48 hours in a 4 Week period (includes one weekend shift)
This position is part of the System Staffing Office. Our Hospital Float nurses are experienced inpatient nurses with Critical Care experience and who have agreed to go to at least two hospital facilities within the Dartmouth-Health System
Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary.
Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination.
Actively seeks feedback and acts to improve performance.
Engages in the governance of practice.
Manages interpersonal relationships for self and with others.
Mentors colleagues for the advancement of nursing practice and the profession.
Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures.
Prioritizes and organizes time to optimize patient outcomes.
Actively seeks out the most current evidence and standards and applies and translates to daily practice.
Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
Communicates effectively in a variety of formats in all areas of practice.
Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
Performs other duties as required or assigned.
System Wide Responsibilities
Assigned to a variety of affiliate hospitals and units within scope of demonstrated competence. Care area types include: Critical Care, General Care (Med-Surg), Progressive Care (Step-Down), Emergency Department, and Ambulatory Care.
Identifies patient health-related problems and risk states and develops nursing care plans accordingly. Assists other nurses in assessment, diagnosis, care planning, and evaluation of outcomes.
Provides individualized nursing care, recognizes and takes appropriate action for significant changes in patient conditions.
Evaluates effectiveness of nursing care and makes necessary modifications to assist with optimal patient outcomes.
Establishes relevant, evidence-based and safe nursing interventions and priorities when providing nursing care, including administering of medications.
Collaborates effectively with patient, patients significant others, and members of the health care team to achieve optimal patient outcomes. Acts as a resource to peers, student nurses, medical students, house officers, and other health care providers.
Communicates patient status through verbal, electronic, and written means with other health care providers, and takes appropriate action for patient well-being.
Observes patient to recognize nursing needs. Implements care/interventions directly when needed (physical, social or emotional) or indirectly by collaboration with other nursing team members, physicians or members of other health care disciplines.
Collaborates with colleagues to ensure patient and family involvement with discharge planning and the achievement of identified needs through teaching or referrals. Assumes responsibility for ensuring an integrated discharge planning process.
Identifies and offers solutions to patient care delivery issues through quality improvement, continuing education, research, and peer review activities.
How can the lifestyle in New Hampshire and Vermont compliment your career? You can have amazing 4-season living with a career at one of the top health systems in the country. The Dartmouth-Hitchcock health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth-Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Norris Cotton Cancer Center, the Children's Hospital at Dartmouth-Hitchcock; 4 affiliated hospitals and 30 Dartmouth-Hitchcock ambulatory clinics across the region. We are close to the urban centers of Boston, New York and Montreal, but also offer proximity to the seacoast and multiple top-tier ski mountains within a short driving distance. Throughout New Hampshire, the opportunities – both career and personal – truly make our area the ideal place to work and play.
Dartmouth-Hitchcock is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, veteran status, or any other characteristic protected by law.
