Registered Nurse with the Birthing Pavilion - Dartmouth-Hitchcock Health

Our Birthing Pavilion is a 21-room, 24-bed Labor, Delivery, Recovery and Postpartum (LDRP) unit. We average approximately 1300 deliveries each year.  Approximately fifty-five percent of our patients are high-risk and are part of our Maternal Fetal Medicine service. We receive transports from all of New Hampshire, Southern Vermont, and occasionally Maine. We have a robust midwifery service along with a generalist physician service. We provide antepartum care, intrapartum care, postpartum care, normal newborn care, and focus care newborn care. We have a two-bed triage room in which we triage all of our own patients. Our unit includes two operating rooms (ORs) in which everyone is trained in perioperative care, i.e. circulating and scribing in the OR, and Post Anesthesia Care Unit (PACU) services. We collaborate with many units in the organization including the Emergency Department, Intensive Care Unit (ICU), Cardiovascular Critical Care (CVCC), and the Main Operating Room to provide highly specialized care to our pregnant and postpartum patients. The Intensive Care Nursery (ICN or NICU) is next door to us and we have a very close relationship with their team.

FT Rotating Shifts that includes days/overnights/weekends/holidays - 3x12hrs 7a-7p

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) with 1 year of experience.
• Associate Degree (ADN) prepared nurses with 2 years' experience.
• All Associate Degree (ADN) prepared nurses must commit to completing a BSN or higher nursing degree within 10 years of their hire date.

• Licensed Registered Nurse with New Hampshire eligibility.
• Basic Life Support (BLS) Certificate required upon hire and as applicable, higher level per unit certification requirements as stated on the grid attached to the AHA and Life Support Policy
• ACLS Certificate required upon hire in Endoscopy, Tele-ICU, Day Surgery Center at CGP (Manchester), Life Safety and Cardiology-Echocardiography