Registered Nurse - ICU

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Registered Nurses in our 10bed Intensive Care Unit are leaders and partners in patient care at Exeter Hospital. The units strive for a nurse-to-patient ratio of 2:1 or 1:1, which allows the nurse to truly make an impact on the patient and family. Multidisciplinary rounds are one way to support a strong physician/nurse collaboration as the nurse is involved in the decisions that affect the patient and their input is valued. Our computerized documentation system allows nurses to document at the bedside. The nursing leadership team partners with our education staff to provide opportunities for career enhancement and professional development. We recognize that our nurses and clinical staff play a vital role in the success of our organization.

Exeter Hospital, part of Beth Israel Lahey Health, is a nationally recognized, non-profit community hospital serving the Seacoast region since 1896. With more than 1,400 employees and 370 affiliated physicians, we provide advanced, patient-centered care across a wide range of specialties. Our collaborative culture empowers team members to grow, contribute, and make a meaningful impact every day.

Why Join Us?

Magnet®-recognized for nursing excellence and quality care

Competitive pay and comprehensive benefits starting on day one

Career growth and development opportunities across Beth Israel Lahey Health

Free onsite parking

Supportive, team-oriented work environment

Advanced technology and state-of-the-art facilities

Scenic Seacoast location with easy access to Boston and Portland

Job Description:

Shift: Nights: 2 (12hr shifts per week) 7:00 p.m.-7:30 a.m. , every third weekend

Reporting to the Nurse Manager/Director of the Unit, provides professional nursing care within assigned unit. Coordinates care planning with other disciplines.

Major Responsibilities:
a. Practice Standards - Adheres to hospital policies, ANA standards of practice, and nursing code of ethics. - Ensures safe, timely and accurate medication and IV administration and transcription. - Successfully uses information technology. - Documentation is accurate, timely, concise, and legible and adheres to departmental policy. - Integrates policies and/or national practice guidelines into patient care planning to achieve desired patient care outcomes. - Is an expert resource for content development of clinical practice (and therefore policy/procedure review or development).
b. Mentoring/Teaching - Precepts new employees - sets goals and assists the new employee in meeting those goals. - Facilitates and encourages an environment for critical thinking. - Makes 1-2 formal presentations (case study, new equipment in service, or education program) to peers at least annually. - Assists in meeting the learning and professional development needs of others.
c. Delegation - Understands team members' roles and delegates tasks and responsibilities appropriate to the licensure, education, and experience of the staff. - Assigns personnel appropriately; understands when follow-up is needed. - Monitors and evaluates appropriate utilization of staff during assigned shift.
d. Assessment - Performs a physical assessment and elicits comprehensive patient history on admission appropriate to the setting and patient's condition utilizing accepted practice and documentation standards. - Performs systematic, ongoing assessments as patient condition and unit standards warrant. - Uses appropriate evidence-based assessment techniques and instruments in collecting pertinent data.
e. Prioritization/Organization - Prioritizes established patient care problems and needs. - Makes clinical decisions independently, collaboratively, manages one's own assignment. - Manages own assignment while balancing efficiency and cost. - Recognizes own limitations and seeks collaboration/assistance when needed. - Modifies plans and re-prioritizes work quickly to handle the unexpected. - Manages multiple demands in prioritizing the patient care needs of an entire unit/dept. -Adapts routine protocols and resources to demonstrate effective clinical decision making, in situations that are less than predictable.
f. Planning/Implementation - Communicates effectively during any patient hand-off. - Identifies and anticipates patient care needs and initiates the plan of care based upon actual or potential health risks or problems to attain mutually agreed upon outcomes. - Identifies patient priorities and discharge planning needs by utilizing assessment, 'best practice' standards, multidisciplinary team and patient input.
g. Evaluation - Evaluates and modifies the effectiveness of the plan of care based on mutually agreed upon outcomes and patient feedback.
h. Patient/Family Education - Identifies patient education needs and collaborates with other health care professionals to provide appropriate learning opportunities. - Documents patient education, interventions and patient's response in a clear and concise manner. - Develop formal patient education materials independently. - Develops/participates in community education programs or screenings.
i. Professional Growth and Development - Seeks formal education to maintain and advance clinical and professional skills and knowledge. - Seeks assignments that challenge and stretch their ability. - Anticipates the need for and acquires new skills/training. - Able to work in more than one specialty area/unit/environment. - Is an active member of a professional organization and shares organizational information with their home department. - Maintains certification in specialty area.

Requirements: 

• RN license - N.H. state or any other compact state. 

• BCLS certified or within 30 days of hire; BSN strongly preferred 

• ACLS certified or within 1 year of hire 

Pay Range:

$35.00 - $63.15

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.  Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled