Skilled Nursing RN
Berlin, New Hampshire
Coos County Nursing Home Berlin

RN (Registered Nurse), LTC

Overview

• Location: Berlin, New Hampshire
• Department: LTC
• Contract length: 13 weeks
• Hours per week: 48
• Shifts: Evening, Night
• Facility: 100-bed long-term care/SNF (96 semi-private, 4 private) across 2 floors (1 LTC, 1 LTC-SNF). No locked units; dementia and Alzheimer's patients wear a tracker that locks the door when they approach it.

Required Qualifications

• BLS certification
• Must have prior LTC/SNF experience
• Minimum of 1 year of experience

Preferred Qualifications

• 2 years of experience
• Experienced travelers preferred (first-time travelers accepted)

Patient Population

• Common diagnoses: DM, COPD, post-stroke, heart disease, fractures, dementia, Alzheimer's, rehab, chronic conditions, and multiple comorbidities

Job Duties

• Medication passes, vitals, blood sugar checks and management
• Wound care, ostomy management, Foley management, tube feeding administration
• Occasional IV antibiotics; potential PICC line management
• Respiratory treatments and equipment (CPAP, NC, high flow); no trachs or vents. No RT in house, so LPNs and RNs manage respiratory care.
• No telemetry monitors
• Assisting other team members

Staffing and Ratios

• Ratio: 1:17-20
• Supervisor on every shift; DON, ADON, and House Supervisor roles. In the House Supervisor role, the RN oversees the whole facility.
• Interdisciplinary team: PT, OT, SLP, case managers, social workers, and dietitians
• Physician coverage: NP rounds each weekday morning; 2 MDs (one on Tuesday and Friday evenings, one twice a month on Wednesdays). After hours, staff call the hospital for the on-call provider.
• Pharmacy: bubble packs for patient prescriptions; house stock of generic medications
• Charting: EMR with paper charting

Schedule

• Evening: 3 PM-11 PM (typically 2 RNs/LPNs and 4-5 LNAs per floor)
• Night: 11 PM-7 AM, or 7 PM-7 AM (typically 2 RNs/LPNs and 4-5 LNAs per floor)
• Day shifts (7 AM-3 PM or 7 AM-7 PM) are also referenced in the source.
• Scheduler publishes the schedule 6 weeks in advance. Travelers are asked to stay flexible and help fill gaps in permanent staffing.
• Every other weekend; may be asked to work holidays
• No call or standby requirement; covered by permanent staff
• Can float between either floor
• Department-specific orientation: 3 shifts with a preceptor
• Daily huddle required (team conferences for acute inpatient rehab are not required)

Other Requirements

• Radius rule: 50 miles. Candidates must disclose in their submission if they have ever worked at the facility.
• Dress code: any color scrubs, professional appearance, no large earrings or jewelry, no fake nails, hair must be up, no face tattoos