Registered Nurse Special Procedures PRN

Portsmouth Regional Hospital, part of HCA Healthcare, is looking for a Registered Nurse Special Procedures PRN to provide expert nursing care in a fast‑paced environment. Responsibilities Provide therapeutic and administrative services necessary for the care of patients in accordance with HCA ethical principles and values. Maintain patient confidentiality, privacy, and the right to be informed. Demonstrate critical thinking skills, scientific judgment and leadership in planning for patient care. Show 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. Assess, plan, implement, evaluate, and document all aspects of patient care; set priorities and modify care according to changing conditions using problem‑solving skills and sound judgment. Delegate tasks to unlicensed personnel and provide required supervision. Collaborate with all health‑care providers and interdisciplinary team, serving as primary coordinator to facilitate efficient, effective, and quality care; communicate patient progress and assist providers during treatment and orders. Make timely notifications to providers regarding patient condition changes and carry out provider orders. Monitor, record, and effectively communicate patient condition using computerized documentation systems; maintain therapeutic relationships with patients, families, and physicians. Coordinate patient discharge planning with the healthcare team; instruct and educate patients and families with age‑ and culturally‑appropriate care. Act as an effective team member and/or charge RN when needed; orient and mentor new staff members. Follow Standard Precautions using personal protective equipment as required. Maintain competencies in clinical areas and pursue professional growth and development. Participate in unit meetings, continuing education, and quality‑assurance programs to maintain competence and gain additional skills. Demonstrate knowledge and proficiency in the care of procedural patients, including pre‑ and post‑care; stroke and trauma; cardiovascular disease with AFIB and arrhythmias; patient‑controlled analgesia (PCAs), epidural and nerve blocks, subdural and ventricular drains, NIH stroke scale, IV medication titration, arterial lines, invasive lines or drains, and airway/respiratory devices. Qualifications Advanced Cardiac Life Support (ACLS) certification obtained within 45 days of employment start date. Basic Cardiac Life Support (BCLS) certification obtained within 30 days of employment start date. Registered Nurse licensure in the state of New Hampshire or a valid compact state license. Associate Degree in Nursing required; Bachelor’s degree preferred. Benefits Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine. Well‑being support, including counseling and referral services. Paid time off, paid family leave, long‑ and short‑term disability coverage, and leave of absence programs. 401(k) plan with 100% match on 3% to 9% of pay, Employee Stock Purchase Plan, flexible spending accounts, and retirement resources. Education support through tuition assistance, student‑loan assistance, certification support, dependent scholarships, and partnership with Galen College of Nursing. Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection, auto and home insurance, legal counseling, identity theft protection, and consumer discounts. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr