Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Outpatient Surgery Center, Prep & Recovery, Days

Overview Interested in working for one of the top medical centers in New England and in a Level I Trauma Center? Prep & Recovery, Outpatient Surgery Center (stand-alone facility on campus) FT, Monday – Friday; 4x10 hour shifts, 6:00am – 6:30pm Admission & Recovery Area Nurse Post Anesthesia Care Unit Registered Nurse - Outpatient Surgery Center (OSC PACU RN) provides care to patients in accordance with ASPAN (Association Society of PeriAnesthesia Nurses) guidelines. PACU RNs provide care and support to patients before, during, and after surgery. The Outpatient Surgery Center (OSC) At Dartmouth Hitchcock is a free standing center located on the DHMC Lebanon campus. The OSC operates eight operating room suites and is dedicated to providing care for adult and pediatric patients requiring same-day surgical procedures. The ultimate goal of the OSC is to provide the right care, in the right place and the right time for our patients who seek our surgical services The OSC is a fast paced, service based patient oriented care facility. Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations, policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Other duties as assigned. Qualifications Graduate from an accredited Nursing Program Bachelor of Science Degree in Nursing (BSN) preferred with at least 1 year of experience Associate Degree (ADN) prepared nurses with 2 years' Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility Basic Life Support (BLS) Certificate required Advanced Life Support (ACLS) within 6 months of hire date. Pediatric Advanced Life Support (PALS) required within 6 months of hire date.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Case Manager

Overview Case Manager 40 hours per week, onsite. Monday-Friday, 8am-5pm Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Facilitates the development of a plan of care in collaboration with the patient, family, caregiver and health care team. This is done through early identification and thorough assessment of the patient’s need/preferences and resources available. Determines the appropriate level of care and coordinates the interdisciplinary treatment and plan of care. Facilitates the progression of care by advancing the care plan to achieve desired outcomes. Monitors the progress towards the goals of the plan and alerts the health care team to potential revisions to the plan in response to the changes in the patient needs and condition. Triages telephone calls and responds to patients and families and other members of the healthcare teams questions that are within a registered nurse’s scope of practice. Communicates information to the health care team and those involved in the treatment and patient’s care. Advocates on behalf of patients/families and caregivers for service access and insurance benefits within the constraints of regulations, and for the protection of the patient’s health, safety and rights. Recognizes situations that require referrals to Quality, Risk Management, or Patient and Family Relations and discusses with leadership. Evaluates the options available and balances cost and quality to assure the optimal clinical and financial outcomes. Facilitates progression to appropriate levels of care. Evaluates patient outcomes affected by the care management process for improvement opportunities. Identifies potential for and participates in quality improvement initiatives within the clinical setting or other organizational committees. Works with the clinical research to coordinate care for patients on complex protocols. Performs other duties as required or assigned Qualifications Graduate from an accredited Nursing Program required. Bachelor's degree (or matriculated into a Bachelor's degree program with completion within a period of time agreed upon with the department at the time of hire) with 3 years of clinical experience required. Recent acute care hospital experience preferred. Desired qualities and behaviors include: collaborative team player with strong communication skills, use of a systems approach in planning, problem solving and decision making, creativity, innovation, risk taking, autonomy, flexibility, receptiveness to change and a commitment to professional growth. Computer skills required. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Medical ICU, Rotating

Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date.
Dartmouth Hitchcock Medical Center

Licensed Practice Nurse (LPN) - Pediatrics

Overview Supports the Physician Practice by providing quality, individualized care according to established standards. Responsibilities General Clinical Practice Utilizes accepted processes of care in interactions with all patients, to include: documenting symptoms and vital signs, and responses to interventions, reporting progress to providers. Collects assessment data and reports to provider or RN, per practice protocol. Demonstrates the skills necessary to provide age-appropriate care to the populations served. Adheres to the practice standards and procedures of the Practice in the administration of medications and patient care activities, per practice protocol. Documents care provided using Practice Group standards to include: filing lab results and reporting untoward results to Physician/Practitioner Provides education to patient and families based on assessment of learning needs Assists Physician/Practitioner with procedures as requested and performs simple lab tests in the office Creates and maintains the patient care environment to include: meeting all safety standards, maintaining cleanliness and inventory of supplies and sterility/cleanliness of equipment. Documents care and progress Completes appropriate charging documentation, per practice protocol. Shares responsibility for prescription line, to include calling in refills, per hospital protocol Medical Assistants (MAs) may administer B12 injections, plant PPD tests and administer immunizations as directed by provider. Triage and Nurse visits RNs ONLY Triages phone call from patients to include: assessment of symptoms, analyzing urgency of needs, advising simple treatments or referring them for immediate care in the Emergency Room or Physician’s office Conducts Nurse-Only visits as requested by physician. Only RNs/LPNs will administer medications and injections (see above exception for MAs). Qualifications MAs / CMAs/RMAs - Certification/registration or successful completion of Clinical and/or Pharmacology coursework is required. Graduate of an accredited school is required. 0-1 year clinical experience Office Practice experience preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed LPN with NH eligibility REQUIRED CERTIFICATIONS: • CPR Certification
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Cancer Center Research

Overview The Clinical Research Nurse I performs a variety of clinical and non-clinical tasks associated with conducting clinical research, and within the scope of licensure. Working closely with research participants and their families, they provide care, education and support throughout the trial. Under the supervision of the PI or their designee, this position collaborates with research and non-research staff, maintaining involvement throughout the clinical trial process. The role of the Clinical Research Nurse I is introductory, with assignments provided at a task level, and focused on less complex clinical research trials and processes. Responsibilities Research Operations Provide patient care to inpatients and outpatients receiving investigational therapy Screen and recruit potential research participants and assist with verification of inclusion and exclusion criteria for eligibility purposes Assist with educating patients and families regarding investigational therapy in collaboration with the medical team Ensure that patients are scheduled for all study assessments as required per research protocol Assist with the preparation and administration of all medications required per research protocol, including investigational and standard of care agents Assist with the evaluation and management of research patients for drug and/or disease-related toxicities and symptoms Ethics & Participant Safety: Adhere to and maintain Good Clinical Practice (GCP)/Human Subjects Protection (HSP) practices and required training Articulate the rationale for individual protocols Serve as a resource to ensure staff and patients recognize the difference between routine clinical care management and care management of clinical research participants Data and Informatics Utilize electronic systems, technologies, and software necessary for study operations Accurately document study visit assessments for data collection And assist with data entry as needed Assist with the development of, data collection documents and instruments Adhere to required processes, policies, and systems protocols to ensure data security Leadership and Professionalism Follow professional guidelines and code of ethics related to the conduct of clinical research. Site and Study Management Assist in the initiation, management, and completion of clinical trials and research studies. Perform other duties as assigned, such as supporting regulatory affairs Communication and Team Collaborate with and educates healthcare professionals regarding investigational research protocols Ensure research compliance and adherence to protocol guidelines Clinical Skills Ensure a safe, effective, and efficient patient care environment Facilitate and monitor activities related to the delivery of patient care within research Other duties as assigned Qualifications Graduate from an accredited nursing school required. Bachelor of Science in Nursing preferred. Must be obtained within 4 years of hire Previous knowledge of research preferred Minimum of 2 years clinical nursing experience required Excellent interpersonal and communication skills required Excellent attention to detail required Required Licensure/Certifications Licensed Registered Nurse with NH Eligibility Basic Life Support (BLS) certification required Certified Good Clinical Practice (CGCP) within 30 days Human Subjects Protection (HSP) within 30 days Responsible Conduct in Research (RCR) within 30 days
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Cath Lab, Days

Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required upon hire. Moderate Sedation training within 3 months of hire.
Dartmouth Hitchcock Medical Center

Medical Assistant II (MA) - Dermatology

Overview $5,000 Sign on Bonus for eligible new hires. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site. Responsibilities Greets, checks in patients, and notifies appropriate provider. Prepares patient, room and equipment for procedures and exams. Takes and records vital signs. Informs provider of patient vital signs and concerns. Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. Handles patient situations over the phone, schedules appointments and procedures with medical professionals. Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. Register new patients and establishes a medical record. Prepares patient billings. Assists patients by filling out insurance and other forms. Supplies authorized information upon request by third party payors. Instructs patients in preparation for specific procedures. Collects and processes routine laboratory specimen. Operates and maintains clinical equipment. Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. Performs other duties as required or assigned. Qualifications Graduate of an accredited Medical Assistant Program required. Previous experience in office or outpatient ambulatory care setting strongly preferred. Demonstrated strong communication, organizational, and interpersonal skills. Demonstrated ability to work well as a member of a team. Computer skills strongly preferred. Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Required Licensure/Certifications Certified Medical Assistant (CMA) - American Association of Medical Assistants OR Registered Medical Assistant (RMA) - American Medical Technologists OR Certified Clinical Medical Assistant (CCMA) – National Healthcareers Association plus DOL Registered Apprenticeships Certificate of Completion. Current BLS certification required.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department, Evening

Overview Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. This is a FT 3x12hr shifts/week with ROTATING SHIFTS: 7a-7p, 7p-7a, 10a-10p, 10p-10a, 11a-11p, 11p-11a, 1p-1a, 1a-1p, 3p-3a, 3a-3p across all 7 days Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date. AVADE Workplace Violence Prevention Training within one year of hire date Moderate Sedation Training within one year of hire date. Trauma Nurse Core Course within one year of hire date.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Medical Oncology

Overview Medical Oncology Clinic 40 hours per week The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire.
Dartmouth Hitchcock Medical Center

Ambulatory Triage Registered Nurse (RN) - Pediatrics

Overview The RN Phone Triage responds to inquiries from the general public, medical providers, patients & families, community partners and stakeholders. Timely and accurate information collection, appropriate care advice and dispositioning are essential. Responsibilities Provide timely and appropriate triage of phone calls including care advice and recommendations per protocols Perform detailed evaluation of patient symptoms and provide appropriate medical advice on treating symptoms and/or recommendations for escalating treatment via telephone using protocols Complete all required paperwork and documents care rendered in all appropriate locations that is clear and concise for providers. Book same day appointments into practice specific schedules per protocols Follow established procedures and protocols, and completes accurate and efficient documentation for each telephone triage encounter using appropriate internal and external resources. Become well versed in all policies, procedures, and guidance that New London Hospital has put forth Participate in routine meetings to keep up to date on any changes in policy, procedure, or outbreaks Escalate any potential problems to the appropriate supervisor. Ability to maintain confidentiality standards when handling and processing records. Able to work in a fast-paced environment handling a varied number of calls per day Excellent phone etiquette, especially when speaking with difficult or abrasive individuals Calm and patient demeanor paired with attention to detail Excellent written and oral communication and customer service Ability to work across multiple teams Competent in using computers, telephones, electronic medical records (EMRs), Microsoft Suite (MS Word, Excel, Power Point), databases, and other office Other duties as assigned. Qualifications Ability to maintain valid Registered Nurse license require Ability to effectively operate electronic health record software require Ability to utilize the nursing process in providing patient care required. Ability to effectively document patient information and the nursing process Ability to effectively operate a variety of Microsoft Office, Outlook DH applications required. Ability to demonstrate necessary competencies for specific jobs require Ability to participate in departmental QI activities Knowledge of departmental/organizational emergency preparedness procedures require Ability to effectively use the DH/NLH intranet to access the policies and procedures Ability to work in a fast paced, multi-tasking medical office Ability to consistently display professional, ethical, standards of care required. Knowledge of and ability to apply the principles of evidenced based nursing care required Prior triage experience preferred. Minimum of 3-5 years successful RN Practice with adult and pediatric populations required Primary care or emergency department triage background Candidates with experience in customer service within the health/medical industry Graduation from an accredited school of nursing required. Bachelor of Science in Nursing preferred. Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support within 30 days
Dartmouth Hitchcock Medical Center

Clinical Nurse (RN) - Family Medicine , Per Diem

Overview Under the general supervision of the Director of Clinical Services and/or the Senior Director of Ambulatory Services, apply the nursing process when making nursing judgments and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes. Is knowledgeable of and performs within the scope of practice as delineated by the NH Board of Nursing. Responsibilities Clinical Use effective interviewing and physical assessment skills telephonically or face-to-face to perform patient/family health status assessments by collecting and analyzing physical and psychosocial data, identifying needs, problems and patterns/trends, rendering an appropriate nursing diagnosis/intervention, and evaluating patient’s response to plan of care. Exercise professional nursing judgment when performing a broad range of procedures and treatments, administering medications and prioritizing patient acuity as well as workload demands. Provide patient care in a manner that demonstrates nursing knowledge, technical, critical thinking, and interpersonal skills competency, recognize changes in patient’s condition/situation and take appropriate action. Act as a role model in the performance of patient care. Document in patient’s medical record all relevant data obtained in person or over the phone, including signs and symptoms, nursing assessment and diagnosis/intervention, instructions/advice given and patient/family’s response to instructions/care. Evaluate responses to interventions and the effectiveness of the plan of care. Provide health teaching and counseling to a defined group or population of patients and family members; advocate for patients, families, groups, and communities by attaining and maintaining what is in best interest of patient or group. Assist clinicians during examinations, procedures, and treatments. Assist and provide guidance to other staff members by acting as a nursing resource. Appropriately delegates duties in accordance with NH Nurse Practice Act and professional standards of nursing practice to implement plan of care. Promote team collaboration in meeting the needs of the patient/family. Promote a work environment which fosters the acceptance of positive change initiatives. Participate in identifying and implementing quality improvement activities that improve patient care outcomes, processes and promote healthy work team behaviors. Qualifications Minimum of one year experience in nursing preferred. Experience in a practice setting preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support
Dartmouth Hitchcock Medical Center

Clinical Nurse Supervisor - Outpatient/Ambulatory - Family Medicine

Overview At the direction of the Associate Nurse Director, and in collaboration with the New London Medical Group Practice Manager, provides guidance and leadership for the clinical practice of the nursing staff in the ambulatory settings to include, Family Medicine, Pediatrics, and Specialty Services at New London Hospital (NLH). Accountable for the quality of nursing care service, in accordance with the NH Nurse Practice Act, hospital policies, and the NH Board of Nursing rules for delegated nursing tasks. Collaborates with the Associate Nurse Director, Ambulatory Educator, and LPN/MA Supervisor to assure professional development and ongoing competence of the nursing staff. Collaborates with the Ambulatory Nursing Director, and Ambulatory Educator to assure that system nursing practice goals and expectations are met. Responsibilities Clinical Operations Directly responsible for operational and performance management of the RNs in Family Medicine, Pediatrics and select Specialty Areas. Oversight of LPN’s in specialties. (Direct reports). Manages Clinical Schedule, Time Away, and Payroll for Direct Reports, and collaborates with other nursing supervisors to ensure adequate staff coverage throughout Ambulatory Services. Helps support the Ambulatory Educator with the onboarding of new nursing staff. Provides leadership in emergent situations and in those that require activation of the Emergency Activation Plan. Maintains up-to-date working knowledge of emergency preparedness in order to function as a resource to staff. Maintains clinical skills in order to provide direct care as needed. (This will be a working supervisory role). Will need to fulfill RN vacancies within Family Medicine, Pediatrics, Specialty Services, including Express Care. Maintains a presence in the clinical area and is actively engaged in the discussion of clinical care provided to patients. Maintains skills in order to function as a "super user" for the EMR. Participates actively in the review of existing policies and procedures. Collaborates with other health care disciplines/departments to maintain communication and provide an optimal level of patient care. Leadership and Staff Role models professional standards of behavior and nursing practice as required through the Nurse Practice Act. Collaborates with the Ambulatory Nurse Director, and Ambulatory Educator to develop the clinical skills and knowledge of nurses in the ambulatory setting. Actively engages staff in educational activities in collaboration with the Ambulatory Educator. Develops and maintains collaborative relationships with leaders throughout the organization. Actively participates in the Ambulatory Leadership Team to collaborate with Newport Health Center (NHC) leadership to standardize clinical processes as indicated. Collaborates with the NHC Clinical Nurse Manager, Lead Nurse and NLH Associate Nurse Director, and Ambulatory Educator to assure consistency of high-quality clinical care throughout NLH ambulatory sites. Provides clinical consultation and assistance upon request to other patient care areas at NLH. Maintains professional competence through participation in education programs and workshops. Quality Accountable for working with staff to ensure CMS survey readiness. Assists and supports Ambulatory Leadership in the implementation and evaluation of performance improvement indicators. Functions as a "champion" with strategic initiatives by role modeling, serving as an educator, and participating in the evaluation of the strategy board initiative. Serves as a resource to clinical staff for specialty-based information and research. Promotes clinical practice based on best evidence. Promotes a culture of patient-centered care. Works effectively with the Patient Experience Program Manager to assure the patient/family experience is of the highest quality. Demonstrates ability to work effectively and collaboratively with physician leaders and colleagues in the departments to assure quality in the provision of patient care. Qualifications BSN preferred. Minimum of 3 years of nursing experience. Experience in Ambulatory setting preferred. Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • BLS within 1 year • AVADE training within 1 year
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Intensive Care Nursery (NICU), Part Time

Overview The ICN is a 30-bed Intensive Care Nursery caring for acutely ill and premature infants from all over the state of NH and parts of the state of VT. The care we provide is patient and family centered, with the family encouraged to be present and participate in their baby’s care from the beginning. They are considered part of the care team. Nurses provide care to infants who are critically ill as well as convalescing with nurse to patient ratios that range from 1:1 to 1:3. Primary nursing is encouraged and contributes to family satisfaction. There are many opportunities for professional growth from participation in our unit based practice council and one of our many quality improvement projects. In addition, there is a two person high risk neonatal transport team which includes an ICN RN who has been trained to provide this level of care along with a respiratory care practitioner. This is a PT 2x12hr shift position ROTATING 7a-7p, 7p-7a across all weekdays, weekends, and holidays. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire. Pediatric Advanced Life Support (PALS) optional; must maintain either BLS or PALS Neonatal Resuscitation Provider (NRP) Certificate required within 6 months of hire date.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Otolaryngology

Overview Otolaryngology Clinic 40 hours per week The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) Manager - Orthopaedics, Pain and Spine

Overview Nurse Manager - Orthopaedic / Center for Pain and Spine Clinics 40 hours per week Administers an assigned nursing program or organizational unit with responsibility for planning, selecting, and/or devising the methods and policies/procedures to be used and for directing nursing supervisors and/or other personnel in the accomplishment of designated goals. Negotiates interdepartmental resources, communicates and plans with managers of staff in other departments to ensure effective level of service to the unit/program. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Plans adequate staffing and adjustments based on patient needs and staff skill mix. Evaluates performance of staff members, including coaching and performance management processes. Manages the hiring process. Maintains and supports evidence based practices in the clinical area. Assures compliance with national standards and initiatives, e.g., National Patient Safety Goals and The Joint Commission. Promotes individual/peer and departmental accountability to the organization’s Mission, Vision, and Goals. Develops the budget for personnel and non-personnel expenses. Makes unit based decisions to promote stewardship of resources. Encourages and supports process improvements which promote fiscal responsibility. Assumes responsibility for patient flow processes. Strategizes to improve efficiency and eliminate barriers that impact patient and family centered care. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) with 2 years of clinical experience and demonstrated leadership ability required. Masters of Science Degree in Nursing (MSN) preferred. Certification in a specialty preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibilty. Basic Life Support (BLS) Certificate required.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Inpatient Adult Psychiatric Care, Days

Overview Our Psychiatric Care Unit is a 24 bed Inpatient and Designated Receiving Facility supporting our region. Our team approach is dynamic with a focus on empowering patients to take charge of their treatment and be able to move forward. With an average stay of 8 days, you will also have the opportunity to support and facilitate patient healing in a therapeutic environment. The successful candidate will be flexible and have a team-oriented approach to care. The day shifts will rotate from 7 a.m. to 7 p.m. across all 7 days. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
Dartmouth Hitchcock Medical Center

Charge Nurse - Med Surg Inpatient

Overview Positively impact patient care and outcomes by leading staff, managing operational processes and ensuring that patient needs are met; utilizing best practices and leadership skills to reach their maximum potential as frontline leaders. Responsibilities Clinical Practice Identifies and addresses psychosocial needs of patients and families; communicates with Case Manager regarding both in-hospital and post discharge needs. Provide support to MedSurg and SCU, and to be a resource for all staff during shift. Takes patient assignment when census is high or to cover sick call/vacation. Supervisory Takes charge assignment, overseeing other staff RN's, LPN's, LNA's and Health Unit Coordinators. Oversees and monitors patient care/staff assignments, to include patient rounding and prioritizing staff needs for the shift. Oversees, and is primary clinical resource for Staff LPNs; to include administering initial dose of IV push medications, perform initial head-t-toe assessment for LPN admissions, initiate/discontinue restraints, and any other tasks not allowed by LPN license constraints. Facilitates staff breaks and meals. Responds properly to changes in workload, adjusting assignments s necessary to achieve optimal productivity and efficiency. Provides direction and coordination during emergency situations, i.e., disasters, fires, and code situations, including drills for such situations. Administrative Assists the nurse Manager in the planning, organizing, directing, implementation and evaluating of nursing care and activities of an assigned nursing unit. Recommends and helps to implement new technology and changes in hospital policy and procedures. Assists in cost containment through the appropriate ordering and conserving of supplies and equipment. Assist with making scheduling adjustments to cover staffing vacancies. Assists the Nurse Manager in implementation and evaluation of performance improvement indicators and quality initiatives to improve patient outcomes and the work environment. Qualifications Excellent written and verbal communication skills Delegation, problem solving, and organizational skills. Leadership and supervisory skills. Clinical experience required with a minimum 2 years of relevant experience in acute care setting to include, but not limited to: Vascular Access Management, NG Tube Placement and Management, Wound/Skin Care, Telemetry/Cardiac Dysrhythmias, EKGs, Tube Feedings, Accessing/De-accessing Mediports Supervisory experience preferred Graduate of an accredited school of nursing. Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support • (ACLS) Advanced Cardiac Life Support
Dartmouth Hitchcock Medical Center

Clinical Nurse - Family Medicine, Per Diem

Overview Under the general supervision of the Director of Clinical Services and/or the Senior Director of Ambulatory Services, apply the nursing process when making nursing judgments and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes. Is knowledgeable of and performs within the scope of practice as delineated by the NH Board of Nursing. Responsibilities Clinical Use effective interviewing and physical assessment skills telephonically or face-to-face to perform patient/family health status assessments by collecting and analyzing physical and psychosocial data, identifying needs, problems and patterns/trends, rendering an appropriate nursing diagnosis/intervention, and evaluating patient’s response to plan of care. Exercise professional nursing judgment when performing a broad range of procedures and treatments, administering medications and prioritizing patient acuity as well as workload demands. Provide patient care in a manner that demonstrates nursing knowledge, technical, critical thinking, and interpersonal skills competency, recognize changes in patient’s condition/situation and take appropriate action. Act as a role model in the performance of patient care. Document in patient’s medical record all relevant data obtained in person or over the phone, including signs and symptoms, nursing assessment and diagnosis/intervention, instructions/advice given and patient/family’s response to instructions/care. Evaluate responses to interventions and the effectiveness of the plan of care. Provide health teaching and counseling to a defined group or population of patients and family members; advocate for patients, families, groups, and communities by attaining and maintaining what is in best interest of patient or group. Assist clinicians during examinations, procedures, and treatments. Assist and provide guidance to other staff members by acting as a nursing resource. Appropriately delegates duties in accordance with NH Nurse Practice Act and professional standards of nursing practice to implement plan of care. Promote team collaboration in meeting the needs of the patient/family. Promote a work environment which fosters the acceptance of positive change initiatives. Participate in identifying and implementing quality improvement activities that improve patient care outcomes, processes and promote healthy work team behaviors. Qualifications Minimum of one year experience in nursing preferred. Experience in a practice setting preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Vascular Access Services

Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
Dartmouth Hitchcock Medical Center

Nurse Manager - Heart and Vascular Administration, Days

Overview Plans, directs, coordinates and evaluates the operational, fiscal and personnel activities to ensure the provision of high quality, safe patient/family centered care 24 hours a day. Advocates for and allocates available resources to promote efficient, effective, safe and compassionate nursing care. Responsibilities Manages the hiring process to meet anticipated staffing needs. Plans adequate staffing and adjustments in alignment with patient volume and clinical needs. Evaluates and manages the performance of staff members, to include coaching and the performance management processes. Manages the matrix relationships, including but not limited to providing input and feedback to Nurse Educators, Clinical Nurse Specialists, and Clinical Nurse Leaders assigned to the practice area, to ensure clinical competency of staff, quality of patient/family centered care and professional development of clinical staff. Identifies opportunities for best practices and continued improvement and oversees implementation of such practices. Responsible for operationalizing best practices in team care coordination. Proactively accesses safety risks and promotes and models a culture of safety. Manages staff and processes to achieve outcomes and organizational goals in regard to clinical quality, patient safety, and patient experience. Manages to operational budget for the unit. Monitors patient revenues and expenses and operational expenses and provides required reports to administration. Ensures that unit facilities and equipment meet necessary standard and monitors utilization of equipment. Facilitates the work of the Professional Nursing Organization, including facilitating the Practice Area Council. Coaches clinical nurses in professional development and engagement in the Program for Advancing Clinical Excellence (PACE) credentialing program. Assures that Joint Commission and other applicable regulatory standards are met in the clinical area. Assures that evidenced based practice and nursing practice standards are achieved in the clinical area. Assumes accountability for maintaining a safe work environment in alignment with Dartmouth-Hitchcock’s commitment to employee safety and regulatory requirements including but not limited to Occupational Safety and Health Administration (OSHA) and applicable state and federal law. Supports and/or participates in clinical research programs in collaboration with the interprofessional team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) is required. Master’s degree strongly preferred. Supervisory and/or management experience required. 5 years of progressive responsibility within an acute care setting required. Must obtain and maintain clinical competencies within assigned unit. Clinical or professional certification preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility Basic Life Support (BLS) upon hire. Advanced Cardiac Life Support (ACLS) upon hire.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department, Part Time

Overview Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. This is a PT 2x12hr shifts/week with ROTATING SHIFTS: Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date. AVADE Workplace Violence Prevention Training within one year of hire date Moderate Sedation Training within one year of hire date. Trauma Nurse Core Course within one year of hire date.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department Psych Unit

Overview Our Behavioral Health Emergency Department unit consists of a 6 beds supporting high risk mental health patients during a critical psychiatric event. Our care team’s priority is to provide therapeutic nursing care in a safe and controlled environment to stabilize their illness while developing a healthy care plan. As the primary nurse, you will work with our crisis team, the psychiatric and emergency physician/nursing team, care managers and security staff. An effective candidate will have a passion for critical care psychiatric nursing, empathy, and demonstrate a compassionate approach, high level of emotional intelligence and be diligent in their work environment to provide one on one support for patient needs. This is a FT (3x12hr shifts) rotating position. The 12hr shift rotation is between 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, and 7p to 7a Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire AVADE Workplace Violence Prevention Training within one year of hire date.
Dartmouth Hitchcock Medical Center

Perioperative 101 Program (RN) - O.R. Perioperative Services (August start date)

Overview Perioperative 101 Program (August start date) Operating Room, Medical Center, Main Campus This position is for the Periop 101 program, a 9-month program for nurses combining Association of peri-Operative Registered Nurses (AORN) approved online didactic learning with clinical skills labs and experiences in the Operating Room. It is a Full-time, benefited position. The Main OR operates 26 operating room suites and is dedicated to providing care for adult and pediatric patients (Thoracic, General, GYN, urology, Plastics, ENT, Eyes, Orthopedics, Cardiac, Vascular, Neuro and Transplant), to include trauma. Typical schedule is 10 hour shifts to include call for Holidays (Note the first 9 weeks will be 8 hour days). The ultimate goal of the Operating Room is to provide the right care in the right place and the right time for our patients who seek our surgical services. The program begins with participation in selected Periop Orientation offerings, which are integrated with Perioperative Nursing content. Upon successful completion of the didactic portion of training, the nurse is paired with a mentor in the circulating role for a designated period of time. Following this, the nurse spends time in each of the surgical specialties offered at Dartmouth-Hitchcock Medical Center before choosing a surgical service in which to specialize their nursing practice. Retention Bonus for commitment of 2 years following completion of training period. (paid in installments) Responsibilities The program starts on August 17, 2026 for New Grads and August 31, 2026 for Experienced nurses. All accepted applicants are required to successfully pass the New Hampshire N-CLEX Exam for RN's prior to their start date. No accepted applicants will be allowed to enroll unless they are licensed as a registered nurse in New Hampshire. Experienced nurses looking to change tracks to the Operating Room should also apply. Participants in this program pay no fee, but they are paid full salary and benefits during this program. This DHMC commitment to the participants in this program is balanced with a commitment from each student to work full-time for two years in the operating room at DHMC upon successful completion of the program. The program is concentrated mainly on the circulator role. The operating room is a physically demanding, high stress environment. Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions is a possibility. Physical requirements include: Full range of body motion including handling and lifting patients, pushing and pulling heavy objects, standing and walking for extensive periods of time, lifting and carrying items weighing up to 50 pounds, corrected vision and hearing to within normal range, manual and finger dexterity, hand and eye coordination, and working irregular hours including call hours. Qualifications •Graduate from an accredited Nursing Program required.•Bachelor of Science Degree in Nursing (BSN) with 1 year of experience.•Associate Degree (ADN) prepared nurses with 2 years' experience. Required Licensure/Certifications •Licensed Registered Nurse in New Hampshire required.•Basic Life Support (BLS) Certificate required upon hire and as applicable, higher level per unit certification requirements as stated on the grid attached to the AHA and Life Support Policy•ACLS Certificate required upon hire in Endoscopy, Tele-ICU, Day Surgery Center at CGP (Manchester), Life Safety and Cardiology-Echocardiography
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Operating Room

Overview The Circulating RN Works collaboratively with Surgical Team to ensure patient safety and positive patient outcomes. Monitor Surgical cases for continued sterility, and support surgical team from outside the sterile field. Thorough and complete intra-operative documentation, as well as case set up and preparation. This specialty works while adhering to AORN standards and practices. Call schedule (after training is complete) for overbook and emergent cases only and at a small critical access hospital with two OR’s and one endoscopy suite. Variable days into evening M-F with no holiday or weekend regular hours. Responsibilities General Clinical Practice 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 individualized care to the population served. Adheres to the established practice standards and procedures at New London Hospital, regarding the administration of all medications and patient care activities. Makes knowledgeable decisions in consideration of the facts and the disease/surgical condition utilizing critical thinking. Evaluates the patient’s response to the nursing and/or medical regimen and reassesses and revises plan of care, as necessary. Documents care provided using hospital standards. Provides education to patients and families based on assessment of learning needs. Participates in interdisciplinary planning. 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/health care errors. Assists in minor procedures, as requested. Specialty Clinical Practice OR Circulating Demonstrates competence in the principle and practice of surgical asepsis, surgical hand scrub, appropriate gowning and gloving, nursing responsibilities for conscious sedation according to training, and sterilization, disinfection, preparation, packaging and storing of surgical instruments and supplies. Demonstrates competence the use of special equipment, positioning tables or chairs, electrocautery, insufflation, tourniquet, cameras, warming units, thromboembolic prevention, and microscope. Carries out care according to AORN/ASPAN Recommended Standards of Practice. Advocates for patient throughout the continuum of surgical care and brings up any concerns re: patient safety, positioning needs, surgical attire or sterility of the field. Follows the Standards of Practice established for the Surgical Services Department. Documents surgical events according to facility standards including but not limited to event times, staff members in or out of room, positioning, asepsis and site prep, instrument and supply counts, specimens gathered, implants and explants Cleans environment as training before, during, after cases and at beginning and end of shifts as per AORN guidelines Adheres to surgical attire according to AORN and ensure visitors are following these guidelines. Qualifications Graduate from Accredited nursing program with Associate Degree, BSN preferred. Minimum 1 yr. med/surg. or critical care nursing experience preferred. Previous OR experience a plus. Will train according to AORN guidelines in conjunction with AORN Peri-Op 101 Program modules and a precepting RN. Certificate of completion from AORN Peri-Op 101 program within one year of hire. Ability to utilize electronic medical documentation Critical thinking Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support • (BLS) Basic Life Support • Certified Nurse Operating Room (CNOR)
Dartmouth Hitchcock Medical Center

Registered Nurse with the Emergency Department Landing Zone

Overview Our Level 1 Emergency Department is expanding to meet the needs of our rural New England region’s acutely ill patients requiring technical specialized procedures available only at our facility. The DH Emergency Department is slated to open a new 4 bed landing zone in November 2024. We are recruiting nurses with Critical Care, step down or Emergency nursing experience to join our team for this exciting new unit as we expand our ability to care for the patients in our region. As an RN on this unit, you will be caring for critical patients in urgent need for specific procedures such as; cardiac catheterization, invasive neurological procedures, external ventricular drains, intercranial pressure monitoring or patients awaiting a surgical procedure pending OR suite availability. The successful candidate should possess ACLS & PALS certifications or have the dedication to obtain within 6 months of hire and be interested in working with a dynamic team dedicated to providing specialized patient care. The shifts will be rotating 7a-7p and 7p-7a. The unit requires flexibility and high level of engagement to create this new unit. The ED nursing leadership team will provide orientation and training to allow the landing zone nurses to cross train to the emergency department and/or job shares with other DH nursing units. The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS at hire ACLS within 180 days PALS within 180 days