Registered Nuse Per Diem 4W - Day

bilh; Exeter; On-site; GBP 67,000 - 78,000; Full time

Benefits offered by this job

Onsite parking

Competitive benefits

Job summary

Beth Israel Lahey Health's Exeter Hospital is a nationally recognized, non-profit community hospital serving the Seacoast region. Join the 34-bed Medical/Surgical unit to care for medical, surgical, and telemetry patients with a teamwork-driven culture.

The role supports day shifts (7am-7:30 pm) with a focus on safe medication administration, patient education, and professional growth in a fast-paced environment.

Qualifications

• RN license required as applicable in NH or compact state.
• BCLS certified or within 30 days of hire; ACLS certification preferred.
• Adheres to ANA standards and hospital policies; uses information technology.
• Demonstrates clinical leadership through mentoring and teaching.

Responsibilities

• Safely administers medications and IVs per policy and state regulations.
• Precepts new employees and supports ongoing professional development.
• Delegates tasks based on licensure, education, and scope.
• Conducts physical assessments and documents findings accurately.
• Plans, prioritizes, and adjusts care to meet patient needs and discharge planning.

Skills

RN license

BCLS

ACLS

Nursing standards

Mentoring

Delegation

Assessment

Prioritization

Planning

Documentation

Patient education

Education

RN license (NH/compact state)

Tools

EMR systems

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Exeter Hospital, part of Beth Israel Lahey Health, is a nationally recognized, non-profit community hospital serving the Seacoast region since 1896. With more than 1,400 employees and 370 affiliated physicians, we provide advanced, patient-centered care across a wide range of specialties. Our collaborative culture empowers team members to grow, contribute, and make a meaningful impact every day.

Why Join Us?

• Magnet®-recognized for nursing excellence and quality care
• Competitive pay and comprehensive benefits starting on day one
• Career growth and development opportunities across Beth Israel Lahey Health
• Free onsite parking
• Supportive, team-oriented work environment
• Advanced technology and state-of-the-art facilities
• Scenic Seacoast location with easy access to Boston and Portland

Unit Overview

Join our 34-bed Medical/Surgical unit caring for medical, surgical, and telemetry patients. The average length of stay is 3-4 days, with patient ratios of 5:1 on days and typically 6:1 on nights. This fast-paced unit offers a collaborative environment and opportunities to build strong clinical skills while delivering exceptional patient care.

Day Shift: 7am-7:30 pm

Job Description:

• RN license - N.H. state or any other compact state.
• BCLS certified or within 30 days of hire; BSN strongly preferred
• ACLS certified or within 1 year of hire
• Practice Standards - Adheres to hospital policies, ANA standards of practice, and nursing code of ethics. - Ensures safe, timely and accurate medication and IV administration and transcription. - Successfully uses information technology. - Documentation is accurate, timely, concise, and legible and adheres to departmental policy. - Integrates policies and/or national practice guidelines 0 % into patient care planning to achieve desired patient care outcomes. - Is an expert resource for content development of clinical practice (and therefore policy/procedure review or development).
• Mentoring/Teaching - Precepts new employees - sets goals and assists the new employee in meeting those goals. - Facilitates and encourages an environment for critical thinking. - Makes 1-2 formal presentations (case study, new equipment in service, or education program) to peers at least annually. - Assists in meeting the learning and professional development needs of others.
• Delegation - Understands team members' roles and delegates tasks and responsibilities appropriate to the licensure, education, and experience of the staff. - Assigns personnel appropriately; understands when follow-up is needed. - Monitors and evaluates appropriate utilization of staff during assigned shift.
• Assessment - Performs a physical assessment and elicits comprehensive patient history on admission appropriate to the setting and patient's condition utilizing accepted practice and documentation standards. - Performs systematic, ongoing assessments as patient condition and unit standards warrant. - Uses appropriate evidence-based assessment techniques and instruments in collecting pertinent data.
• Prioritization/Organization - Prioritizes established patient care problems and needs. - Makes clinical decisions independently, collaboratively, manages one's own assignment. - Manages own assignment while balancing efficiency and cost. - Recognizes own limitations and seeks collaboration/assistance when needed. - Modifies plans and re-prioritizes work quickly to handle the unexpected. - Manages multiple demands in prioritizing the patient care needs of an entire unit/dept. -Adapts routine protocols and resources to demonstrate effective clinical decision making, in situations that are less than predictable.
• Planning/Implementation - Communicates effectively during any patient hand-off. - Identifies and anticipates patient care needs and initiates the plan of care based upon actual or potential health risks or problems to attain mutually agreed upon outcomes. - Identifies patient priorities and discharge planning needs by utilizing assessment, 'best practice' standards, multidisciplinary team and patient input.
• Evaluation - Evaluates and modifies the effectiveness of the plan of care based on mutually agreed upon outcomes and patient feedback.
• Patient/Family Education - Identifies patient education needs and collaborates with other health care professionals to provide appropriate learning opportunities. - Documents patient education, interventions and patient's response in a clear and concise manner. - Develop formal patient education materials independently. - Develops/participates in community education programs or screenings.
• Professional Growth and Development - Seeks formal education to maintain and advance clinical and professional skills and knowledge. - Seeks assignments that challenge and stretch their ability. - Anticipates the need for and acquires new skills/training. -