RN - Med/Surg (days & nights)

ABOUT OUR CLIENT:

Our client is a 25-bed, non-profit community hospital designated as a Critical Access Hospital. The hospital endeavors to offer the best of two worlds - the warmth and friendliness of a small town and the technical expertise of modern medicine. Located in Wolfeboro, NH, they provide primary care, diagnostic testing and specialty services in the region. They provide medical services to the region's year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors who come from all over the world to enjoy the Eastern Lakes Region and the communities of: Alton, Brookfield, Effingham, Freedom, Madison, Moultonborough, New Durham, Ossipee, Sanbornville, Sandwich, Tamworth, Tuftonboro, Wolfeboro and surrounding towns.

The hospital and professional medical staff have a reputation for excellence in primary care, inpatient and outpatient surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, physical therapy, cardiac and occupational rehabilitation and emergency services. At the Hospital, they are part of the community they serve. They know that they can only achieve the vision by working collaboratively with the community to provide the care the community needs in a coordinated, seamless way.

WHAT YOU WILL DO:

Under the general supervision of the Director of Acute Care Services, is responsible for safe, effective and quality patient and family centered care in the Acute Care Medical Surgical setting.

Nursing Clinical Competency:

• Plans, evaluates, directs and renders care and re-evaluate clinical outcomes according to established standards of care
• Incorporates evidence based best practice into everyday clinical activities
• Performs medication reconciliation and administers medications safely and appropriately using the 5 rights of medication administration. Leverages technological resources for safe medication administration such as bar code scanning and tele-pharmacist service
• Recognizes and performs nursing interventions to maintain the body's homeostasis; acid-base balance, fluids and electrolyte balance, wound and tissue perfusion)
• In accordance with standing medical protocols and standing orders; enters orders, interprets and evaluates diagnostic tests to identify and assess patient's condition, communicates same to the treating provider
• Modify patient's treatment plans as indicated by patient's condition
• Maintains accurate, detailed clinical nursing documentation, reports and records
• Within the scope of nursing practice, delegates and provides oversight of nursing care activities of ancillary nursing/healthcare team members such as LNAs.
• Promotes a safe patient care environment safe from hazards
• Consistently utilizes clear, concise, professional communication in all interactions (SBAR). This will include interactions with patients and their families, between disciplines, inter-departmentally and with outside agencies
• Promotes a safe patient care and work environment free of potential safety hazards
• Ensures safe transportation of patients within the facility utilizing safe lifting and transport adjunct equipment and good body mechanics to protect patient, self, co-workers
• Demonstrates safe, competent use of patient care equipment, beds, stretchers, lifts, safety and alarm devices, walkers, monitors, wound vacs, drains, oxygen therapy and other equipment approved for patient care
• Demonstrates flexibility in practice and collaborates to cross train in other departments to additional duties as needed to promote flexibility, sustainability and teamwork within the Critical Access Hospital setting

Patient Advocacy:

• Develops and/or implements an individualized plan of care, including developmental and cultural needs
• Utilizes appropriate resources for non-English speaking patients, healthcare illiterate patients, hearing and sight impaired patients and caregivers
• Clear communication of patient plan of care and education at a level the patient, family, and caregiver can comprehend
• Takes proactive steps to recognize and report suspected abuse/neglect, including, child abuse, elder abuse, sexual abuse, and spousal abuse. Reporting identified cases to supervisor and appropriate authorities

Quality & Professionalism:

• Ensures quality of care by adhering to therapeutic