Registered Nurse Cardiac Surgery Stepdown Unit

HCA Healthcare; Portsmouth (NH); On-site; USD 85,000 - 110,000; Full time

Job summary

Portsmouth Regional Hospital seeks a Registered Nurse to independently plan, organize, administer, and evaluate patient care per the NH Nurse Practice Act and hospital policies.

The role emphasizes critical thinking, leadership, and collaboration with the interdisciplinary team to ensure safe, high-quality care and effective discharge planning for adult patients. Strong clinical skills and commitment to education are essential.

Qualifications

• Advanced Cardiac Life Support (ACLS) within 90 days of start date.
• Basic Life Support (BLS) within 30 days of start date.
• RN license active in NH or compact state.

Responsibilities

• Plans, coordinates, and evaluates patient care in accordance with NH Nurse Practice Act and hospital policies.
• Provides therapeutic and administrative services to support safe patient care.
• Maintains patient confidentiality and informs patients about their rights.
• Demonstrates critical thinking, leadership, and clinical judgement in patient care planning.
• Assesses patients, delegates tasks, and communicates progress to the care team.
• Coordinates discharge planning with the healthcare team and educates patients and families.

Skills

Critical thinking

Leadership

Communication

Education

Associate Degree in Nursing

Job description

Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Portsmouth Regional Hospital, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best.

Job Summary and Qualifications

POSITION SUMMARY: Registered nurse demonstrates independence in planning, organizing, administering, and evaluating patient care in accordance with the NH Nurse Practice Act, recognized nursing techniques, clinical and administrative policies.

SPECIFIC ELEMENTS & ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Demonstrates critical thinking skills, scientific judgment and leadership in planning, directing, and the provision of nursing care to the patients in accordance with the N.H. Nurse Practice Act, recognized nursing techniques, and clinical and administrative policies.

1. Provide therapeutic and administrative services necessary for the care of the patient, in support of HCA ethical principles and values.
2. Maintains patient confidentiality, privacy, and functions to meet patient's right to be informed.
3. Demonstrates critical thinking skills, scientific judgement and leadership in planning for the care of the patient
4. Demonstrate knowledge of normal anatomy and physiology of the adult patient population as well as age adjusted and culturally appropriate care.
5. Provide safe medication administration for the adult patient population.
6. Assessing, planning, implementing, evaluating, and documenting all aspects of patient care. Set priorities and modifies patient care in response to changing conditions by utilizing problem solving skills and exhibiting good judgment.
7. Delegate appropriate tasks to unlicensed personnel and provides required supervision as needed.
8. Collaborate with all health care providers and interdisciplinary team serving as the primary coordinator to facilitate and coordinate efficient, effective, and quality healthcare. Communicate patient progress towards the outcome attainment and assist providers and team during treatment/examination of patient and process orders.
9. Makes appropriate and timely notification to providers on patient condition changes and carries out provider orders.
10. Monitors, records, and communicates effectively patient condition as appropriate, utilizing computerized documentation systems to maintain therapeutic relationships with patients, families, and physicians.
11. Assesses and coordinates patient’s discharge planning needs with members of the healthcare team. Instructs and educates patients and families providing age and culturally appropriate care.
12. Functions as an effective team member and/or charge RN when needed, orients and mentors new staff members
13. Follows Standard Precautions using personal protective equipment as required.
14. Maintains competencies in clinical areas and is responsible for professional growth and development.
15. It is expected that the RN will attend Unit Meetings as directed by the Nurse Manager/Director and participate in continuing education programs and quality assurance programs to maintain competence and gain additional skills and knowledge.
16. Demonstrates knowledge and proficiency in the care of patient with a focus on cardiovascular diagnoses and procedures including but not limited to- pre and post cardiac caths, pacemakers, TEEs/Cardioversions, open heart surgery, ablations, TAVRs, groin management, strokes/TIAs, traumas, sepsis, COPD, CHF, AFib exacerbations, detox and drug abuse, and general med/surg telemetry overflow and IV maintenance.
17. Performs all other duties as assigned.

What qualifications you will need:

• Advanced Cardiac Life Spt must be obtained within 90 days of employment start date
• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• (RN) Registered Nurse state of New Hampshire or valid compact state
• Associate Degree in Nursing

Benefits

Portsmouth Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counselling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location

At Portsmouth Regional Hospital (https://portsmouthhospital.com/), you're not just joining a hospital—you’re becoming part of a mission-driven team that’s redefining healthcare excellence across the Seacoast region. As a 240-bed acute care facility in Portsmouth, NH, we proudly serve communities throughout New Hampshire, Maine, and Massachusetts. We’re the only hospital in the area to be recognized as an ACS Verified Level II Trauma Center and a Comprehensive Stroke Center, and we offer a robust heart and vascular program—giving our team the opportunity to work at the forefront of life‑saving care.

As part of the HCA Healthcare family, you’ll be supported by one of the nation’s leading healthcare systems, with a strong presence in New Hampshire that includes four hospitals, three freestanding emergency rooms, and over 70 care sites. Here, nearly 5,000 colleagues—including 1,500 nurses and 1,000 affiliated physicians—collaborate to deliver exceptional care and innovation every day. Whether you're at Portsmouth, Catholic Medical Center (https://catholicmc.com/) in Manchester, Parkland Medical Center (http://www.parklandmedicalcenter.com) in Derry, Frisbie Memorial Hospital (http://www.frisbiehospital.com) in Rochester, or one of our emergency facilities in Seabrook, Dover, or Plaistow, you’ll find a culture that values your expertise, supports your growth, and empowers you to make a real difference.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future.

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Our team will promptly review your application. Highly qualified candidates will be contacted for interviews.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.