Registered Nurse

Littleton-Regional-Healthcare; Littleton (NH); On-site; USD 70,000 - 100,000; Full time

Job summary

Littleton Regional Healthcare is seeking a Staff Registered Nurse for the Perioperative Services department in Littleton, NH. The role covers pre-operative, intra-procedural, and post-anesthesia care across SDS, PACU, and Endoscopy units.

The nurse delivers comprehensive patient care, follows hospital policies, and participates in safety and quality initiatives while complying with the New Hampshire Nurse Practice Act. ACLS and PALS are required within 45 days of hire.

Qualifications

• RN licensed in NH per NH Nurse Practice Act.
• ACLS and PALS required within 45 days of hire.
• Experience in perioperative, SDS, PACU, or Endoscopy is preferred.

Responsibilities

• Pre-operative nursing assessments and history review; consent verification; pre-procedure testing coordination.
• Intra-procedural support; room preparation; supplies and documentation readiness for SDS/Endoscopy.
• Post-operative recovery care using ASPAN guidelines and Aldrete scoring; discharge planning and instructions.
• Maintain communication with physicians, anesthesia, and interdisciplinary staff to ensure safe care.
• Assist in staff training, quality and safety initiatives, and occupancy readiness of care spaces.

Skills

Patient care

Team collaboration

Education

RN license (NH)

ACLS

PALS

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Registered Nurse

Professionals Littleton, NH, US

18 days ago Requisition ID: 2555

LITTLETON REGIONAL HEALTHCARE

POSITION SUMMARY

JOB TITLE:

Registered Nurse

FLSA:

Exempt

Non-Exempt

DEPARTMENT:

Perioperative Services (SDS/PACU/ENDO)

GRADE:

9.5

Position Summary

The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act.

Essential Duties and Responsibilities

Pre-Operative / Pre-Procedural

• Review patient history, verify consents, and ensure pre-procedure testing is complete.
• Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems.
• Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients.
• Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care.
• Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration.
• Ensure timely coordination of care to support patient flow and surgical schedule readiness.

Intra-Procedural Support (SDS / Endoscopy)

• Assist in preparing patients and procedure rooms for surgery or endoscopy.
• Support the procedural team by ensuring all documentation, supplies, and medications are ready and available.
• Maintain situational awareness to anticipate team needs and patient status changes.

Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery)

• Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score.
• Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications.
• Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed.
• Ensure all discharge criteria are met prior to patient release and support smooth transitions in care.

Professional Responsibilities

• Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities.
• Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care.
• Support quality and safety initiatives, including infection prevention and patient experience efforts.
• Precept and mentor new staff as assigned.
• Participate in review and follow-up of adverse events, variances, and near misses.

Certifications

• ACLS – Required within 45 days of hire
• PALS – Required within 45 days of hire

Ancillary Duties

• Order and restock supplies in SDS, PACU, and Endoscopy areas.
• Clean rooms and equipment in off-hours or between cases.
• Maintain readiness of all clinical and patient care spaces.

Working Conditions / Physical Requirements

• Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals.
• Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup.
• Must be able to respond rapidly to patient care needs and changing conditions.
• May include irregular hours and call coverage as required by the surgical schedule.

Employee Signature: _________________________________

Date: ________________