Registered Nurse

Carenational Keene , NH 03431

Posted 3 days ago

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Intermediate Care Unit/ Medical SurgicalRN - Hospital SystemKeene, NH 03431Full Time13 -Week AssignmentMaximum Un-Taxed Income: $30.13/hr = $1,084.68/weekMaximum Taxed Income: $50/hr = $1,800/weekMaximum Combined Income: $80.13/hr = $2,884.68/weekAdditional Travel Stipends also Available!
(Negotiation may be possible for Exceptional Experience)IMCU/MedSurg Nursing- RN Requirements:

13 Week Travel or Local Contract
Full Time (36 hours / week)
3 x 12 Hour Shifts
2 years of direct RN experience in that department
Experience must be recent, used in the last 12 months
Current State Registered Nurse (R.N.) License
CPR/BLS and ACLS Required

IMCU/MedSurg Nursing- RN Benefits:

Medical Benefits Available
Additional Stipend Available for Travelers
Candidate Referral Program
Weekly Pay Schedule
Access to nationwide nursing opportunities
And more!

Additional local and travel positions available in multiple departments at facilities nationwide.If Hospital Nursing is your passion, apply today and one of our Search Consultants will reach out to you immediately!#CLINICAL
#CARE2

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Ambulatory Registered NurseDhk

Cheshire Medical Center

Posted 2 weeks ago

VIEW JOBS Under general supervision of the Nursing Team Leader, Clinical Leader and/or the Department Director and under the general direction of the department physicians, perform as a member of the healthcare team to apply the nursing process when making nursing judgements and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes. Use effective interviewing and physical assessment skills to perform patient/family health status assessments by collecting and analyzing physical and psychosocial data, identifying needs, problems and patterns/trends, rendering an appropriate nursing diagnosis/intervention, and evaluating patient#s response to plan of care. Exercise professional nursing judgment when performing a broad range of procedures and treatments appropriate to the level of care needed, and prioritizing patient acuity and workload demands. The RN will function with greater autonomy by consistently demonstrating independent clincial decision making abilities. Perform phlebotomy and IV duties as needed. # Must be a Registered Nurse currently licensed in the State of New Hampshire with minimum of one year of nursing experience preferred. Current certification in BCLS required.SUMMARY OF POSITION:Under general supervision of the Nursing Team Leader, Clinical Leader and/or the Department Director and under the general direction of the department physicians, perform as a member of the healthcare team to apply the nursing process when making nursing judgments and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes.RESPONSIBILITIES:1.Meet or exceed the standards of performance as established for employment at DartmouthHitchcock Keene.2.Use effective interviewing and physical assessment skills to perform patient/family health status assessments by collecting and analyzing physical and psychosocial data, identifying needs, problems and patterns/trends, rendering an appropriate nursing diagnosis/intervention, and evaluating patientâ€™s response to plan of care.3.Exercise professional nursing judgment when performing a broad range of procedures and treatments appropriate to the level of care needed, and prioritizing patient acuity and workload demands. The RN will function with greater autonomy by consistently demonstrating independent clinical decision making abilities.4.Provide patient care in a manner that demonstrates nursing knowledge and technical competence; recognize significant changes in patientâ€™s condition/situation and take appropriate action. Communicate with patient/family including but not limited to relaying physician orders, changes in the plan of care, reporting test results, etc.5.Document in patientâ€™s medical record all relevant data obtained in person or over the phone, including signs and symptoms, nursing assessment and diagnosis/intervention, instructions/advice given and patient/familyâ€™s response to instructions/care.6.Communicate with providers/other healthcare professionals relevant patient informationto provide appropriate patient care.7.Provide health teaching and counseling to a defined group or population of patients and family members; serve as advocate for patients and family.8.Assist and provide guidance to other staff members by acting as a nursing resource; appropriately delegate duties in accordance with NH Nurse Practice Act and professional standards of nursing practice; promote team collaboration in meeting the needs of the patient/family.9.Maintain skills and knowledge necessary to perform daily department operations including scheduling, patient flow, coverage (within own or other departments in need)and ensuring a healthy and safe work environment. <ol start="10"> <li>Demonstrate proficiency and act as an expert role model in the performance of patient</li> </ol>care. <ol start="11"> <li>Perform phlebotomy and IV duties as needed.</li><li>Recognize subtle changes in patientâ€™s behavior or physical condition that suggest an</li> </ol>impending crisis/emergency and take appropriate action. <ol start="13"> <li>Take a lead role in orienting, precepting, and mentoring clinical support staff members of</li> </ol>their department; assist with training and staff development activities, particularly inareas of clinical expertise. Serve as a resource for colleagues and other members of the healthcare team. <ol start="14"> <li>Take an active role in strengthening the climate for acceptance of positive change</li> </ol>Initiatives that improve patient care outcomes and/or promote healthy work team behaviors. <ol start="15"> <li>Comply with all DHK and departmental policies and procedures.</li><li>Comply with all DHK OSHA Occupational Exposure Control Plan.</li><li>Perform other duties as appropriate or assigned.</li> </ol>REQUIREMENTS OF POSITION:Education:Experience: Minimum of one year of nursing experience preferred.Credentials: Registered Nurse currently licensed in the State of New Hampshire. Current certification in BCLS required.ESSENTIALS OF THE POSITION:Skills: Excellent assessment, communication, interpersonal, and organizational/ time management skills. Demonstrated ability to work well as a member of a team and respond calmly and effectively in a fast paced environment and during a crisis and/or emergency. Computer skills required. May be required to participate in evening, weekend and holiday coverage according to the needs of the department. Flexibility, tolerance, and demonstrated ability to take initiative and to prioritize multiple tasks with attention to details. Function at a fast pace and continually interact with a wide variety people and situations while maintaining a customer focus. Able to remain focused and function effectively in a crisis situation. Aware of scope of practice boundaries, comfortable seeking direction and assistance from appropriate resources.Physical Requirements: Daily demands may vary dependent on specific duties performed. Up to 80%-100% of day may be spent seated while talking on the phone, attending meetings, completing or reviewing paperwork or working on the computer. Up to 75% of day may be spent working in a repetitive motion activity including use of computer and keyboard to access and input information. Must be able to effectively communicate in person and over the telephone. Visual and auditory skills essential to perform patient assessment duties. Fine motor control may be important to perform injections or other procedures. May bend, stoop, or reach to retrieve materials or supplies, push or pull up to 60 pounds, and assist in lifting patients. Must be able to respond to emergency situations. Some travel may be necessary to attend meetings or training.EXPOSURE/SAFETY CLASSIFICATIONS:Body Fluids: -- --Back Safety: -- --Other:AUTHORIZED SIGNATURES: (Dept Mgr) Date Manager, Compensation DateRevised 6/10

Acute Registered Nurse RN

Fresenius Medical Care

Posted 2 months ago

VIEW JOBS Job Description Job ID R0015555 Available Openings 1POSITION FEATURES:<ul><li>$7,500 bonus for new hires</li><li>2021 America's 'Most Loved Workplaces' by Newsweek</li><li>No prior RN dialysis experience required; 12 weeks of paid & structured training with an assigned Preceptor & Nurse Educator</li><li>70,000+ dedicated employees, 200,000+ patients, 2,600+ dialysis centers, 350+ research sites across North America</li><li>Largest provider of renal care products and services in the nation, including state-of-the-art dialysis machines, dialyzers and pharmaceuticals, and we are home to the country's largest renal specialty laboratories</li><li>Up to $4,400 tuition reimbursement per calendar year</li></ul>$7,500 Sign On BonusPURPOSE AND SCOPE:The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses. The CAP RN 1 is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients.As a member of the Kidney Disease health care team, the CAP RN 1 participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and program operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care and applicable contractual service policy, procedures, standards of nursing practice, state and federal regulations.<ul><li>Performs all essential functions under the direction of the Program Manager (PM) and with guidance from the Educator, Preceptor or an Inpatient Services CAP RN 2,3, 4 or 5 for the first 6 months of employment.</li><li>Expected to complete requirements to advance to the next Inpatient CAP level, for which they qualify, within 24 months from date of hire.</li><li>Performs ongoing, systematic collection and analysis of patient data pre - during - post treatment for assigned patients and documents in the patient medical record, adjusts or modifies the treatment plan as indicated and notifies inpatient program manager, appropriately credentialed physician, patient's primary nurse and others as may be indicated.</li><li>Recognizes aspects and implications of patient status that vary from normal and reports to or collaborates with appropriate health team members for input including but not limited to manager, appropriate physician, and acute primary nurse.</li><li>Assesses daily assigned patient care needs and collaborates with direct and ancillary patient care staff as needed.</li><li>Directs and provides safe effective patient care for assigned patients as prescribed for all modality specific treatment procedures.</li><li>Initiates and coordinates communication with FKC and Non-FKC dialysis providers and appropriate hospital personnel as needed to provide continuity of patient care.</li><li>Administers medications as prescribed and in accordance with contractual agreement.</li><li>Ensures nephrology physician orders for assigned patients are received and entered in the Medical Record.</li><li>Enters all treatment data into the designated medical record thoroughly, accurately and in a timely manner.</li><li>Performs the implementation, administration, monitoring, and documentation of patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier.</li><li>Ensures familiarity with company, inpatient services program and contracted provider emergency policy to initiate and assist with emergency response measures.</li><li>Delegates appropriate tasks to direct patient care staff including but not limited to LVN/LPNs and Patient Care Technicians.</li><li>Monitors patient care staff for appropriate techniques and adherence to FKC policy and procedures.</li><li>Promotes infection control, equipment and environmental safety.</li><li>Assesses, collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Instructs hospital/facility staff on aspects of specialized care related to renal replacement and apheresis therapies.</li><li>Collaborates with the interdisciplinary team to update the nursing assessment and plan of care for assigned patients.</li><li>Initiates, documents, and completes ongoing QAI activities including monthly reports as directed by manager or designee.</li><li>Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned.</li><li>Participates in all required staff meetings as scheduled.</li><li>May be assigned to assist in an Outpatient facility on an as needed basis.</li><li>Supports and promotes the FMCNA's mission, vision, values, and customer service philosophy.</li><li>Performs all other duties as assigned by manager within state, federal and contractual standards.</li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:<ul><li>The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</li><li>Areas of practice are diverse, including, but not limited to, the fields of hemodialysis, peritoneal dialysis, continuous renal replacement therapies, and apheresis.</li><li>The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li><li>Day to day work includes desk work, computer work and interaction with patients, facility/hospital staff and physicians. The position requires travel between assigned facilities and various locations within the community and travel to regional meetings may be required.</li><li>Position requires participation in on-call rotation. (Night, Weekend or as defined by individual program needs).</li></ul>SUPERVISION:<ul><li>Assigned oversight of Patient Care Technicians/LPNs as a designated Nurse in charge, after the following:</li><li>Successful completion of all FKC education and modality specific training requirements for new employees plus</li><li>Must have a minimum of 9 months experience as an RN plus</li><li>6 months experience in dialysis</li></ul>EDUCATION:<ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Must meet the practice requirements in all states in which he or she is employed.</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li>Entry level for RNs with less than 2 years of nephrology nursing experience within the last two years or for RNs with a BSN and less than 1 year of nephrology nursing experience within the last two years.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Minimum 6 months nephrology experience required before working independently without a qualified dialysis RN</li><li>6 months dialysis experience required to be on-call.</li><li>Hemodialysis and/or ICU experience (preferred).</li><li>Successful completion of FKC Education and Training requirements for new employees.</li><li>Successful completion and maintenance of CPR BLS Certification.</li><li>Meet all conditions of employment including Ishihara's Color Blindness Test.</li><li>Successful completion of all annual required education/training/competencies.</li><li>Successful completion of on-going training and education as assigned or required</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

Registered Nurse RN Keene NH

Fresenius Medical Care

Posted 2 months ago

VIEW JOBS Job Description Keene, New Hampshire Job ID R0016834POSITION FEATURES:<ul><li>$5k bonus for new hires!</li><li>12 weeks FREE PAID dialysis education</li><li>Every other Saturday/no Sundays/no overnights</li><li>Advanced education program</li><li>NEW GRADS WELCOME!</li><li>Full-time with benefits including 5 weeks PTO year 1 and 401k with 50% match</li></ul>PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team this position participates in decision-making teaching leadership functions and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy procedures standards of nursing practice state and federal regulations.<ul><li>Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator Preceptor or in collaboration with other Registered Nurses.</li><li>Performs ongoing systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record makes adjustments or modifications to treatment plan as indicated and notifies Team Leader Charge Nurse Supervisor or Physician as needed.</li><li>Assesses collaborates and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family.</li><li>Directs and provides in collaboration with direct and ancillary patient care staff all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.</li><li>Administers medications as prescribed or in accordance with approved algorithm(s) and documents appropriate medical justification and effectiveness.</li><li>Initiates or assists with emergency response measures.</li><li>Serves as a resource for health care team participates in staff training and orientation of new staff as assigned.</li><li>Ensures correct laboratory collection processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections.</li><li>Identifies expected outcomes documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.</li><li>Ensures patient awareness related to transplant and treatment modality options.</li><li>Required to complete CAP requirements to advance.</li><li>Performs all other duties as assigned by Supervisor.</li></ul>PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.<ul><li>The position provides direct patient care that regularly involves heavy lifting moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.</li><li>This position requires frequent prolonged periods of standing and the employee must be able to bend over.</li><li>The employee may occasionally be required to move with assistance machines and equipment of up to 200 lbs. and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.</li><li>The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.</li><li>May be exposed to infectious and contagious diseases/materials.</li><li>Day to day work includes desk work computer work interaction with patients facility/hospital staff and physicians.</li><li>The position may require travel to training sites or other facilities.</li><li>May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.</li></ul>SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:<ul><li>Successful completion of all FKC education and training requirements for new employees.</li><li>Must have a minimum of 9 months experience as a RN.</li><li>Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.</li></ul>EDUCATION and LICENSURE:<ul><li>Graduate of an accredited School of Nursing.</li><li>Current appropriate state licensure.</li><li>Current or successful completion of CPR BLS Certification.</li><li>Must meet the practice requirements in the state in which he or she is employed.</li></ul>EXPERIENCE AND REQUIRED SKILLS:<ul><li>Entry level for RNs with less than 1 year of Nephrology Nursing experience in the last two years as a RN.</li><li>Minimum of 9 months experience as a Registered Nurse (preferred).</li><li>Chronic/acute hemodialysis experience (preferred).</li></ul>EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender IdentityFresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws."

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