Registered Nurse: Operating Room Baylor Position

Beth Israel Lahey Health; Exeter (NH); On-site; USD 48,000 - 87,000; Full time

Benefits offered by this job

Health insurance

Dental plan

Retirement plan from day 1

Free onsite parking

Career growth opportunities

Job summary

Beth Israel Lahey Health's Exeter Hospital in New Hampshire is seeking an experienced Registered Nurse for our Surgical Services unit. You will circulate and assist in diverse surgical procedures, collaborating with physicians and a multidisciplinary team to ensure safe, high-quality patient care throughout the perioperative period.

The role reports to the Nurse Manager/Director and requires the ability to prioritize, educate colleagues, and participate in patient education and discharge

Qualifications

• RN license in NH or a compact state required.
• BCLS certified at hire or within 30 days.
• ACLS certification within one year of hire.
• BSN strongly preferred; CNOR encouraged within 18 months.

Responsibilities

• Deliver high-quality, patient-centered nursing care on the surgical unit.
• Collaborate with physicians and interdisciplinary team to plan, coordinate and evaluate care.
• Adhere to ANA standards and hospital policies in all practice areas.
• Document accurately and timely; utilize information systems for care delivery.
• Lead and mentor staff; support education and professional development.
• Manage priorities, hand-offs, and patient discharge planning as part of the team.

Skills

RN license NH/compact

BCLS

ACLS

Critical thinking

Education

BSN preferred

CNOR within 18 months

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 that has been caring for the Seacoast region since 1896. With more than 1,400 employees and 370 affiliated physicians, Exeter Hospital provides comprehensive services across cardiovascular care, oncology, orthopedics, breast health, maternity, and more—all supported by advanced technologies and an unwavering commitment to patient-centered care. At Exeter Hospital, you’ll find a close-knit, collaborative environment where every team member is valued, supported, and empowered to make a difference in the lives of patients and their families.

Why Join Us

• Magnet®-recognized hospital known for nursing excellence and quality care
• Competitive pay and comprehensive benefits, including health, dental, and retirement plans beginning on day 1 of employment
• Career growth and leadership development opportunities across Beth Israel Lahey Health
• Free onsite parking
• Strong sense of community and teamwork where your contributions are recognized
• State-of-the-art facilities and advanced technology to support exceptional care
• Located in scenic Exeter, New Hampshire—just minutes from the Seacoast, with easy access to Boston and Portland

Schedule

Friday 6:45a.m. - 5:15p.m. Saturday/Sunday 48hr call. Full-time 40hr. salaried position.

About the Role

Our Surgical Services Department features four inpatient operating rooms and provides care for a diverse range of surgical specialties, including plastic and reconstructive surgery, ENT, vascular, general, laparoscopic, orthopedic, urology, and OB/GYN procedures. Our experienced nursing team demonstrates the clinical skills and competencies necessary to both circulate and assist in all surgeries performed within the department.

Position Summary

Reporting to the Nurse Manager/Director, the Registered Nurse delivers high‑quality, patient‑centered nursing care within the assigned unit. The RN collaborates with physicians and interdisciplinary team members to assess patient needs, develop and coordinate care plans, and ensure safe, effective care throughout the surgical experience.

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
  • Understanding 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 ACLS within one year of hire BSN strongly preferred CNOR within 18 months or when certification criteria are met One year prior OR experience preferred

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.