Registered Nurse - Med Surg 4S

Exeter Hospital, Inc.; Exeter (NH); On-site; USD 48,000 - 87,000; Full time

Job summary

Beth Israel Lahey Health is seeking a registered nurse to provide professional nursing care within a designated unit under the Nurse Manager/Director. You will coordinate care planning with other disciplines and ensure adherence to standards of practice.

You will mentor staff, perform patient assessments, document findings, and participate in education and discharge planning to support optimal patient outcomes.

Qualifications

• RN license in NH or any other compact state; BCLS certification or within 30 days of hire; BSN strongly preferred; ACLS certification or within 1 year of hire

Responsibilities

• Provide professional nursing care within assigned unit.
• Coordinate care planning with other disciplines.
• Adhere to hospital policies, ANA standards of practice, and nursing code of ethics.
• Ensure safe, timely and accurate medication and IV administration and transcription.
• Document accurately, timely, concise, and legible and adhere to departmental policy.
• Mentor new employees and assist in their development.
• Delegate tasks appropriately and monitor staff utilization.
• Perform physical assessments and collect patient history on admission.
• Plan and implement care with discharge planning in mind.
• Evaluate outcomes and adjust care as needed.
• Educate patients and families about care plans and treatments.

Skills

Medication administration

Patient assessment

Documentation

Critical thinking

Education

RN license – NH or compact state

BCLS certification

ACLS certification within 1 year

BSN strongly preferred

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. Reporting to the Nurse Manager/Director of the Unit, provides professional nursing care within assigned unit. Coordinates care planning with other disciplines. Job Description: Reporting to the Nurse Manager/Director of the Unit, provides professional nursing care within assigned unit. Coordinates care planning with other disciplines.

Major Responsibilities

• a. 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 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).
• b. 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.
• c. 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.
• d. 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.
• e. 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.
• f. 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.
• g. Evaluation - Evaluates and modifies the effectiveness of the plan of care based on mutually agreed upon outcomes and patient feedback.
• h. 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.
• i. 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.
  • Able to work in more than one specialty area/unit/environment.
  • Is an active member of a professional organization and shares organizational information with their home department.
  • Maintains certification in specialty area.

Requirements

RN license - N.H. state or any other compact state. BCLS certified or within 30 days of hire; BSN strongly preferred ACLS certified or within1 year of hire

Pay Range

Pay Range: $35.00 - $63.15 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.