Registered Nurse (RN) - Intensive Care Nursery (NICU)

Dartmouth-Hitchcock Health; Lebanon (NH); On-site; USD 75,000 - 95,000; Full time

Job summary

Dartmouth-Hitchcock Health’s Intensive Care Nursery (ICN) in New Hampshire is seeking a Clinical Nurse to provide autonomous, evidence-based care for critically ill and premature infants. The role supports family-centered care with skilled collaboration across a high-performing team.

Responsibilities include applying the nursing process, monitoring patient status, and mentoring staff while working a FT 3x12hr rotating shift (7a–7p, 7p–7a) across weekdays, weekends, and holidays.

Qualifications

• RN licensed or eligible to practice in New Hampshire.
• BSN preferred; graduation from an accredited nursing program.

Responsibilities

• Provide autonomous, evidence-based nursing care.
• Assess, diagnose, identify outcomes, plan, implement and evaluate individualized care.
• Monitor patient status and escalate as needed to the care team.
• Mentor colleagues and participate in governance of practice.
• Deliver care in line with ANA ethics and patient/family-centered approach.

Skills

RN Licensure

BLS

NRP Certification

PALS (optional)

Education

BSN preferred

Accredited Nursing Program

Job description

Overview

The ICN is a 30-bed Intensive Care Nursery caring for acutely ill and premature infants from all over the state of NH and parts of the state of VT. The care we provide is patient and family centered, with the family encouraged to be present and participate in their baby’s care from the beginning. They are considered part of the care team.

Nurses provide care to infants who are critically ill as well as convalescing with nurse to patient ratios that range from 1:1 to 1:3. Primary nursing is encouraged and contributes to family satisfaction. There are many opportunities for professional growth from participation in our unit based practice council and one of our many quality improvement projects. In addition, there is a two person high risk neonatal transport team which includes an ICN RN who has been trained to provide this level of care along with a respiratory care practitioner.

This is a FT 3x12hr shift position ROTATING 7a-7p, 7p-7a across all weekdays, weekends, and holidays.

Responsibilities

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

• Practitioner
• 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.
• Leader/Decision Maker
• 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.
• Scientist
• 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.
• Transferor
• 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 Registered Nurse with New Hampshire eligibility.
• Basic Life Support (BLS) Certificate required upon hire.
• Pediatric Advanced Life Support (PALS) optional; must maintain either BLS or PALS
• Neonatal Resuscitation Provider (NRP) Certificate required within 6 months of hire date.