Overview

The Chad Inpatient Unit (Pediatrics and Pediatric ICU) has recently undergone renovation to create space for a combined PICU and Pediatric unit. We are an 18-bed integrated unit providing care for med-surgical, stepdown, and critical care level pediatric patients all on the same floor.

Our unit has two specialties including Pediatric medical surgical and Pediatric ICU. We have 7 med-surgical beds, 7 stepdown beds and 4 critical care beds. We care for patients from birth to 18 years old with a patient and family centered philosophy as we view patients and their families as partners in their care.

We provide a wide variety of surgical services including orthopedic, ENT, GI, general surgery, hematology/oncology, neurosurgery, and trauma. We also care for patients with a wide variety of acute and chronic medical diagnoses including dehydration, failure to thrive, seizures, cystic fibrosis, asthma, diabetes, oncology, respiratory insufficiency, and cardiac disease.

The new integrated unit care model presents a great opportunity for learners. Our unit has two specialties: Pediatric medical surgical and pediatric ICU.

The pediatric medical surgical RNs care for pediatric patients as well as become certified hematology/oncology RNs. RNs gain APHON certification within one year (Association Pediatric Hematology / Oncology Nursing). This certification allows them to care for the child with an oncological diagnosis and administer chemotherapy. Pediatric RNs also become step down trained so they may care for children with higher acuity needs.

The pediatric ICU RNs care for critical care patients and step down patients. These RNs have the opportunity to do TNCC (Trauma Nursing Core Certification) and ENPC (Emergency Nursing Pediatric Course). The Pediatric ICU nursing team responds to in house code blues and acts as the pediatric Hitchcock early response team (HERT).

The renovation also includes the creation of a play and family space that will be in the center of the unit.

If you are looking for a fast-paced environment with a wide variety of ages, diagnoses, and multiple levels of care then you would love the Chad Inpatient Unit! We will be looking for nursing students who are flexible and able to stay calm and composed in emergent/urgent situations. They also should have a strong desire to work with both children and their families.

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.

Responsibilities

• Practitioner

• Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care.

• 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.

• 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.

• Actively seeks feedback and acts to improve performance.

• Engages in the governance of practice.

• Leader/Decision Maker

• Manages interpersonal relationships for self and with others.

• Mentors colleagues for the advancement of nursing practice and the profession.

• 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.

• Prioritizes and organizes time to optimize patient outcomes.

• Scientist

• Actively seeks out the most current evidence and standards and applies and translates to daily practice.

• Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level.

• Transferor

• Communicates effectively in a variety of formats in all areas of practice.

• Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge.

• Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team.

• Performs other duties as required or assigned.

Qualifications

• 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.

Required Licensure/Certifications

• 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

• Area of Interest:Nursing;

• FTE/Hours per pay period:0.90 - 36 hrs/per week;

• Shift:Rotating;

• Job ID:25793;

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.