Long Term Care Registered Nurse (RN)

Trinity Health•Dyersville, IA

1d•Onsite

About The Position

MercyOne Central Iowa is seeking a Long Term Care Registered Nurse (RN) for its MercyOne Dyersville Senior Care facility. This facility provides high-quality, personalized care in a home-like setting for 40 residents, meeting their physical, emotional, social, and spiritual needs. The role involves supervising nursing team members, advocating for resident rights, and ensuring optimal resident care. MercyOne Dyersville Senior Care is located adjacent to MercyOne Dyersville Medical Center, ensuring immediate access to emergency care. The facility offers 24/7 professional nursing care, on-site emergency services, family practice, pharmacy, a Medicare Part B rehabilitation program, healthy meals with registered dietitians, and social worker support.

Requirements

Must be a registered nurse.
Must hold an active license to practice nursing in the State of Iowa.
Basic Life Support Certification (BLS) will be required within 30 days of hire and every 2 years thereafter.
Child and Dependent Adult Abuse Mandatory Reporter Training is required within 6 months of hire and every 3 years thereafter.
Maintains and completes State of Iowa CEU credits.
Adheres to the principles of caring and expected behaviors outlined in MercyOne Dubuque/Dyersville Medical Center's Model of Caring and Trinity Health's Code of Conduct.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures.
Knows and adheres to all laws and regulations pertaining to patient health, safety, and medical information (i.e., HIPAA, Stark, etc.).
Attends required safety programs.
Appropriately and consistently uses the personal protective equipment, infection control and isolation standards, required of the job.
Knows and is in charge of and carries out departmental emergency procedures for fire, disaster and other emergency situations.
Reports and removes unsafe equipment/furniture and completes work order.
Ensures proper entrance of visitors by following unit protocol on answering front door video camera entrance.
Asks for assistance when needed to assure safety for all involved.
Maintains a safe working environment, completes nursing rounds, SBAR’s as required, and practices safe working habits.
Performs other duties consistent with purpose of job as directed.
Demonstrates clinical competencies.
Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
Documents completely, comprehensively, and legibly and in accordance with policy.
Practice within the legal scope of a registered professional nurse as outlined in the Iowa Board of Nursing Practice Act and deliver competent care consistent with standards/policies defined by professional nursing organizations, MercyOne Dubuque/Dyersville Medical Center, and external regulators/accreditation/certifying organizations.
Delegation of activities and care tasks to the Certified Nursing Assistant.
Completes monitoring, education, and follow-up to ensure compliance with these delegated tasks.
Makes an initial assessment of new admissions, or readmissions, within 30 minutes of the resident’s arrival to the unit.
Completes all areas of the admission assessment database within 24 hours of admission.
Initiates the resident problem list and incorporates relevant medical history into the plan of care.
Analyzes and interprets the assessment data to identify desired resident outcomes/goals.
Prioritizes resident care needs/ activities.
Evaluates patient response(s) to interventions.
Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
Identifies and makes appropriate referrals (i.e., Resident/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, Pharmacists, Hospice, etc.), and education needs.
Coordinate physician rounds (i.e., primary care rounds, podiatry, dentist, dermatologist, etc.).
Coordinate with the VA on residents’ medications, incontinences, and other medical equipment.
Determines nursing interventions to achieve those outcomes/goals.
Collaborates with other health care disciplines to plan interventions/resident outcomes/goals.
Assigns and coordinates resident care incorporating resident acuity and the skills, knowledge, and abilities of the team members.
Implements the plan of care including procedures, treatments, physicians’ orders, nursing orders, education plan and medications.
Coordinates implementation of plan of care with the Therapies, Restorative Nursing, Social Worker, Hospice Nurse, and other health care disciplines.
Uses nursing judgment to determine the appropriate frequency and components of reassessment.
Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
Participates in develop discharge plan as appropriate.
Utilize research and evidence-based practice standards in the delivery of patient care.
Actively engage and participate in unit-based and central nursing/organizational committees and initiatives that advance nursing practice and quality of patient/family care.
Continuously seek out opportunities to improve the quality of resident care delivery through innovative and creative problem solving.
Utilizes the Patient Care Policies and Procedure as references to guide nursing practice.
Assures medication safety by following the “5 Rights” of medication administration.
Completes monthly unit changeover task (i.e., med exchange, EMR change, restorative and CNA documentation, etc.).
Administers vaccines and immunizations for staff and residents under the discretion of Employee Health and the Medical Director.
Prioritizes and implements intervention according to patient assessment.
Demonstrates competency in computer systems and applications required for role.
Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.
Maintains communication with the Director/MDS Coordinator and business office regarding admissions, unit needs, acuity and census numbers, MDS changes, VOICES, and significant events.
Completes assigned shift duties and assures resolution of medication discrepancies.
Support and participate in nursing shared governance and interdisciplinary decision-making.
Participate in unit meetings, huddles, and special ad-hoc committees.
Assists and completes restorative nursing and resident activities, especially on weekends and holidays when primary staff is not available.
Demonstrate ethical conduct and practice consistent with the Code of Ethics for Nurses with Interpretive Statements.
Contribute to the positive image of nursing and enhance the magnetic culture of the organization by modeling professional behavior both in the organization and in the community.
Use and effectively integrate technology to support and document nursing activities and resident care.
Serve as a teacher, mentor, and coach to residents, nursing and CNA students, new nurses, peers, other colleagues, and staff.
Embrace change and lifelong learning, taking personal accountability to seek out experiences that reflect current practice in order to maintain skills and competence in clinical practice and role performance.
Complete online training as due date assigned.
Seek and incorporate feedback concerning improvement in one’s own practice.
Maintains a professional, collaborative work environment to foster a positive public image for MercyOne Dubuque/Clinton. Medical Center.
Knows and adheres to all laws and regulations pertaining to patient health, safety, and medical information (i.e., HIPAA, Stark, etc..).
Serves actively on teams, committee, task forces, and work groups at the department, division, and organizational level.
Ensures development and education of staff through competency assessments, in-services, continuing education, coaching/mentoring, attending department meetings, and participation in the performance appraisal process.
Maintains expertise in the care of cancer, radiation oncology, breast, and lung cancer patients.
Serves as a resource person for MercyOne Health Network.
Provides a high level of customer responsiveness and serves as a role model to encourage a commitment to customer service.
A strong service orientation is required.
Maintains an excellent working relationship within the department and with all our internal and external customers.
Ability to handle interactions with discretion, tact and courtesy when dealing with sensitive issues and confidential information.
Must have well developed communication skills; strong interpersonal and collaborative skills with physicians and other healthcare professionals; strong decision-making skills that support patient care needs and ethical standards; and the ability to organize work and set appropriate priorities.
Must have excellent written and verbal communication skills with the ability to relate to people across all levels and diverse backgrounds.
Ensures that services are provided in a manner that supports continuous quality improvement and customer-oriented focus.
Keeps supervisor informed about important issues.
Requires professionalism in both dress and conduct on the job.
Demonstrates an understanding of organizational dynamics and administrative procedures and protocols.
Ability to function in a dynamic, fast-paced team environment and to cope with ambiguity, time constraints, and other daily stressors in an effective and appropriate manner.
Demonstrates time management, prioritization and organizational skills including an ability and willingness to plan, organize and accomplish tasks accurately and in a timely manner to exercise sound judgment under pressure and to manage multiple and competing activities simultaneously.
Must be able to work independently and productively in a fast-paced setting involving multi-task functions and projects.
Ability to plan, organize and perform duties with minimal supervision and with a high degree of ؛accuracy and attention to detail.
Proven ability to identify, compile and present data effectively from many different sources for management decision-making.
Must possess advanced analytical skills.
Ability to demonstrate initiative.
May require the ability to be cross trained into multiple positions.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Certification by a nationally recognized nursing organization is preferred and strongly encouraged.
Membership in an appropriate professional nursing organization is recommended.

Responsibilities

Supervises and coordinates care provided to residents by the LPN, Certified Nursing Assistants and other nursing team members.
Practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual.
Promotes, advocates for, and strives to protect the health, safety, and rights of the resident.
Responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum resident care.
Participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care.
Participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development.
Collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs.
Coordinates daily staffing needs by matching census to acuity.
Completes CMS required posting on staffing.
Demonstrates clinical competencies.
Communicates relevant clinical information to physicians and families regarding the patient’s condition.
Reports progress toward outcomes/goals and/or changes in condition to other health team members.
Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
Documents completely, comprehensively, and legibly and in accordance with policy.
Practices within the legal scope of a registered professional nurse as outlined in the Iowa Board of Nursing Practice Act and delivers competent care consistent with standards/policies defined by professional nursing organizations, MercyOne Dubuque/Dyersville Medical Center, and external regulators/accreditation/certifying organizations.
Delegates activities and care tasks to the Certified Nursing Assistant.
Completes monitoring, education, and follow-up to ensure compliance with these delegated tasks.
Makes an initial assessment of new admissions, or readmissions, within 30 minutes of the resident’s arrival to the unit.
Completes all areas of the admission assessment database within 24 hours of admission.
Initiates the resident problem list and incorporates relevant medical history into the plan of care.
Analyzes and interprets the assessment data to identify desired resident outcomes/goals.
Prioritizes resident care needs/activities.
Evaluates patient response(s) to interventions.
Reviews/modifies/revises the outcome-based plan of care based on ongoing reassessments.
Identifies and makes appropriate referrals (i.e., Resident/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, Pharmacists, Hospice, etc.), and education needs.
Coordinates physician rounds (i.e., primary care rounds, podiatry, dentist, dermatologist, etc.).
Coordinates with the VA on residents’ medications, incontinences, and other medical equipment.
Determines nursing interventions to achieve those outcomes/goals.
Collaborates with other health care disciplines to plan interventions/resident outcomes/goals.
Assigns and coordinates resident care incorporating resident acuity and the skills, knowledge, and abilities of the team members.
Implements the plan of care including procedures, treatments, physicians’ orders, nursing orders, education plan and medications.
Coordinates implementation of plan of care with the Therapies, Restorative Nursing, Social Worker, Hospice Nurse, and other health care disciplines.
Uses nursing judgment to determine the appropriate frequency and components of reassessment.
Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
Participates in developing discharge plan as appropriate.
Utilizes research and evidence-based practice standards in the delivery of patient care.
Actively engages and participates in unit-based and central nursing/organizational committees and initiatives that advance nursing practice and quality of patient/family care.
Continuously seeks out opportunities to improve the quality of resident care delivery through innovative and creative problem solving.
Utilizes the Patient Care Policies and Procedure as references to guide nursing practice.
Assures medication safety by following the “5 Rights” of medication administration.
Completes monthly unit changeover tasks (i.e., med exchange, EMR change, restorative and CNA documentation, etc.).
Administers vaccines and immunizations for staff and residents under the discretion of Employee Health and the Medical Director.
Prioritizes and implements interventions according to patient assessment.
Demonstrates competency in computer systems and applications required for role.
Receives, transcribes, processes, and implements physician orders per policy including dating, timing, and verifying accuracy.
Maintains communication with the Director/MDS Coordinator and business office regarding admissions, unit needs, acuity and census numbers, MDS changes, VOICES, and significant events.
Completes assigned shift duties and assures resolution of medication discrepancies.
Supports and participates in nursing shared governance and interdisciplinary decision-making.
Participates in unit meetings, huddles, and special ad-hoc committees.
Assists and completes restorative nursing and resident activities, especially on weekends and holidays when primary staff is not available.
Demonstrates ethical conduct and practice consistent with the Code of Ethics for Nurses with Interpretive Statements.
Contributes to the positive image of nursing and enhances the magnetic culture of the organization by modeling professional behavior both in the organization and in the community.
Uses and effectively integrates technology to support and document nursing activities and resident care.
Serves as a teacher, mentor, and coach to residents, nursing and CNA students, new nurses, peers, other colleagues, and staff.
Embraces change and lifelong learning, taking personal accountability to seek out experiences that reflect current practice in order to maintain skills and competence in clinical practice and role performance.
Completes online training as due date assigned.
Seeks and incorporates feedback concerning improvement in one’s own practice.
Maintains expertise in the care of cancer, radiation oncology, breast, and lung cancer patients.
Serves as a resource person for MercyOne Health Network.
Provides a high level of customer responsiveness and serves as a role model to encourage a commitment to customer service.
Maintains an excellent working relationship within the department and with all internal and external customers.
Ensures that services are provided in a manner that supports continuous quality improvement and customer-oriented focus.
Keeps supervisor informed about important issues.
Demonstrates an understanding of organizational dynamics and administrative procedures and protocols.
Ability to function in a dynamic, fast-paced team environment and to cope with ambiguity, time constraints, and other daily stressors in an effective and appropriate manner.
Demonstrates time management, prioritization and organizational skills including an ability and willingness to plan, organize and accomplish tasks accurately and in a timely manner to exercise sound judgment under pressure and to manage multiple and competing activities simultaneously.
Ability to plan, organize and perform duties with minimal supervision and with a high degree of accuracy and attention to detail.
Proven ability to identify, compile and present data effectively from many different sources for management decision-making.
Ability to demonstrate initiative.
May require the ability to be cross-trained into multiple positions.