Registered Nurse | 36 hours per week| Emergency Room

Minimum Hiring Wage:

Job Details:

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 patients psychosocial physiological and educational process per unit policy Anticipates recognizes and documents subtle changes in patients physical and mental status Integrates analysis of diagnostic information in patient assessment and care Analyzes ongoing assessments to determine patients and/or significant others learning and discharge needs Diagnosis Integrates assessment data and formulates an individual nursing diagnosis according to policies and procedures Planning 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 situations Implementation 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-care Evaluation Evaluates patients response to care and comprehension of education Documentation 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 abbreviations Communication 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 other Judgment 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 situations Equipment 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 assignment.
• Monitor patients medication usage and results as well as responsible use of Medical and pharmaceutical supplies.

Qualifications

• Associates Degree (AA) Associates Degree in Nursing (ADN) Required
• Bachelors Degree in Arts/Sciences (BA/BS) bachelors 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

MOAB within 1 year of hire for all inpatient units.

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.

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.