Baylor RN

Covenant Health•Nashua, NH

About The Position

The Registered Nurse provides professional nursing care to patients in an assigned hospital unit, supporting medical care as directed by medical staff and consistent with hospital objectives and policies. The RN promotes Covenant Health Ministry’s mission and values and provides safe, timely, patient-centered care, including comprehensive electronic documentation, care planning, monitoring, specimen collection, patient and family support, and communication that supports continuity of care. The role includes participation in quality improvement, shared governance, committees, peer review, professional development, and DNV survey readiness. The RN collaborates with providers and colleagues, delegates appropriately, mentors staff as requested, follows safety and HIPAA procedures, and responds to emergencies according to role requirements. The position also calls for accurate timekeeping and responsible use of patient supplies and organizational resources. Additional duties depend on the assigned specialty. Emergency Department RNs triage patients using ESI, reassess patients, implement approved protocols, provide care for acute illness and trauma, identify life-threatening conditions, and support patient throughput and documentation for admitted or boarding patients. Cardiac Cath and Angiography Lab RNs work with complex technologies and critical-care infusions, review patient histories and medications, support procedural safety and sterile technique, prepare equipment and supplies, administer and document procedural sedation, follow radiation safety practices, and assist with cardiac procedures and hemodynamic monitoring. Cath Lab and Stress Lab roles include on-call assignments, with the ability to be within a 30-minute radius while on call.

Requirements

Current New Hampshire RN license.
Associate of Science in Nursing (ASN) required.
Basic Life Support (BLS) required.
Basic Dysrhythmia certification preferred or required before completion of orientation.
CPI training preferred or required before completion of orientation; CPI advanced training is required within six months of hire for Emergency Department and ICU roles.
For critical care RN roles other than Operating Room and Pre-Admission Testing, ACLS is preferred and required before completion of orientation.
For Emergency Department roles, PALS is required before assuming care for a critically ill pediatric patient; ENPC may be used in place of PALS.
For Cath Lab and Stress Lab roles, on-call shifts are required, and the employee must be able to be within a 30-minute radius while on call.
For Cardiac Cath and Angiography Lab roles, ability to learn complex technologies and work with critical-care medication infusions is required.
For Cardiac Cath and Angiography Lab roles, ability to safely administer procedural sedation and pass the annual sedation examination is required.
For Cardiac Cath and Angiography Lab roles, working knowledge of procedural safety, sterile technique, radiation safety, sheath removal, cardiac equipment, and hemodynamic waveforms is required.

Nice To Haves

Graduate of an approved nursing program strongly preferred.
Bachelor of Science in Nursing (BSN) preferred.
Three to five years of critical care experience preferred for the Cardiac Cath/Angiography Lab.
NIHSS certification preferred or required before completion of orientation.
CPI training preferred.
ACLS preferred for applicable critical care RN roles.
PALS preferred for applicable roles.
TNCC preferred; required within 18 months of hire for Emergency Department roles.
TCAR preferred; required within one year of hire for ICU and PACU roles.
Membership in a professional organization preferred.
ACLS, PALS, and specialty certifications are preferred where specified in the posting.

Responsibilities

Provide professional nursing care to patients in an assigned hospital unit in support of medical care and hospital policies.
Complete unit-specific competencies and requirements for caring for critically ill patients during onboarding and annually as assigned.
Participate in quality improvement planning and processes.
Complete comprehensive and timely EHR documentation, including vital signs, assessments, care plans, and changes in patient condition.
Understand responsibilities during downtime and respond quickly to patient monitoring alarms.
Provide emotional support to patients and families during difficult situations.
Collect, label, and send specimens according to orders and policy.
Participate in unit or organizational committees and councils, shared governance, peer review, and annual evaluation processes as requested.
Analyze patient assessments and data, communicate findings, document, and implement actions accurately and promptly.
Pursue ongoing professional learning, seek feedback, and apply current nursing practice standards.
Communicate patient information for continuity and safety through handoffs, walking rounds, and provider interactions.
Maintain a safe and secure environment, follow established procedures, address safety issues, and use the chain of command appropriately.
Complete hourly rounding with Licensed Nursing Assistants on assigned patients.
Build respectful relationships, identify concerns proactively, collaborate across units and shifts, and consult colleagues for clinical expertise.
Work collaboratively with providers on assessments and bedside procedures.
Delegate appropriate aspects of care and unit activities to nursing personnel; support and mentor new nurses and other disciplines as requested.
Maintain HIPAA compliance and demonstrate fiscal responsibility through accurate timekeeping and patient supply use; avoid unauthorized overtime and manage ETO according to policy.
Stay current on Nurse Sensitive Indicators and respond to emergencies such as Code Blue and rapid response situations, as required by department and role.
For Emergency Department roles: triage patients and determine ESI priority; implement approved chief-complaint protocols; perform focused assessments and reassess patients; provide care for acute illness and trauma; recognize potentially life-threatening conditions; initiate corrective action for adverse symptoms or monitoring findings; complete required documentation for admitted or boarding patients; and participate in patient-throughput initiatives.
For Cardiac Cath and Angiography Lab roles: learn complex technologies; manage complex and critical-care medication infusions, including titration; review patient histories and medications before procedures; identify and report periprocedural safety issues; maintain a sterile field; prepare equipment and supplies; administer and document procedural sedation; follow radiation safety practices; perform arterial and venous sheath removal according to guidelines; assist with IABP and IMPELLA equipment and with Flow wire, Opsens, and IVUS insertion; understand IV adenosine contraindications and reversal; and interpret hemodynamic and arterial waveforms.
Participate in on-call assignments for Cath Lab and Stress Lab and provide staffing coverage as needed.