Dartmouth Health

Academic health system and medical education

Emergency Department Nurse PRN - RN, System Staffing Float

Nursing & Frontline Patient CarePosted on Nov 10

Part-timeLebanon, NH, USANo salary listed

About the Job

Requirements

Graduation from an accredited nursing program is required.
A minimum of 2 years of Emergency Department experience is required.
The nurse must be a licensed Registered Nurse in New Hampshire and Vermont.
Advanced Cardiovascular Life Support (ACLS) is required upon hire.
Pediatric Advanced Life Support (PALS) must be obtained within 6 months.
Trauma Nursing Core Course (TNCC) must be obtained within 1 year.
Nurses must have Critical Care experience and agree to work at least two hospital facilities within the Dartmouth Health System.

Responsibilities

Use the nursing process to assess, diagnose, identify outcomes, plan, implement, and evaluate individualized plans of care.
Use critical thinking and the nursing process to anticipate and recognize changes in patient status, modifying the plan of care or escalating concerns to the care team as needed.
Practice in accordance with the ANA Code of Ethics by advocating for patients, upholding their autonomy in decision-making, ensuring informed consent, and assisting patients and families in expressing self-determination.
Seek feedback and act to improve performance.
Engage in the governance of practice.
Manage interpersonal relationships with oneself and others.
Mentor colleagues to advance nursing practice and the profession.
Assume authority and accountability for patients’ nursing care while appropriately delegating care to other members of the care delivery team in accordance with laws, regulations, policies, and procedures.
Prioritize and organize time to optimize patient outcomes.
Seek current evidence and standards and apply them in daily practice.
Model a culture of inquiry by developing knowledge through contributions to local research, quality improvement, and evidence-based practice.
Communicate effectively in various formats across all areas of practice.
Partner with others to effect change and improve outcomes through the exchange of knowledge.
Precept student nurses, nurse externs, nurse residents, experienced clinical nurses, and other members of the healthcare team.
Perform other duties as required or assigned.
Work at 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 risks and develop nursing care plans; assist other nurses with assessment, diagnosis, care planning, and outcome evaluation.
Provide individualized nursing care and take appropriate action in response to significant changes in patient conditions.
Evaluate nursing care effectiveness and make necessary modifications to support optimal patient outcomes.
Establish relevant, evidence-based, and safe nursing interventions and priorities, including administering medications.
Collaborate with patients, their significant others, and healthcare team members to achieve optimal outcomes; serve as a resource to peers, student nurses, medical students, house officers, and other healthcare providers.
Communicate patient status verbally, electronically, and in writing to other healthcare providers, and take appropriate action for patient well-being.
Observe patients to identify nursing needs and implement physical, social, or emotional care directly or through collaboration with nursing colleagues, physicians, and other healthcare disciplines.
Collaborate 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 propose solutions to patient-care delivery issues through quality improvement, continuing education, research, and peer review activities.

Desired Qualifications

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

Overview

Nurse Regional Float (PRN) - System Staffing Office, (Emergency Department)

48 hours in a 4 Week period (includes one weekend shift)

This position is part of the System Staffing Office. Our Hospital Float nurses are experienced inpatient nurses with Critical Care experience and who have agreed to go to at least two hospital facilities within the Dartmouth-Health System

Responsibilities

Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.

Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.

Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.

Actively seeks feedback and acts to improve performance.

Engages in the governance of practice.

Manages interpersonal relationships for self and with others.

Mentors colleagues for the advancement of nursing practice and the profession.

Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.

Prioritizes and organizes time to optimize patient outcomes.

Actively seeks out the most current evidence and standards and applies and translates to daily practice.

Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.

Communicates effectively in a variety of formats in all areas of practice.

Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.

Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.

Performs other duties as required or assigned.

System Wide Responsibilities

Assigned to a variety of affiliate hospitals and units within scope of demonstrated competence. Care area types include: Critical Care, General Care (Med-Surg), Progressive Care (Step-Down), Emergency Department, and Ambulatory Care.

Identifies patient health-related problems and risk states and develops nursing care plans accordingly. Assists other nurses in assessment, diagnosis, care planning, and evaluation of outcomes.

Provides individualized nursing care, recognizes and takes appropriate action for significant changes in patient conditions.

Evaluates effectiveness of nursing care and makes necessary modifications to assist with optimal patient outcomes.

Establishes relevant, evidence-based and safe nursing interventions and priorities when providing nursing care, including administering of medications.

Collaborates effectively with patient, patients significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, student nurses, medical students, house officers, and other health care providers.

Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.

Observes patient to recognize nursing needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.

Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.

Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.

Qualifications

Graduate from an accredited Nursing Program required.
Bachelor of Science Degree in Nursing (BSN) preferred.
Minimum 2 years Emergency Department experience, Level 1 trauma preferred

Required Licensure/Certifications

Licensed Registered Nurse with New Hampshire and Vermont.
ACLS required upon hire.
PALS within 6 months
TNCC within 1 year

About the Company

Dartmouth Health

Academic health system and medical education

Dartmouth Health runs New Hampshire’s largest private employer and a regional academic health system serving northern New England, with DHMC and a wide network of hospitals and clinics. It provides care through more than 2,000 providers across nearly every specialty, including the Dartmouth Cancer Center and Dartmouth Health Children’s. It blends clinical care with education and research by training about 400 residents and fellows each year with Dartmouth and the Geisel School of Medicine, and by conducting clinical trials with Geisel and the White River Junction VA Medical Center. Its goal is to deliver exceptional, personal care while advancing medicine and meeting the health needs of the communities it serves.

Company size: 201-500
Company stage: Not listed
Total funding: Not listed
Headquarters: Lebanon, NH
Founded: Not listed

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