Pre-Admission Testing Registered Nurse - Part Time

Registered Nurse Position at Monadnock Community Hospital

Monadnock Community Hospital is located just 90 minutes north of Boston and 30 minutes north of Nashua New Hampshire. We are a critical access community hospital located in the scenic Monadnock region in the heart of New Hampshire. Our state of the art modern operating rooms and recovery rooms offer the latest in equipment and technology that rivals any large teaching hospital in the region.

Unlike larger inner city hospitals our staff enjoys the ability to hike, bike, ski, or kayak minutes from our beautiful campus on a day to day basis in a town that is a destination for people from all over New England.

We also can offer you a supportive and collaborative nursing environment that is focused on best practice and excellence in patient care. We base our nursing care on the simple philosophy of "Patient's First in Everything We Do" If you are looking for a department where you are treated as a valuable member of the team and not as a number then we are the facility for you.

The RN cares for a varied case load of surgical and procedural patients, making advanced assessments of the patient's physical and psycho-social needs. She/he will be assigned to provide service to patient populations in MCH. She/he is skilled in physical assessment related to peri-anesthetic care which includes respiratory management, pain management, and patient teaching. She/he is skilled in physical assessment related to pre-surgical state of a patient as well as the patient's assessment post-operatively.

She/he is well-versed on the post-op teaching necessary for the above-named patient populations. She/he functions as a team member facilitating patient flow through the pre-op, intra-op, and post-op phase. She/he is skilled in problem solving and emergency intervention. She/he has a strong interest in education of other professionals, providing for the education needs of staff, hospital-wide and in the community.

Clinical Practice and Quality of Care

• Practice appropriate telephone and patient triage skills, being aware of the need to balance quality care with efficient use of time and resources.
• Perform verbal assessment with patient prior to admission – in person or via telephone, communicating information to appropriate team members.
• Ensure pre-operative care requirements of patients are accomplished through use of the nursing process including assessment, planning, implementation, and evaluation.
• Perform patient teaching/education as established by the department.
• Assess pertinent information, plan, implement, and document interventions and evaluate results.
• Maintain and promote patient's safety by assessing physical and psychological needs.
• Respond to telephone inquiries regarding expressed needs of the caller.
• Refer caller to appropriate resources including medical/ambulatory care, hospital services, and community services within established procedures and guidelines.
• Thoroughly document all call encounters utilizing manual and/or online information systems at the time of the call.
• Alert anesthesia of results of labs, physical assessment, or special needs of individual with medical problems prior to the date of surgery.
• Communicate arrival time and NPO instructions to patients as prescribed.
• Communicate appropriate information including general health information to surgeons and anesthesiologists concerning patient care.
• Communicate special physician's orders and ensure patient charting is completed in an accurate, concise and timely manner.
• Establishes an in-depth database by assessing the behavioral and physical status of a variety of presurgical patient populations utilizing interview, observation, physical exam and seeks information that completes the database from multiple and external sources.
• Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care.
• Sets priorities adapting to changing patient and unit/clinic situations. In response to data indicating urgent and/or emergent risk to the patient, initiates action to reduce or correct risk.
• Assumes responsibility…