Strong staffing Support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at Portsmouth Regional Hospital, you'll have all the staffing support, technology and resources you need to deliver safe, high-quality care-so you can focus on what you do best.
Job Summary and Qualifications
POSITION SUMMARY:
Provides appropriate respiratory care specific to the population in accordance with hospital policy and procedure. Assesses, plans, and implements appropriate respiratory plan of care based on the cardiopulmonary needs of the patients. Evaluates effectiveness of plan of care and recommends revisions to the multidisciplinary care team. Demonstrates expanded knowledge base through participation in ECMO program projects and activities. Flexible schedule to cover the needs of the ECMO patients during ECMO runs.
KEY FUNCTIONS:
· Implements/prepares patient/caregiver education per plan of care
· Communicates education needs to patient/caregiver/staff at an understandable level and in a timely manner
· Displays knowledge of and practices risk management and safety precautions (ie - suction card up-to-date, trach sizes)
· Assists MD in other procedures as requested
· Manages the ongoing process of healthcare delivery to ECMO patients and families
· Participates in the evaluation of patients as potential ECMO candidates
· Works in collaboration with Perfusion to manage ECMO cannulation, decannulation, and stabilization procedures
· Prepares and operates clinical equipment and circuitry per ECMO procedures/policies
· Accurately accesses and reviews with physician and ECMO team pathphysiological changes within the patient and ECMO circuit. Differentiates patient versus circuit problems and intervenes appropriately
· Participates in ECMO case review and assists team members in defining learning outcomes
· Participates in the collection/review of quality improvement initiatives and data for the ECMO program and ELSO data
· Works in collaboration with ECMO team to assess clinical status and related lab results. Notifies ECMO physician of clinical status/lab values, performing appropriate interventions and implementing physician orders within established guidelines/ECMO policy and procedures
· Manages ECMO flow in relation to established clinical parameters. Reviews daily parameters with ECMO team
· Demonstrates proper blood sampling techniques from the ECMO circuit
· Performs, manages, and troubleshoots activated clotting times (ACT) as per ECMO protocol including management and administration of heparin drip per ECMO protocol
· Administers all blood products/medications appropriately when ordered to be given through the ECMO circuit
· Maintains and effectively assesses ECMO circuit function. Performs all circulatory technical skills with efficiency, accuracy and safety while anticipating, troubleshooting, intervening and managing crises/emergency situations according to policy and procedure
· Performs other duties as assigned
What qualifications you will need:
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Advanced Cardiac Life Spt must be obtained within 90 days of employment start date
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Basic Cardiac Life Support must be obtained within 30 days of employment start date
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(RN) Registered Nurse state of New Hampshire or valid compact state licensure
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Associate's Degree in Nursing
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1-3 years related experience
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ECMO certification within 1 year of hire
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No Travel Required
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No experience Required Years of Experience
Benefits
Portsmouth Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
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Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
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Wellbeing support, including free counseling and referral services
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Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
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Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
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Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
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Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
Note: Eligibility for benefits may vary by location
At Portsmouth Regional Hospital (https://portsmouthhospital.com/) , you're not just joining a hospital-you're becoming part of a mission-driven team that's redefining healthcare excellence across the Seacoast region. As a 240-bed acute care facility in Portsmouth, NH, we proudly serve communities throughout New Hampshire, Maine, and Massachusetts. We're the only hospital in the area to be recognized as an ACS Verified Level II Trauma Center and a Comprehensive Stroke Center, and we offer a robust heart and vascular program-giving our team the opportunity to work at the forefront of life-saving care.
As part of the HCA Healthcare family, you'll be supported by one of the nation's leading healthcare systems, with a strong presence in New Hampshire that includes four hospitals, three freestanding emergency rooms, and over 70 care sites. Here, nearly 5,000 colleagues-including 1,500 nurses and 1,000 affiliated physicians-collaborate to deliver exceptional care and innovation every day. Whether you're at Portsmouth, Catholic Medical Center (https://catholicmc.com/) in Manchester, Parkland Medical Center (http://www.parklandmedicalcenter.com) in Derry, Frisbie Memorial Hospital (http://www.frisbiehospital.com) in Rochester, or one of our emergency facilities in Seabrook, Dover, or Plaistow, you'll find a culture that values your expertise, supports your growth, and empowers you to make a real difference.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing's future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our ECMO Specialist Registered Nurse opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities apply today!
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.
