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Registered Nurse - Same Day Surgery - Per Diem

957eb50b 516a 435d A4a7 Fb5254f17fc1 19000101 000001 · Littleton, NH, US, Littleton, NH · Active · $32–$49 / hour · ADP Workforce Now Recruiting

Job facts

FieldValue
Company957eb50b 516a 435d A4a7 Fb5254f17fc1 19000101 000001
TitleRegistered Nurse - Same Day Surgery - Per Diem
Normalized title-
Department / team-
LocationLittleton, NH, United States
Work model-
Employment typePer Diem
Salary$32–$49 / hour
Statusactive
ATS providerADP Workforce Now Recruiting
Posted / first seen2025-08-22 / 2026-05-31
Changed / last seen2026-06-06 / 2026-06-06

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PageWhat it containsOpen
Company jobsActive postings from 957eb50b 516a 435d A4a7 Fb5254f17fc1 19000101 000001.Open
Company breakdownsRole, location, ATS, and work model facets for this company.Open
ATS provider jobsActive postings observed through ADP Workforce Now Recruiting.Open
Provider filtered searchThe same provider as a filtered job collection.Open
City jobsActive postings in Littleton.Open
Lifecycle eventsOpen, update, close, and reopen events for this posting.Open
Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

Company957eb50b 516a 435d A4a7 Fb5254f17fc1 19000101 000001
Source9bfd8c82-aa4d-48dd-9265-28c23dba995d
ATS providerADP Workforce Now Recruiting

Description

LITTLETON REGIONAL HEALTHCARE POSITION SUMMARY JOB TITLE: Registered Nurse FLSA: Exempt Non-Exempt DEPARTMENT: Perioperative Services (SDS/PACU/ENDO) GRADE: 9.5 Position Summary The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing same day surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act. Essential Duties and Responsibilities Pre-Operative / Pre-Procedural Review patient history, verify consents, and ensure pre-procedure testing is complete. - Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems. - Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients. - Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care. - Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration. - Ensure timely coordination of care to support patient flow and surgical schedule readiness. Intra-Procedural Support (SDS / Endoscopy) - Assist in preparing patients and procedure rooms for surgery or endoscopy. - Support the procedural team by ensuring all documentation, supplies, and medications are ready and available. - Maintain situational awareness to anticipate team needs and patient status changes. Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery) - Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score. - Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications. - Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed. - Ensure all discharge criteria are met prior to patient release and support smooth transitions in care. Professional Responsibilities - Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities. - Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care. - Support quality and safety initiatives, including infection prevention and patient experience efforts. - Precept and mentor new staff as assigned. - Participate in review and follow-up of adverse events, variances, and near misses. Certifications - ACLS – Required - PALS – Required - Moderate Sedation and Endoscopy Competencies – Must maintain per hospital policy Ancillary Duties - Order and restock supplies in SDS, PACU, and Endoscopy areas. - Clean rooms and equipment in off-hours or between cases. - Maintain readiness of all clinical and patient care spaces. Working Conditions / Physical Requirements - Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals. - Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup. - Must be able to respond rapidly to patient care needs and changing conditions. - Includes irregular hours and call coverage as required by the surgical schedule. Employee Signature: _________________________________ Date: ________________

Full job record

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Source ID9bfd8c82-aa4d-48dd-9265-28c23dba995d
Board ID9bfd8c82-aa4d-48dd-9265-28c23dba995d
Provideradp_workforcenow
Provider Job Key569669
TitleRegistered Nurse - Same Day Surgery - Per Diem
Normalized Title—
Statusactive
Activeyes
Location TextLittleton, NH, US, Littleton, NH
Department—
Team—
Employment Typeper_diem
Workplace Type—
Remote Policy—
CountryUnited States
RegionNH
CityLittleton
Salary Raw32.06 To 48.80 (USD) Hourly
Salary Min32.06
Salary Max48.8
Salary CurrencyUSD
Salary Periodhour
Source URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=957eb50b-516a-435d-a4a7-fb5254f17fc1&ccId=19000101_000001&lang=en_US&type=JS&jobId=569669&jwId=9201381227266_1
Apply URLhttps://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=957eb50b-516a-435d-a4a7-fb5254f17fc1&ccId=19000101_000001&lang=en_US&type=JS&jobId=569669&jwId=9201381227266_1
First Seen At2026-05-31 18:45:07Z
Last Seen At2026-06-06 12:03:22Z
Last Checked At2026-06-06 12:03:22Z
Last Changed At2026-06-06 12:03:22Z
Inactive At—
Source Posted At2025-08-22 11:00:00Z
Source Updated At—
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Event Fields
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Extensions
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    "requisitionDescription": "<div><div><h1 id=\"isPasted\">&nbsp;</h1>LITTLETON REGIONAL HEALTHCARE<p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;text-align:center;' id=\"isPasted\"><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;margin-left:2.0in;text-indent:.5in;'><span style=\"font-size:15px;\">&nbsp; &nbsp; &nbsp; POSITION SUMMARY</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><table border=\"1\" cellspacing=\"0\" cellpadding=\"0\" style=\"border-collapse: collapse;border: none;width: 691px;\"><tbody><tr><td valign=\"top\" style=\"width: 17.5109%; border: 1pt solid windowtext; padding: 0in 5.4pt; height: 30.7pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>JOB TITLE:</span></strong></p></td><td valign=\"top\" style=\"width: 43.4153%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0in 5.4pt; height: 30.7pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><h1 style='margin:0in;font-size:13px;font-family:\"Arial\",sans-serif;'><span style=\"font-weight:normal;\">Registered Nurse</span></h1></td><td valign=\"top\" style=\"width: 12.1563%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0in 5.4pt; height: 30.7pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>FLSA:</span></strong></p></td><td valign=\"top\" style=\"width: 26.9175%; border-top: 1pt solid windowtext; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-image: initial; border-left: none; padding: 0in 5.4pt; height: 30.7pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp; Exempt</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp; <span style=\"background:yellow;\">Non-Exempt &nbsp;&nbsp;</span></span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p></td></tr><tr><td valign=\"top\" style=\"width: 17.5109%; border-right: 1pt solid windowtext; border-bottom: 1pt solid windowtext; border-left: 1pt solid windowtext; border-image: initial; border-top: none; padding: 0in 5.4pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>DEPARTMENT:</span></strong></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></strong></p></td><td valign=\"top\" style=\"width: 43.4153%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></strong></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>Perioperative Services (SDS/PACU/ENDO)</span></p></td><td valign=\"top\" style=\"width: 12.1563%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><strong><span style='font-family:\"Arial\",sans-serif;'>GRADE:</span></strong></p></td><td valign=\"top\" style=\"width: 26.9175%; border-top: none; border-left: none; border-bottom: 1pt solid windowtext; border-right: 1pt solid windowtext; padding: 0in 5.4pt; vertical-align: top;\"><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>9.5</span></p></td></tr></tbody></table><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-family:\"Arial\",sans-serif;'>&nbsp;</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Position Summary</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>The Staff Registered Nurse delivers comprehensive nursing care to patients undergoing same day surgery, endoscopic procedures, and post-anesthesia recovery. This role includes pre-operative, intra-procedural, and post-operative phases, spanning Same Day Surgery (SDS), Post-Anesthesia Care Unit (PACU), and Endoscopy. Care is provided across the lifespan and in accordance with hospital policies, evidence-based practice, and the New Hampshire Nurse Practice Act.</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>&nbsp;</span></p><h2 style='margin:0in;text-align:center;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Essential Duties and Responsibilities</span></h2><h3 style='margin-top:12.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;font-size:17px;font-family:\"Aptos Display\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Pre-Operative / Pre-Procedural</span></h3><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Review patient history, verify consents, and ensure pre-procedure testing is complete.<br>&nbsp;- Collect and document patient data (labs, progress notes, history and physical) using EHR and other systems.<br>&nbsp;- Conduct complete pre-procedure nursing assessments for both surgical and endoscopy patients.<br>&nbsp;- Evaluate patient education needs and reinforce understanding of the procedure, including NPO status, sedation expectations, and post-procedure care.<br>&nbsp;- Initiate IV access and complete all physician/CRNA pre-op orders, including EKGs and medication administration.<br>&nbsp;- Ensure timely coordination of care to support patient flow and surgical schedule readiness.</span></p><h3 style='margin-top:12.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;font-size:17px;font-family:\"Aptos Display\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Intra-Procedural Support (SDS / Endoscopy)</span></h3><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- Assist in preparing patients and procedure rooms for surgery or endoscopy.<br>&nbsp;- Support the procedural team by ensuring all documentation, supplies, and medications are ready and available.<br>&nbsp;- Maintain situational awareness to anticipate team needs and patient status changes.</span></p><h3 style='margin-top:12.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in;font-size:17px;font-family:\"Aptos Display\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Post-Operative / Post-Procedure Recovery (PACU / Endo Recovery)</span></h3><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- Provide ongoing monitoring and assessment during Phase I and II recovery using ASPAN guidelines and the Modified Aldrete Score.<br>&nbsp;- Deliver post-procedure education including wound care, dietary guidance, activity restrictions, and signs of complications.<br>&nbsp;- Communicate discharge instructions to patients and caregivers and confirm follow-up appointments as needed.<br>&nbsp;- Ensure all discharge criteria are met prior to patient release and support smooth transitions in care.</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Professional Responsibilities</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- Participate in staff meetings, training, and skills validation for all SDS, PACU, and Endoscopy responsibilities.<br>&nbsp;- Maintain open communication with physicians, anesthesia providers, and interdisciplinary staff to ensure safe, coordinated care.<br>&nbsp;- Support quality and safety initiatives, including infection prevention and patient experience efforts.<br>&nbsp;- Precept and mentor new staff as assigned.<br>&nbsp;- Participate in review and follow-up of adverse events, variances, and near misses.</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Certifications</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- ACLS &ndash; Required<br>&nbsp;- PALS &ndash; Required&nbsp;<br>&nbsp;- Moderate Sedation and Endoscopy Competencies &ndash; Must maintain per hospital policy</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Ancillary Duties</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- Order and restock supplies in SDS, PACU, and Endoscopy areas.<br>&nbsp;- Clean rooms and equipment in off-hours or between cases.<br>&nbsp;- Maintain readiness of all clinical and patient care spaces.</span></p><h2 style='margin:0in;text-align:left;font-size:13px;font-family:\"Arial\",sans-serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Working Conditions / Physical Requirements</span></h2><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>- Fast-paced, high-acuity environment with exposure to blood, body fluids, and chemicals.<br>&nbsp;- Requires frequent standing, lifting (up to 50 lbs.), and full range of motion for patient handling and equipment setup.<br>&nbsp;- Must be able to respond rapidly to patient care needs and changing conditions.<br>&nbsp;- Includes irregular hours and call coverage as required by the surgical schedule.</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Employee Signature: _________________________________</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>&nbsp;</span></p><p style='margin:0in;font-size:13px;font-family:\"Times New Roman\",serif;'><span style='font-size:15px;font-family:\"Aptos\",sans-serif;'>Date: ________________</span></p><p><br></p></div></div>\n",
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}
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