Registered Nurse (RN) | 36 hours per week | Medical Surgical Unit

Minimum Hiring Wage:

From $35.79 per hour

Job Details:

$10,00 Sign on Bonus for Eligible applicants.

Scheduled Hours: 6:00pm-6:30am

Weekends Only: Friday, Saturday, Sunday

Job Description:

A Brief Overview

Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing.Duties are included but are not limited to those below for specified units. * Perform Bedside shift report and beginning and end of shift.* Utilize policies and procedures to keep patients safe from falls. * Assist in wound prevention and Hospital acquired pressure injuries.Assessment• Demonstrates the ability to obtain a comprehensive admission history, performs physical assessment of patient• Differentiates variations of normal and abnormal assessment findings• Analyzes and prioritizes abnormal findings. Initiates appropriate response• Anticipates actual or potential problems or health concerns in the hospital and/or home setting• Demonstrates ongoing assessment of patient's psychosocial, physiological and educational process per unit policy• Anticipates, recognizes and documents subtle changes in patient's physical and mental status• Integrates analysis of diagnostic information in patient assessment and care• Analyzes ongoing assessments to determine patient's and/or significant others learning and discharge needsDiagnosis• Integrates assessment data and formulates an individual nursing diagnosis according to policies and proceduresPlanning• Formulates an individualized plan of care including discharge planning based on standards of care and policies and procedures• Modifies individualized plan of care based on ongoing assessment and changes in patient status• Anticipates and manages changing situationsImplementation• Administers prescribed treatments and medications promptly according to hospital policies and procedures• Recognizes and questions unsafe, incorrect or inadequate orders. Intervenes to clarify patient order• Utilizes opportunities during delivery of patient care to teach the patient information necessary to attain the optimal level of self-careEvaluation• Evaluates patient's response to care and comprehension of educationDocumentation• Documents all aspects of the nursing process in a legible, concise, clear, and timely manner utilizing PCS or appropriate hospital forms, utilizing correct medical terminology and accepted abbreviationsCommunication• Involves patient and significant other(s) in all aspects of the nursing process• Acts as a patient advocate and respects the rights and confidentiality of patients• Promotes communication and relays information in a clear manner• Understand and acts within the guidelines for addressing ethical concerns• Communicates delays or wait times to patient/significant otherJudgment• Demonstrates sound judgment with the Nursing Process based upon critical thinking skills and a problem-solving approach• Anticipates and takes proper action in emergency and complex patient care situationsEquipment• Demonstrates the ability to utilize appropriate equipment when providing nursing care according to unit/organizational policies, including ability to trouble shoot equipment

What you will do

• Assess and monitor patient condition, documenting and communicating results to physician as appropriate.
• Document all aspects of patient care provided in the medical record, adhering to documentation standards.
• Administer prescribed medications adhering to the six rights of medication administration, IV fluids, enteral feedings, monitoring their effectiveness, and addressing needs.
• Answer patients' calls and provides assistance or determines how to assist them.
• Assemble equipment, performs procedures and treatments and/or assists medical staff with patient procedures
• Provide basic patient care and treatments such as dressing wounds, preventing and treating pressure ulcers or performing catheterizations.
• Prepare patients for examinations, tests or treatments and explain procedures.
• Collect samples such as blood, urine and sputum from patients, and perform routine laboratory tests on samples (such as blood glucose monitoring) or sends the specimen to lab appropriately labeled.
• Formulate, evaluate and modify an individualized plan of care including discharge planning. Evaluate nursing intervention outcomes, conferring with other health care team members as necessary.
• Monitor patients' medication usage and results as well as responsible use of Medical and pharmaceutical supplies.
• Help patients with bathing, dressing, maintaining personal hygiene, moving in bed, or standing and walking.
• Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, respiration, oxygen saturation and pain.
• Provide patient and family education. Assess resources to plan and coordinate patient care.
• Act as a patient advocate, respect rights and confidentiality of patients.
• Work as part of a health care team to assess patient needs, plan and modify care and implement interventions. Participate in treatment team conferences regarding diagnosis or treatment of difficult cases.
• Participate in performance improvement activities, including quality assurance, quality monitoring and improvement efforts.
• Delegate aspects of care to others including certified nursing assistants, patient service associates, and licensed practical nurses; provides oversight for ensuring completion of the functions. Mentor new employees and students.
• Adhere to safety practices and evidence based practices. Adhere to safety practices for own personal protection, i.e. infection control devices, lifts, gait belts, eye shields, gloves.
• Prioritize specific aspects of assignment based on patient care needs. Coordinate and oversee nursing care provided for patient care assignement.
• Monitor patients' medication usage and results as well as responsible use of Medical and pharmaceutical supplies.

Qualifications

• Associate’s Degree (AA) Associates Degree in Nursing (ADN) Required
• Bachelor’s Degree in Arts/Sciences (BA/BS) bachelor’s degree in nursing or other related field Preferred
• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
• Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
• Knowledge of basic math to calculate medication doses.
• Being aware of others' reactions and understanding why they react as they do.
• Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
• Adjusting actions in relation to others' actions.
• Talking to others to convey information effectively.
• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Understanding written sentences and paragraphs in work related documents.
• Actively looking for ways to help people.
• The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
• The ability to listen to and understand information and ideas presented through spoken words and sentences.
• The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
• The ability to communicate information and ideas in speaking so others will understand.
• The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
• The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
• The ability to identify and understand the speech of another person.
• Basic Life Support Healthcare Provider - American Heart Association within 60 Days Required
• Child Abuse Iowa Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
• Dependent Adult Abuse Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
• Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Required

Qualifications:

MOAB within 1 year of hire for all inpatient units.

Acute Care: Telemetry and Med Surg: Geriatric, Adult, Medical/Surgical, Telemetry. Includes monitoring and interpreting cardiac rhythms, administering medications and treatments as prescribed (including IV medications and non-titrating drips), caring for pre- and post-surgical patients, chronic trach patients on baseline settings, wound vacs, working closely with providers and family members to keep them updated, and reporting patient results.

Basic Dysrhythmia within 6 months of hire.

ACLS within 1 year of hire.

Cardiac Care Unit: Adult cardiac/ telemetry, Stroke, Vascular intervention, Hemodynamic monitoring. Includes administering cardiac medications, monitoring cardiovascular status, operating and maintaining advanced cardiac monitoring equipment. Basic Dysrhythmia within 6 months of hire.

NIHSS and 8 8 Hours of Primary Stroke Education within 90 days of hire.

Intensive Care Unit: Cardiac/ Acute Myocardial Infarction (AMI), Vascular, Hemodynamic Monitoring, Endocrine, Renal, Pulmonary, severe trauma and other severe medical issues. Including patients on multiple drips, CRRT, Impella, ventilators and other monitors and devices. Administer medications and IV therapy, monitor vital signs, provide lifesaving care, and collaborate with the healthcare team. Basic Dysrhythmia within 6 months of hire.

NIHSS and 8 8 Hours of Primary Stroke Education within 90 days of hire.

Inpatient Dialysis: Provides high quality care to patients receiving dialysis in the inpatient setting. Prepare and maintain dialysis equipment, administer dialysis treatments to patients as prescribed by physicians, assess patients' response to dialysis treatment and report and patient condition changes to the provider. ACLS within 1 year of hire.

Surgical Services - Registered Nurse: (OR & DHC) Delivers care to patients undergoing procedures, utilizing the nursing process of assessment, planning, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and team members while maintaining high standards of professional nursing. Primary duties include but not limited to circulating procedures, instrumentation of procedures, and assisting surgeon and /or anesthesia providers. On Call responsibilities. Active participation in surgical consciousness. ACLS within 1 year of hire.

Specialties at each campus:

FM: ENT, Gastroenterology, General, OB/Gynecology, Orthopedics, Ophthalmology, Pain Management, Podiatry.

HCHC: ENT, Gastroenterology, General, Orthopedics, Ophthalmology, Podiatry, Urology

WB: Dental/Oral, ENT, Gastroenterology, General, OB/Gynecology, Orthopedics, Pain Management, Podiatry, Spine, Urology and Vascular

WB DHC: Gastroenterology, Neurology – Lumber Puncture, Pain Management and Pulmonary

PACU: Provides post anesthesia nursing care to the patient in the immediate post anesthesia period (phase I) and transitioning them to phase II level of care, the impatient care setting, or to an intensive care setting for continued care. They provide a safe transition from a totally anesthetized state to one requiring less acute interventions. On Call responsibilities. PALS within 1 year of hire. Basic Dysrhythmia within 6 months of hire. ACLS within 1 year of hire.

ED: Geriatric, Medical/Surgical, Adult, Telemetry, Pediatric, Behavioral Health, Critical Care. Including triage of patients, providing emergency support measures to patients, working closely with providers and family members to keep them updated, and reporting patient results. NIHSS and 8 Hours of Primary Stroke Education within 90 days of hire

Basic Dysrhythmia within six months of hire

ACLS, PALS, MOAB Provider, and HERT within one year of hire.

TNCC within 18 months of hire.

Behavioral Health Unit: Geriatric, Medical/Surgical, Adult, Psychiatric, Substance Abuse and Detoxification. The nurse will assess patient needs, develop individualized care plans and work closely with a multidisciplinary team. Administer medications as prescribed, monitor for side effects, facilitate individual and group therapy sessions to manage mental health conditions. MOAB within 1 year of hire

Medical Care Unit: Geriatric, Medical/Surgical, Adult, Telemetry and Psychiatric Issues. Work with patients recovering from serious injuries or illness. Provide care to help restore and maintain function and prevent complications. Quality Indicators Online Certification within 1 year of hire.

Inpatient Rehab: Adult, Geriatric, Medical/Surgical, and Adolescents.

Document necessity of twenty-four-hour nursing care and nursing functions that supports the medical necessity of the ongoing patient stay. Quality Indicators Online Certification within 1 year of hire.

Nursing Informatics: Implements, supports and maintains the Electronic Medical Heath Record System and Enterprise Medical Record modules assuring adherence to all regulatory guidelines in relation to documentation, staff education, and monitoring. Other project support as designated.

Women and Family LDRP: Adolescent and Adult Females, Neonates. Perform assessments and monitoring on both the mother and fetus throughout the pregnancy, labor, delivery. Basic Fetal Monitoring within 1 year from hire.

NRP within 1 year of hire.

PALS within 1 year from hire.

Intermediate Fetal Monitoring within second year of hire.

STABLE must be completed at first class offering.

Peds: Newborn, Infant, Toddler, Children, and Teens up to age 18. Supports compassionate care and understanding of patients' and families' physical and emotional needs. NRP within 1 year of hire.

PALS within 1 year from hire.

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

• Competitive base pay
• Matching retirement programs
• Health, Dental and Vision plans
• Health Savings and Flexible Spending Accounts
• Employee discounts including car rental, cell-phone plans
• Employer-paid, Long-Term Disability, Life, and AD&D
• Paid time off (PTO)
• Education Assistance Program
• Employee Assistance Program
• Employee Referral Bonus Program
• Discounted cafeteria meals
• Paid Parental Leave
• Employee Service Recognition program 
• Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.