RN Full-time

State of New Hampshire Job Posting

Department of Health and Human Services

New Hampshire Hospital

36 Clinton St.

Concord, NH 03301

REGISTERED NURSE I-III

Full-Time

Position #MRHHS-RNF I-III

$33.74/hour - $66.07/hour

Plus, Direct Care Pay Ten Dollars per week and Shift Differentials when applicable

1st and 3rd Shift Positions Are Available

1st Shift: 5, 8-hour shifts (6:45am - 3:15pm)OR 3, 12-hour shifts (6:45am - 7:15pm)

3rd Shift: 5, 8-hour shifts (6:45am - 3:15pm)OR 3, 12-hour shifts (6:45pm -7:15am)

  • See total compensation information at the bottom of announcement.

The State of New Hampshire, Department of Health and Human Services, and New Hampshire Hospital have full-time openings for Registered Nurse's I-III.

SUMMARY:

Registered Nurse I:Under the direct supervision of the Unit Nursing Coordinator, the RN I utilizes the Nursing Process to manage patients' presenting behavior and assist in meeting immediate and long- term needs for help. Reacts to patient care situations and uses knowledge to inform and guide attempts to find solutions to problems. Practices within standards of the department, hospital, and regulatory agencies.

Registered Nurse II:Under the direct supervision of the Unit Nursing Coordinator, the RN II utilizes the Nursing Process to manage patients' presenting behavior and assist in meeting immediate and long- term needs for help. Responds to patient care situations and uses knowledge and experience to find solutions to problems. Practices within standards of the department, hospital, and regulatory agencies.

Registered Nurse III:Under the direct supervision of the Unit Nursing Coordinator, the RN III utilizes the Nursing Process to manage patients' presenting behavior and assist in meeting immediate and long-term needs for help. Anticipates patient care situations and uses knowledge, experience and expertise to proactively plan solutions to anticipated problems. Practices within standards of the department, hospital, and regulatory agencies.

Minimum Qualifications

Registered Nurse I:

Education:Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics and psychiatric nursing.

Experience: Experience is limited to that required for registration.

License/Certification: Current license as a Registered Nurse in New Hampshire.

SPECIAL REQUIREMENTS:An employee may be required to work additional hours beyond their normal work shift, engaged in work that is characteristic of their classification, in order to meet patient care needs/safe staffing levels, established by the Nursing Department of New Hampshire Hospital.

Registered Nurse II:

Education:Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics and psychiatric nursing.

Experience:One year's experience as a registered nurse in a setting equivalent to the position assigned.

License/Certification:Current license as a Registered Nurse in New Hampshire.

SPECIAL REQUIREMENTS:An employee may be required to work additional hours beyond their normal work shift, engaged in work that is characteristic of their classification, in order to meet patient care needs/safe staffing levels, established by the Nursing Department of New Hampshire Hospital.

Registered Nurse III:

Education:Bachelor’s degree from a recognized college or university with major study in nursing, human services, psychology, or a related field.

Experience:One year of experience as a registered nurse in a setting similar or equivalent to the position assigned.

OR

Education:Graduation from a recognized nursing program and possession of an Associate’s degree in nursing, human services, psychology, or a related field.

Experience:Two years' experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting.

AND

License/Certification:

  • Current license as a Registered Nurse in New Hampshire.
  • Current certification in CPR.
  • Must be certified by the American Nurses Association or another nationally recognized certifying entity in any specialty area, e.g. psychiatric and mental health nursing, gerontological nursing, maternal and child nursing, oncology, wound care, or a specialty related to long term nursing care.

SPECIAL REQUIREMENTS:Must be certified by the American Nurses Association or an organization recognized by or affiliated with the ANA in a specialty that is consistent with the job accountabilities and appropriate to the institution or agency in which the vacancy exists, e.g., Psychiatric and Mental Health Nurse, Gerontological Nurse, Maternal and Child Health Nurse, Oncology, Wound Care, etc.…

Your Experience Counts: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education.

Responsibilities :

Registered Nurse I

  • Functions as Nurse-in-Charge in the absence of the Nurse Specialist.
  • When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided.
  • Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs.
  • Collects patient data by interview and/or observations to provide a basis for nursing assessment.
  • Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care.
  • Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation.
  • May perform venipuncture to collect blood for laboratory testing.
  • Collaborates with interdisciplinary team members to formulate an individualized treatment plan.
  • Defines patient problems, identifies goals and nursing interventions to assist in formulation of treatment plan.
  • Evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge.
  • Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care.
  • Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment.
  • Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge.
  • Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement.
  • Evaluates and collaborates with Nursing Managers and unit staff to effect positive therapeutic milieu.
  • Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care.
  • Participates in activities to improve workflow and patient care.
  • Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks.
  • Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development.

Registered Nurse II

  • Functions as Nurse-in-Charge in the absence of the Nurse Specialist.
  • When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided.
  • Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs.
  • Collects patient data by interview and/or observations to provide a basis for nursing assessment.
  • Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care.
  • Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation.
  • May perform venipuncture to collect blood for laboratory testing.
  • Collaborates with interdisciplinary team members to formulate an individualized treatment plan.
  • Defines patient problems, identifies goals and plans nursing interventions to address problems and meet goals of the treatment plan.
  • Monitors and evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge.
  • Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care.
  • Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment.
  • Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge.
  • Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement.
  • Evaluates and collaborates with Nursing Managers and unit staff to effect positive therapeutic milieu.
  • Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care.
  • Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks.
  • Supervises the nursing care of RN subordinates and participates in orientation of staff.
  • Identifies areas for improvement and participates in activities to improve workflow and patient care.
  • Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development.

Registered Nurse III

  • Functions as Nurse-in-Charge in the absence of the Nurse Specialist.
  • When in charge role, makes shift nursing care assignments based on assessment of patient needs and acuity to assure appropriate level of care is provided.
  • Provides direct nursing care through application of the Nursing Process to patient care management by assessing immediate and long-term nursing needs.
  • Collects patient data by interview and/or observations to provide a basis for nursing assessment.
  • Completes nursing assessment and diagnoses on patient admission and as often as clinically indicated to provide a basis for nursing care.
  • Completes patient assessments prior to authorizing Seclusion/Restraint in an emergency situation.
  • May perform venipuncture to collect blood for laboratory testing.
  • Collaborates with interdisciplinary team members to formulate an individualized treatment plan.
  • Defines patient problems, identifies goals and nursing interventions to assist in formulation of treatment plan.
  • Identifies complex treatment-related problems and workflow issues and presents possible solutions and goals.
  • Evaluates the effectiveness of the patient's care plan and documents patient's response to provide for revision of treatment plan and readiness for discharge.
  • Coordinates and supervises subordinates in their provision of patient care through the use of patient assignment, staff meetings, performance appraisals, etc., to provide safe and quality nursing care.
  • Administers medication and treatment according to Nursing Department Standards to assure a safe level of treatment.
  • Educates patient/family/significant other regarding unit routines, rationale for interventions, medications, treatments and health care needs and documents same to prepare patients for discharge.
  • Collaborates with the interdisciplinary treatment team to plan for discharge and documents the nurses' involvement.
  • Evaluates and collaborates with Nursing Managers and unit staff to affect positive therapeutic milieu.
  • Monitors patient's medical problems, reports findings to Internal Medicine Department, carries out medical treatments as indicated by Nursing Practice and as ordered by the physician to provide safe quality nursing care.
  • Supervises mental health workers in assisting patients to carry out Activities of Daily Living, milieu management, and various assigned patient care tasks.
  • Supervises the nursing care of RN subordinates and participates in orientation of staff.
  • Leads quality improvement activities to improve workflow and patient care.
  • Promotes the use of evidence-based, expert nursing practices and acts as a professional role model for less experienced staff.
  • Is responsible for and actively participates in own skill development via academic course work, seminars, and training programs to improve overall contribution to patient care and professional development.

Supervisors Workplace Safety Accountabilities

Ensures compliance with established hospital and departmental safety policies and procedures by:

  • Maintaining competency in hospital approved Crisis Management Program (CMP) and Cardiopulmonary Resuscitation (CPR) techniques for adults, children, infants and AED training.
  • Conducting periodic (minimum quarterly basis) on site reviews.
  • Completing competency-based review, when applicable.
  • Providing on the spot reinforcement/training on safety issues; referring staff to formal training programs, as appropriate.
  • Recording safety related initiatives for annual reporting.

Total Commitment to Quality

Participates in the formulation of the mission, philosophy, goals, and objectives for the Department. Carries out same by acting as an agent of the Department within the hospital. Supports the organizational mission, philosophy, goals, and objectives as demonstrated by a positive leadership presence in unit based, departmental, hospital wide, or in public meetings/committees.

Participates in the process of continuous quality improvement by supporting unit-based quality improvement activities. Demonstrates commitment to customer service values in professional conduct and by promoting such values in assigned staff.

DISCLAIMER STATEMENT:The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification.

For further information you may contact Human Resources at: NHH-HR@dhhs.nh.gov

  • TOTAL COMPENSATION INFORMATION

The State of NH total compensation package features an outstanding set of employee benefits, including:

HMO or POS Medical and Prescription Drug Benefits:

The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated.

See this link for details on State-paid health benefits:

https://www.das.nh.gov/hr/benefits.aspx

Value of State's share of Employee's Retirement: 12.87% of pay

Other Benefits:

  • Dental Plan at minimal cost for employees and their families ($500-$1800 value)
  • Flexible Spending healthcare and childcare reimbursement accounts
  • State defined benefit retirement plan and Deferred Compensation 457(b) plan
  • Work/life balance flexible schedules, paid holidays and generous leave plan
  • $50,000 state-paid life insurance plus additional low-cost group life insurance
  • Incentive-based Wellness Program (ability to earn up to $500)

Total Compensation Statement Worksheet:

https://www.das.nh.gov/jobsearch/compensation-calculator.aspx

Want the specifics? Explore the Benefits of State Employment on our website:

https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf

https://www.das.nh.gov/hr/index.aspx

EOE

TDD Access: Relay NH 1-800-735-2964

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Description Introduction Do you want to join an organization that invests in you? At Parkland Medical Center , you come first! HCA Healthcare is committed to the growth and development of our future nurses! The HCA Nurse Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Benefits We offer a total rewards package to support your health, life, career and retirement. Some available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for some benefits may vary by location. Job Summary and Qualifications The HCA Nurse Residency Program at Parkland Medical Center provides you with the tools necessary to succeed in today’s hospital environment. This paid program will assist you with the transition out of the classroom setting through a formalized series of learning experiences, including: Advanced clinical training in a specialty area. Monthly educational sessions. Preceptorship training with a facility preceptor. Measurement and evaluation of skills through hands-on simulations. Mentoring from experienced nurse leaders. This position could be for day or night shift and will be discussed during the initial interview. Flexible start date options available. The RN Resident coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN Resident provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN Resident serves as an advocate for patients, families and caregivers to support an unparalleled patient experience. What will you do in this role: Assess patient condition during admission and during each shift as scheduled, identifying and reporting any changes in patient status. Perform procedures, monitoring, or other functions as ordered by the medical provider(s). Document the administration of care in the patient medical record in a timely and thorough manner. Perform the administration of prescribed medications. Monitor patient for therapeutic response. Notify provider and intervene as appropriate in the event of an unintended response to medication. Perform exceptional care by responding promptly to patient requests. Strive to anticipate patient needs and resolve them proactively. Teach patients, families and caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding. What qualifications you will need: Basic Cardiac Life Support (BLS) obtained within 30 days of employment Advanced Cardiac Life Support (ACLS) obtained within 1 year of employment Other Certifications maybe required during employment Associate or Bachelor’s degree in Nursing Registered Nurse License or Graduate Nurse in the State No previous experience needed Some travel maybe needed for training Grow your career where your work truly matters—at Parkland Medical Center . Located in Derry, NH, Parkland is an 86-bed regional acute-care hospital and a designated Level III Trauma Center, delivering high-quality care to the community with compassion and innovation. As part of HCA Healthcare’s trusted network, you’ll be connected to Catholic Medical Center in Manchester, Portsmouth Regional Hospital in Portsmouth, Frisbie Memorial Hospital in Rochester , three freestanding ERs, and more than 70 care sites across New Hampshire. With nearly 5,000 colleagues—including 1,500 nurses and 1,000 affiliated physicians—HCA Healthcare offers a supportive, team-oriented environment where your contributions are valued, your growth is encouraged, and your impact is felt every day. Join us and be part of something bigger. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parkland Medical Center family! We will provide you with the tools and resources you need to succeed in our organization. If you are looking for an opportunity that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.