Registered Nurse - Med Surg Per diem

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

• 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

• 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 a.
• 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.
  
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