches and mentors other staff, promotes teamwork, and assesses performance, behavior and attendance of staff on assigned shift and communicates information to Clinical Nurse Manager to facilitate effective and timely completion of performance reviews. Serves as the designated shift resource for assigned new graduate nurses during their first year of employment, beyond their precepted orientation period. Ethics & Integrity In the absence of the Clinical Nurse Manager, collaborates with Administrative Supervisor to address/stabilize management and operational issues requiring immediate attention; i.e., staffing and scheduling, disciplinary actions. Supports the department’s Shared Governance structure and is accountable for quality improvement outcomes. Who You Are: Graduate of an accredited school of nursing. BSN required or must be actively enrolled in a program. Termination of a program without a degree completion, will remove eligibility for the role. Minimum of three (3) years of current experience in a progressive, intermediate, or critical care setting. Must be at a clinical level that reflects proficiency and in-depth knowledge or nursing practice. In addition, must have experience in a leadership role, such as Charge Nurse. License to practice as a Registered Nurse in the state of New Hampshire required or must hold a Compact Nursing License Life support authorization (BLS) appropriate to patient population required Specialty certification required within six (6) months of eligibility Why You’ll Love Us: New Nursing Pay Rates!!! Medical, Dental, Vision Benefits starting the 1st of the month following you 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 Work Shift: Days- 7a-7p with every 3rd weekend requirement Nights- 7p-7a with every 3rd weekend requirement 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.

RN

PCU

2 weeks ago

Clinical Resource Nurse for Progressive Care Unit

Covenant Health (MA) Nashua, NH

$36.86 - $50.76 / hour

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

RN

PCU

2 weeks ago

Registered Nurse for PCU

Covenant Health (MA) Nashua, NH

$36.86 - $50.76 / hour

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

RN

ICU

2 weeks ago

REGISTERED NURSE-CRITICAL CARE

Covenant Health (MA) Nashua, NH

$36.86 - $50.76 / hour

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

Registered Nurse (RN) - Medical /Telemetry/Stroke

Emerson Hospital Concord, MA

$36.78 - $73.57 / hour

Schedule: Full Time Pay Range: $36.78 - $73.57 / Hourly Shift: Day/Eve shift Hours: 7A - 730P About This Role Registered Nurse - Medical, Telemetry & Stroke Unit About The Role Join a team where your expertise, compassion, and quick thinking truly make a difference. As a Registered Nurse in our Medical, High-Level Telemetry, and Stroke Department, you'll provide comprehensive, patient-centered care in a dynamic environment. This is a unit where every detail matters from monitoring complex conditions to providing education and support for patients and families. Reporting to nursing leadership, you'll be part of a highly skilled team committed to safety, collaboration, and excellence. What You'll Do Deliver safe, age-appropriate, and high-quality nursing care using the full nursing process. Assess, plan, implement, and evaluate individualized care plans for patients and families. Monitor telemetry patients and provide critical interventions for stroke and complex medical cases. Collaborate with physicians and interdisciplinary teams to coordinate effective patient care. Educate patients and families to promote understanding and confidence in recovery. Document findings, interventions, and outcomes clearly and accurately. Mentor and support colleagues through teamwork, preceptorship, and professional growth. Participate in continuing education, hospital initiatives, and unit projects that advance patient care. Promote patient rights, dignity, and respect at every step. What You Bring Graduate of an accredited nursing program (BSN preferred). Current Massachusetts RN license. BLS certification required. 1-2 years inpatient medical-surgical experience preferred. Oncology certification preferred. Strong communication, assessment, and critical thinking skills. Excellent organizational skills and customer service. Comfort with computer systems and commitment to confidentiality. Why You'll Love It Here Working in the Medical, Telemetry, and Stroke Unit means being at the heart of acute care nursing. You'll gain invaluable experience managing complex patients, while being supported by a collaborative, multidisciplinary team. Here, your role goes beyond providing care you'll be an advocate, an educator, and a trusted partner to patients and families during some of their most vulnerable moments. Bring your skills, compassion, and commitment to excellence to a team where you'll grow as a nurse and make a real impact every day. Apply today! To apply, please visit: https://emersonhealth.org/jobs/registered-nurse-rn-medical-telemetrystroke-34840/ Copyright ©2025 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency je-bf3d2aac2f4c4241821c14bc1b3699f6

RN

PCU

2 weeks ago

Day Shift RN for Progressive Care Unit

Covenant Health (MA) Nashua, NH

$36.86 - $50.76 / hour

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