Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.

ROTATING SHIFTS:

7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, 7p to 7a

The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served.

1. Practitioner
2. Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.
3. 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.
4. 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.
5. Actively seeks feedback and acts to improve performance.
6. Engages in the governance of practice.
7. Leader/Decision Maker
8. Manages interpersonal relationships for self and with others.
9. Mentors colleagues for the advancement of nursing practice and the profession.
10. 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.
11. Prioritizes and organizes time to optimize patient outcomes.
12. Scientist
13. Actively seeks out the most current evidence and standards and applies and translates to daily practice.
14. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.
15. Transferor
16. Communicates effectively in a variety of formats in all areas of practice.
17. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.
18. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.
19. Performs other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) preferred.

Required Licensure/Certifications

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | DHMC and Clinics Careers

Dartmouth Health is an Equal Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy-related conditions), sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, veteran or military status, or any other status protected by applicable federal, state, or local law.

Dartmouth Health provides reasonable accommodations to qualified individuals with disabilities and to applicants and employees with sincerely held religious beliefs in accordance with applicable law. Applicants who require an accommodation during the application or interview process may contact talentacquisition@hitchcock.org for assistance.

There are so many reasons to join Dartmouth Hitchcock Medical Center and Clinics, members of Dartmouth Health, the premiere health system in New England.

First and foremost are our people. No matter the role, you’ll find a shared purpose here. We have doctors ready to teach their knowledge, nurses who lead through experience, and other like-minded individuals collaborating for the health of the community, while inspiring each other day after day.

Career development

Affiliated with Dartmouth College, the atmosphere here is very collegial. You’ll discover educational and research opportunities around every corner. At Dartmouth Hitchcock Medical Center and Clinics, you never stop learning.

You’ll also appreciate the resources our wide-spread health care system provides. You’ll have access to experts at the top of their fields, advanced technologies, and modern facilities that enable you to care for patients like nowhere else.

Benefits and wellness

We offer a total compensation package that includes competitive health and wellness benefits. These benefits consist of "Core Benefits" that are provided by Dartmouth Hitchcock Medical Center and Clinics as well as "Benefit Choices" that allow you to select additional benefits to meet your personal situation and needs.

Our locations

New England is a very special place to live, work, and become part of a community. We have some of the most advanced educational institutions, best health care, and diverse cultural and recreational offerings you will find anywhere in the country. The public schools are excellent, the mountains are beautiful, and the lakes are pristine. No wonder so many people love it here.