Registered Nurse (RN) - Emergency Department (ED)

Dartmouth-Hitchcock Health•Lebanon, NH

11d

About The Position

The Clinical Nurse works in a 43-bed Emergency Department at the state’s only Level 1 Trauma Center in New Hampshire. The unit provides care to approximately 31,000 patients annually, from neonates through geriatric populations, and works with system affiliates to accept patients needing critical, neurological, cardiac, obstetrical, medical, or trauma care. The department also receives referrals, transfers, and trauma consultations from outside facilities and serves the local community. Emergency nursing is an independent and collaborative specialty requiring ongoing acquisition and application of specialized knowledge and skills. Care spans emergency, urgent, and non-urgent needs and may be episodic, primary, acute, or chronic. Nurses care for patients of all ages, cultural backgrounds, acuities, and physical or psychological conditions. The team is trained in resuscitation, acute and outpatient care, trauma care, mental health, and bedside moderate sedation. The Clinical Nurse is an engaged, credentialed member of the Professional Nursing Organization. The role uses the nursing process to deliver evidence-based care and continually monitor and evaluate practice to support safe patient care. Rotating shifts are listed as 7 a.m.–7 p.m., 10 a.m.–10 p.m., 11 a.m.–11 p.m., 1 p.m.–1 a.m., and 7 p.m.–7 a.m.

Requirements

Graduate from an accredited nursing program.
Licensed Registered Nurse with New Hampshire eligibility.
Basic Life Support (BLS) certificate required upon hire.
ACLS certificate required within 6 months of hire.
PALS certificate required within 6 months of hire.
AVADE Workplace Violence Prevention Training required within one year of hire.
Moderate Sedation Training required within one year of hire.
Trauma Nurse Core Course required within one year of hire.

Nice To Haves

Bachelor of Science Degree in Nursing (BSN) preferred.

Responsibilities

Assess patients, identify diagnoses and outcomes, plan and implement individualized care, and evaluate the results using the nursing process.
Use critical thinking to anticipate and recognize changes in patient status, modify the care plan, or escalate concerns to the care team as needed.
Advocate for patients, uphold autonomy in decision-making, support informed consent, and help patients and families express self-determination in accordance with the ANA Code of Ethics.
Seek feedback and act to improve performance; participate in governance of practice.
Manage interpersonal relationships and mentor colleagues to advance nursing practice and the profession.
Assume authority and accountability for patient nursing care, delegating appropriate care activities in accordance with laws, regulations, policies, and procedures.
Prioritize and organize time to optimize patient outcomes.
Seek and apply current evidence and standards in daily practice.
Promote inquiry and contribute locally to research, quality improvement, and evidence-based practice.
Communicate effectively in a variety of formats and partner with others to produce positive outcomes through knowledge exchange.
Precept student nurses, nurse externs, nurse residents, experienced clinical nurses, and other healthcare team members.
Perform other duties as required or assigned.