Long Term Care Registered Nurse (RN)

Trinity Health•Dyersville, IA

23h•Onsite

About The Position

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers. With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers. MercyOne Dyersville Senior Care is a 40-bed senior care facility providing the highest quality care to your loved ones when they need it most. We offer residents a full range of services in a personal, home-like setting to meet physical, emotional, social and spiritual needs. Residents are often at a higher risk when flu, Covid-19 and other respiratory illnesses are spreading in the community. Please refrain from visiting if you are sick. Our facility adjoins MercyOne Dyersville Medical Center, so you can take comfort in knowing your loved one will be taken care of, even in an emergency. In addition to immediate access to medical care, we offer the following long-term care services: Professional nursing care 24/7, Emergency department, family practice and pharmacy on-site, Medicare Part B rehabilitation program, Healthy meals and registered dietitians to monitor nutritional needs, Social worker to provide counseling, guidance, and emotional support. As the Long term Care RN at MercyOne, you will supervise and coordinate care provided to residents by the LPN, Certified Nursing Assistants and other nursing team members. The nurse practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, promoting, advocating for, and striving to protect the health, safety, and rights of the resident. The nurse is 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. The role also involves preserving integrity and safety, maintaining competence, continuing personal and professional growth, participating in improving health care environments, advancing the profession through contributions to practice, education, administration, and knowledge development, and collaborating with other health professionals and the public to meet health needs.

Requirements

Must be a registered nurse
Must hold an active license to practice nursing in the State of Iowa
Child and Dependent Adult Abuse Mandatory Reporter Training is required within 6 months of hire and every 3 years thereafter
Basic Life Support Certification (BLS) will be required within 30 days of hire and every 2 years thereafter
Maintains and completes State of Iowa CEU credits
Maintains a professional, collaborative work environment
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
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
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
Ability to cope with ambiguity, time constraints, and other daily stressors in an effective and appropriate manner
Demonstrates time management, prioritization and organizational skills
Ability and willingness to plan, organize and accomplish tasks accurately and in a timely manner
Ability to exercise sound judgment under pressure
Ability 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
Demonstrates competency in computer systems and applications required for role

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, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems
Promotes, advocates for, and strives to protect the health, safety, and rights of the resident
Is 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
Owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth
Participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action
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
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
Maintains a professional, collaborative work environment so as to foster a positive public image for MercyOne Dubuque/Dyersville Medical Center
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
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 (Medical DPOA) 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
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