Registered Nurse (RN) - Inpatient Thoracic, Surgical, rotation

Dartmouth-Hitchcock Health; Lebanon (NH); On-site; USD 85,000 - 110,000; Full time

Job summary

Dartmouth-Hitchcock Health is seeking a Registered Nurse (RN) for a full-time 3x12 hour shift unit on a dynamic 35-bed medical-surgical unit. The role includes caring for thoracic, colorectal, surgical oncology, general, and vascular surgery patients, with exposure to complex postoperative pathways.

The unit emphasizes critical thinking, evidence-based practice, and a range of bedside procedures to support efficient patient progression and discharge planning.

Qualifications

• Graduate from an accredited Nursing Program is required.
• BSN degree is preferred.

Responsibilities

• Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
• Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
• Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients and families in expressing self-determination.
• Actively seeks feedback and acts to improve performance.
• Engages in the governance of practice.
• Manages interpersonal relationships for self and with others.
• Mentors colleagues for the advancement of nursing practice and the profession.
• Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to other members of the care delivery team in accordance with laws, regulations and policies and procedures.
• Prioritizes and organizes time to optimize patient outcomes.
• Actively seeks out the most current evidence and standards and applies and translates to daily practice.
• Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
• Communicates effectively in a variety of formats in all areas of practice.
• Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
• Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
• Performs other duties as required or assigned.

Education

Graduate from an accredited Nursing Program

BSN preferred

Job description

Overview

Are you looking for a nursing opportunity where you can use and develop your critical thinking skills while caring for interesting and complex surgical patients?

Then welcome to our unit!

Registered Nurse (RN)

Full-time 3x12 hour shifts, D/N rotation

L4WD is a dynamic, fast-paced 35-bed medical-surgical unit. Our primary patient populations include thoracic, colorectal, surgical oncology, general surgery, and vascular surgery, providing a diverse and rewarding range of clinical experiences. Thoracic surgery is an important part of our practice, offering nurses opportunities to care for patients undergoing complex procedures and navigate specialized postoperative recovery pathways.

Our team cares for patients throughout their surgical journey, from immediate postoperative recovery to discharge and beyond. Nurses gain experience caring for patients undergoing colorectal procedures, new and reversed ostomies, hernia repairs, vascular surgeries and complex surgical oncology procedures, including Whipple procedures. Our thoracic population provides additional opportunities to develop specialized skills in caring for patients following esophagectomies and other complex thoracic surgeries. Nurses also gain experience with a variety of bedside procedures and interventions, including bronchoscopy, chest tube tPA/Dornase administration, and talc pleurodesis. With an average length of stay of approximately five days, our team balances efficient patient progression and discharge planning with the individualized care required for patients experiencing more complex or prolonged recoveries.

Responsibilities

• Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
• Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
• Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
• Actively seeks feedback and acts to improve performance.
• Engages in the governance of practice.
• Manages interpersonal relationships for self and with others.
• Mentors colleagues for the advancement of nursing practice and the profession.
• Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
• Prioritizes and organizes time to optimize patient outcomes.
• Actively seeks out the most current evidence and standards and applies and translates to daily practice.
• Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
• Communicates effectively in a variety of formats in all areas of practice.
• Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
• Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
• Performs other duties as required or assigned.

Qualifications

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) preferred.

Required Licensure/Certifications

• Licensed RN with NH eligibility
• BLS