Nurse FlexChoice Regional Hospital ED Float (RN) - System Staffing Float, PRN

Dartmouth-Hitchcock Health•Lebanon, NH

21h

About The Position

This PRN Regional Float Registered Nurse position is part of the System Staffing Office and focuses on Emergency Department assignments. The role requires 48 hours of work in a four-week period, including one weekend shift. Hospital Float nurses are experienced inpatient nurses with Critical Care experience who agree to work at least two hospital facilities within the Dartmouth-Health System. The nurse provides individualized, evidence-based care across assigned affiliate hospitals and units within their demonstrated competence. Care areas may include Critical Care, General Care (Med-Surg), Progressive Care (Step-Down), Emergency Department, and Ambulatory Care. The nurse assesses patients, identifies health problems and risks, develops and evaluates care plans, responds to changes in patient status, administers medications, collaborates with patients, families, and the healthcare team, and communicates patient status through verbal, electronic, and written means. The role also supports peers and learners, participates in practice governance and quality improvement, and contributes to research and evidence-based practice.

Requirements

Graduate from an accredited nursing program.
Minimum of 2 years of Emergency Department experience.
Licensed Registered Nurse in New Hampshire and Vermont.
ACLS certification required upon hire.
PALS certification required within 6 months.
TNCC certification required within 1 year.
Experienced inpatient nursing background with Critical Care experience, as stated for Hospital Float nurses.
Agree to work at least two hospital facilities within the Dartmouth-Health System.

Nice To Haves

Bachelor of Science Degree in Nursing (BSN) preferred.
Level 1 trauma experience preferred.

Responsibilities

Assess patients and use the nursing process to diagnose needs, identify outcomes, plan, implement, and evaluate individualized care.
Use critical thinking to anticipate and recognize changes in patient status, modify the care plan, and escalate concerns to the care team as necessary.
Advocate for patients, uphold autonomy in decision-making, ensure informed consent, and support patients and families in expressing self-determination.
Seek feedback and improve performance; participate in the governance of nursing practice.
Manage interpersonal relationships and mentor colleagues to advance nursing practice and the profession.
Take accountability for nursing care and appropriately delegate elements of care to other care team members in accordance with applicable laws, regulations, and policies.
Prioritize and organize time to optimize patient outcomes.
Apply current evidence and standards to daily practice and contribute to research, quality improvement, and evidence-based practice.
Communicate effectively in a variety of formats and partner with others to achieve positive outcomes through exchange of knowledge.
Precept student nurses, nurse externs, nurse residents, experienced clinical nurses, and other healthcare team members.
Work at assigned affiliate hospitals and units within demonstrated competence, including Critical Care, General Care (Med-Surg), Progressive Care (Step-Down), Emergency Department, and Ambulatory Care.
Identify patient health-related problems and risk states, develop nursing care plans, and assist other nurses with assessment, diagnosis, care planning, and outcome evaluation.
Provide individualized nursing care, recognize significant changes in patient condition, and take appropriate action.
Evaluate nursing care and make modifications to support optimal patient outcomes.
Establish relevant, evidence-based, and safe nursing interventions and priorities, including medication administration.
Collaborate with patients, significant others, and healthcare team members to achieve optimal outcomes and act as a resource to peers, students, and other healthcare providers.
Communicate patient status verbally, electronically, and in writing, and take appropriate action for patient well-being.
Observe patients and implement physical, social, or emotional care directly or in collaboration with other care team members.
Work with colleagues to involve patients and families in discharge planning and meet identified needs through teaching or referrals; ensure an integrated discharge planning process.
Identify and offer solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review.
Perform other duties as required or assigned.