Registered Nurse or Paramedic - Emergency Department Night Shift

Cottage Hospital•Woodsville, NH

About The Position

Cottage Hospital is seeking a skilled and dedicated Paramedic or Registered Nurse to join its Emergency Department on the night shift. The role provides critical and non-critical emergency care, including patient assessments, treatments, interventions, and ongoing monitoring. Paramedics work collaboratively with and under appropriate supervision of the nursing team, providing care within their authorized scope of practice and applicable New Hampshire Patient Care Protocols. Registered Nurses provide nursing care within their licensed scope, including assessment, care planning, implementation, and evaluation of patient outcomes. The position contributes to high-quality, compassionate, patient-centered care for the hospital and community.

Requirements

Candidates must meet the qualifications for either the Paramedic or Registered Nurse pathway.
Paramedics must have current New Hampshire Paramedic licensure or eligibility for licensure prior to employment.
Paramedics must have current Basic Life Support (BLS) certification.
Paramedics must have current Advanced Cardiovascular Life Support (ACLS) certification.
Paramedics must be able to provide emergency care within their authorized scope of practice and applicable hospital policies.
Paramedics must have strong assessment, communication, critical thinking, and emergency response skills.
Registered Nurses must graduate from an accredited nursing program.
Registered Nurses must have a current, active New Hampshire RN license or a multistate RN license with the privilege to practice in New Hampshire.
Registered Nurses must have current Basic Life Support (BLS) certification.
Registered Nurses must have current Advanced Cardiovascular Life Support (ACLS) certification.
Registered Nurses must be able to independently perform nursing assessments, develop and implement nursing care plans, and evaluate patient outcomes.
Registered Nurses must have strong clinical judgment, communication, and critical thinking skills.
Additional certifications and experience requirements may apply based on the candidate's qualifications and hospital policies.

Nice To Haves

Emergency Department or acute care experience is preferred.

Responsibilities

Provide safe, compassionate, and timely emergency care to patients with a variety of critical and non-critical conditions.
Perform patient assessments, identify changes in condition, establish priorities, and implement appropriate interventions within the individual's scope of practice.
For Registered Nurses: Assess, plan, implement, and evaluate individualized nursing care plans, including physical, psychosocial, and educational needs.
For Paramedics: Perform patient assessments, emergency interventions, treatments, and technical procedures within the authorized scope of practice, under appropriate clinical supervision and in accordance with applicable New Hampshire protocols.
Recognize abnormal assessment findings, promptly communicate changes in patient condition, and collaborate with providers and other healthcare team members.
Administer medications, perform treatments, and assist with emergency procedures as permitted by licensure, certification, hospital policies, and scope of practice.
Maintain accurate, timely, and complete patient documentation in the electronic medical record.
Communicate professionally and respectfully with patients, families, coworkers, and other healthcare professionals while maintaining patient confidentiality.
Demonstrate knowledge of and compliance with Cottage Hospital policies, procedures, safety standards, and departmental protocols.
Identify and promptly report unusual incidents, patient safety concerns, or changes in patient condition to the appropriate supervisor or clinical team member.
Participate in staff meetings, required training, continuing education, and departmental quality improvement initiatives.
Maintain required licenses, certifications, and competencies and pursue opportunities for professional development.
Support Cottage Hospital's mission, vision, and values while contributing to a collaborative, patient-centered Emergency Department environment.