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RN Cardiac Stepdown PRN

Job in Portsmouth, Rockingham County, New Hampshire, 00215, USA
Listing for: Portsmouth Regional Hospital
Per diem position
Listed on 2026-03-07
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below

As a RN Cardiac Stepdown PRN, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You’ll help shape decisions that elevate both patient outcomes and the future of nursing.

Job Summary and Qualifications

POSITION SUMMARY:

Registered nurse demonstrates independence in planning, organizing, administering, and evaluating patient care in accordance with the NH Nurse Practice Act, recognized nursing techniques, clinical and administrative policies.

SPECIFIC ELEMENTS & ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

Demonstrates critical thinking skills, scientific judgment and leadership in planning, directing, and the provision of nursing care to the patients in accordance with the N.H. Nurse Practice Act, recognized nursing techniques, and clinical and administrative policies.

Provide therapeutic and administrative services necessary for the care of the patient, in support of HCA ethical principles and values.

Maintains patient confidentiality, privacy, and functions to meet patient's right to be informed.

Demonstrates critical thinking skills, scientific judgement and leadership in planning for the care of the patient.

Demonstrate knowledge of normal anatomy and physiology of the adult patient population as well as age adjusted and culturally appropriate care.

Provide safe medication administration for the adult patient population.

Assessing, planning, implementing, evaluating, and documenting all aspects of patient care. Set priorities and modifies patient care in response to changing conditions by utilizing problem solving skills and exhibiting good judgment.

Delegate appropriate tasks to unlicensed personnel and provides required supervision as needed.

Collaborate with all health care providers and interdisciplinary team serving as the primary coordinator to facilitate and coordinate efficient, effective, and quality healthcare. Communicate patient progress towards the outcome attainment and assist providers and team during treatment/examination of patient and process orders.

Makes appropriate and timely notification to providers on patient condition changes and carries out provider orders.

Monitors, records, and communicates effectively patient condition as appropriate, utilizing computerized documentation systems to maintain therapeutic relationships with patients, families, and physicians.

Assesses and coordinates patient’s discharge planning needs with members of the healthcare team. Instructs and educates patients and families providing age and culturally appropriate care.

Functions as an effective team member and/or charge RN when needed, orients and mentors new staff members.

Follows Standard Precautions using personal protective equipment as required.

Maintains competencies in clinical areas and is responsible for professional growth and development.

It is expected that the RN will attend Unit Meetings as directed by the Nurse Manager/Director and participate in continuing education programs and quality assurance programs to maintain competence and gain additional skills and knowledge.

Demonstrates knowledge and proficiency in the care of patient with a focus on cardiovascular diagnoses and procedures including but not limited to- pre and post cardiac caths, pacemakers, TEEs/Cardioversions, open heart surgery, ablations, TAVRs, groin management, strokes/TIAs, traumas, sepsis, COPD, CHF, AFib exacerbations, detox and drug abuse, and general med/surg telemetry overflow and IV maintenance.

Performs all other duties as assigned.

What qualifications you will need:
  • Advanced Cardiac Life Spt must be obtained within 90 days of employment start date
  • Basic Cardiac Life Support must be obtained within 30 days of employment start date
  • (RN) Registered Nurse state of New Hampshire or valid compact licensure
  • Associate Degree in Nursing
Benefits

Portsmouth Regional Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The 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,…
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