Pre-Admission Testing Registered Nurse - Full Time

Registered Nurse Position at Monadnock Community Hospital

Monadnock Community Hospital is located just 90 minutes north of Boston and 30 minutes north of Nashua New Hampshire. We are a critical access community hospital located in the scenic Monadnock region in the heart of New Hampshire. Our state of the art modern operating rooms and recovery rooms offer the latest in equipment and technology that rivals any large teaching hospital in the region. Unlike larger inner city hospitals our staff enjoys the ability to hike, bike, ski, or kayak minutes from our beautiful campus on a day to day basis in a town that is a destination for people from all over New England.

We also can offer you a supportive and collaborative nursing environment that is focused on best practice and excellence in patient care. We base our nursing care on the simple philosophy of "Patient's First in Everything We Do" If you are looking for a department where you are treated as a valuable member of the team and not as a number then we are the facility for you.

The RN cares for a varied case load of surgical and procedural patients, making advanced assessments of the patient's physical and psycho-social needs. She/he will be assigned to provide service to patient populations in MCH. She/he is skilled in physical assessment related to peri-anesthetic care which includes respiratory management, pain management, and patient teaching. She/he is skilled in physical assessment related to pre-surgical state of a patient as well as the patient's assessment post-operatively. She/he is well-versed on the post-op teaching necessary for the above-named patient populations. She/he functions as a team member facilitating patient flow through the pre-op, intra-op, and post-op phase. She/he is skilled in problem solving and emergency intervention. She/he has a strong interest in education of other professionals, providing for the education needs of staff, hospital-wide and in the community.

Clinical Practice and Quality of Care

• Practice appropriate telephone and patient triage skills, being aware of the need to balance quality care with efficient use of time and resources.
• Perform verbal assessment with patient prior to admission in person or via telephone, communicating information to appropriate team members.
• Ensure pre-operative care requirements of patients are accomplished through use of the nursing process including assessment, planning, implementation, and evaluation.
• Perform patient teaching/education as established by the department.
• Assess pertinent information, plan, implement, and document interventions and evaluate results.
• Maintain and promote patient's safety by assessing physical and psychological needs.
• Respond to telephone inquiries regarding expressed needs of the caller.
• Refer caller to appropriate resources including medical/ambulatory care, hospital services, and community services within established procedures and guidelines.
• Thoroughly document all call encounters utilizing manual and/or online information systems at the time of the call.
• Alert anesthesia of results of labs, physical assessment, or special needs of individual with medical problems prior to the date of surgery.
• Communicate arrival time and NPO instructions to patients as prescribed.
• Communicate appropriate information including general health information to surgeons and anesthesiologists concerning patient care.
• Communicate special physician's orders and ensure patient charting is completed in an accurate, concise and timely manner.
• Establishes an in-depth database by assessing the behavioral and physical status of a variety of presurgical patient populations utilizing interview, observation, physical exam and seeks information that completes the database from multiple and external sources.
• Implements safe, competent, and efficient patient care within policies, procedures and standards, and interventions as noted on the multidisciplinary plan of care.
• Sets priorities adapting to changing patient and unit/clinic situations. In response to data indicating urgent and/or emergent risk to the patient, initiates action to reduce or correct risk.
• Assumes responsibility and accountability for effectively managing nursing care of individual patients as a team member.
• Evaluates patient's responses to care based on effectiveness of nursing interventions/actions in relationship to established outcomes and consults with Medical Staff, Care Team Leader, or Nurse Manager/Surgical Services Supervisor regarding clinical variances and recommends changes to the plan of care.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
• Incorporates discharge/home care planning into the multidisciplinary plan of care on an ongoing basis.

Other Duties/Responsibilities

• Provide patient care in Pre/Post Op area based on operational needs.
• Serve as preceptor/participates in unit teaching and orientation program for all new staff.
• Answers patient questions and provides appropriate pre-operative instructions regarding surgical procedures, medications, anesthesia techniques and ambulatory.
• Utilize material, equipment, and time in a safe, therapeutic and cost-efficient manner.
• Practice flexibility in scheduling to provide adequate staff coverage on unit.
• Participate in quality improvement activities as requested.

Assume other duties and responsibilities as assigned by Nurse Manager

This is a part time, 30 hours per week position

About Our Benefits

Amazing people deserve amazing benefits. We strive to employ and retain the most highly qualified individuals by providing equitable wages and benefits, promoting from within, and supporting the continuing education efforts of our staff.

You will be valued and rewarded for the work you do here with excellent pay and outstanding benefits. At MCH, you'll find great opportunities for career advancement as well as personal and professional growth.

Full-time employees enjoy:

• Health insurance
• Dental insurance
• Vision coverage
• Flexible spending accounts
• Life insurance
• Short and long-term disability insurance
• Accident and Critical Illness insurance
• Identity theft insurance
• Retirement savings plan
• Lifestyle spending account
• Free membership to local gym
• Generous paid time off plans
• Opportunities for professional development and training
• Positive work environment with a supportive team and opportunities for growth
• Scholarship Opportunities
• Tuition reimbursement

About Monadnock Community Hospital

Reach new heights at Monadnock Community Hospital. MCH is a critical access hospital in beautiful, historic Peterborough, New Hampshire.

For 100 years, we have provided outstanding care to our communities, earning a reputation for excellence that has made us one of New Hampshire's most successful and beloved small hospitals.

Join a culture of Compassion, Collaboration, Honesty, and Respect! Our employees are the heart and soul of Monadnock Community Hospital.

In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling.

About the Monadnock Region

A great place to live, work, and play. One of the best things about working at Monadnock Community Hospital is that you get to live in a community that offers an amazing quality of life.

The state of New Hampshire consistently ranks in the Top Ten of all American states for its overall quality of life. Towns are small and friendly here, crime is low, schools are good, and the air and water are clean.

Balance meaningful work with a great life. Here in the Monadnock Region, you can enjoy a standard of living that is hard to match anywhere. Let's start with our mountain for which we are named.

Around the 3,165 foot Mount Monadnock with 100-mile views are forests, woods, lakes, and protected rivers providing abundant opportunities for hiking, biking, kayaking, fishing, cross-country skiing you name it!

And if you're into the arts, the region also offers a lively arts scene, with galleries, theatres, and concert venues.

• New England community spirit
• Family-friendly
• Arts and culture
• All-season outdoor recreation
• Just 1.5 hours to Boston

Are you ready for a great job in a great place? Are you ready for a career the supports your aspirations? Are you ready to work in the best place you've ever lived?

Our small hospital is committed to diversity, inclusion, and equal opportunity employment. We welcome applications from