Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions.  

Manages patient assignments and flow within inpatient care unit. Provides oversight of direct patient care to support patient and staff needs. Serves as a lead, clinical resource, role model, and extension of management to uphold institutional priorities, policies and practices.

1. Assigns staff to patients per current unit workload. Considers pod acuity, staff experience and competency, learning needs and patient acuity/complexity when considering shift assignments.
2. Participates in performance management of staff members to include coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate.
3. Addresses conflicts as they may arise. Assists/mediates to maintain smooth operations of the unit. Involves unit leadership or House Supervisor as appropriate.
4. Facilitates timely admissions and discharges to optimize clinical capacity.
5. Performs other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor’s Degree (e.g. BSN, BA, BS) at time of hire, or degree expected within 36 months of hire.
• 2 years of progressive responsibility within an acute care setting required.
• Specialty certification preferred.
• Must obtain and maintain clinical competencies within assigned unit.
• Excellent written, verbal and computer skills required.
• Demonstrated abilities with problem solving, leadership, communication, fiscal responsibility and teamwork.
• Ability to work effectively in groups of employees and with patients and patient families is essential.

• Licensed Registered Nurse with New Hampshire eligibility.
• Basic Life Support (BLS) or higher per unit specific requirements.