RN- Critical Care Stepdown Unit -Per Diem
Wentworth-Douglass Hospital(WDH)

Looking for a safe supportive environment to care for patients and build your career? Here is your opportunity to expand your nursing experience, preparing you for a higher acuity unit in a Magnet recognized hospital with the lowest RN to patient ratios in the greater seacoast area!

Benefits of working on this 21 bed unit include:

• 3:1 RN ratio for IMCU patients
• 4:1 RN ratio for med/surg tele patients
• Pharmacist on the unit
• Designated clinical educator and a house wide night shift clinical educator
• Inpatient clinical coach
• Day/Night Clinical practice leader
• Resource RN with minimal patient assignment
• Designated LNA's per shift
• Leadership support

Granted the Distinguished Hospital Award for Clinical Excellence (trademark); 2019 by Healthgrades, Wentworth-Douglass Hospital is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.

1. CLINICAL JUDGMENT
o Appropriately assesses, plans, implements and evaluates patient care, specific to population served
o Follows policies/procedures, clinical practice standards pertinent to care, including emergency situations
o Matches formal knowledge with clinical events to make decisions
o Demonstrates the ability to provide competent, effective care
o Seeks validation for clinical decisions, integrates input from other clinicians for decision making
o Prioritizes and organizes work appropriately to effectively meet patient needs
o Appropriately delegates to and supervises team members based on assessment of competencies, within scope of practice to ensure appropriate implementation of care
o Collaborates & communicates relevant patient data to appropriate persons clearly and effectively, both orally and in writing (e.g. handoffs)
o Effectively develops teaching plan and regularly integrates teaching into patient care
2. SYSTEMS THINKING
o Recognizes available resources/tools for meeting patient/family needs
o Completes assignments in an efficient and timely manner, requesting and utilizing resources appropriately
o Documents patient assessment, plan, interventions and response in accordance with applicable policies and procedures
o Communicates with Nurse Manager/ or designee about availability and management of supplies, system equipment and personnel resources at unit/department level
o Demonstrates contribution to unit-based programs and strategies to monitor and continuously improve the quality of patient care
o Optimizes use of staff (overtime, agency, skill mix, etc.) based on unit census and patient acuity
3. CLINICAL INQUIRY
o Shows commitment to learning new knowledge and skills to enhance service to patients/ families and achieve organizational goals
o Implements and validates practices based upon current nursing evidence
o Advances the profession by assisting in clinical education and orientation of other staff and students; may function as preceptor for new staff
o Uses available resources to answer questions in regards to best practices, reflects upon practices on an ongoing basis
o Identifies opportunities for improvement in processes of care and other improvements at a unit level
o Actively participates in the collection and use of data and/or evaluation relative to unit-based performance improvements
4. UNIT SPECIFIC RESPONSIBILITIES
o Participates in selection of and completes all unit-specific competencies
o Articulates Nursing Sensitive Indicators and quality goals for unit and describes role in accomplishing expectations; describes role and participates in quality improvement initiatives.

Qualifications
Experience Minimum Required
• Graduate of accredited nursing program with RN licensure.

Education Minimum Required
• RN program completion

•Education Preferred/Desired
• BSN or enrollment in BSN program

Licensure and/or Certifications Required
• Registered Nursing License
• AHA or ARC BLS

EEO Statement
Wentworth-Douglass Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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