RN- Emergency Department .75 FTE Weekend Package Nights

Waverly Health Center•Waverly, IA

4d•Onsite

About The Position

The professional nurse assumes responsibility and accountability for the delivery of nursing care at Waverly Health Center. The Registered Nurse is responsible for assessing, delegating, and coordinating nursing care based on the patient’s problem and needs, by initiating the nursing process in the everyday practice of nursing. This role utilizes substantial specialized judgment and skill in providing direct and indirect patient care, observation, and counsel to patients and family, and accepts responsibility for the total nursing care of assigned patients. The nurse communicates with providers, manager, and/or other healthcare team members about changes in patients’ clinical condition, including results of diagnostic studies and symptomatology. Additionally, the nurse assists with the clinical development of other nursing department staff members by serving as both mentor and consultant.

Requirements

Must be a graduate of an accredited school of nursing and currently licensed to practice as a Registered Nurse in Iowa.
Must be able to read, speak, and write fluent English.
Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required.

Nice To Haves

Baccalaureate degree in nursing preferred.
Surgical Assistant only: Must also maintain either the CNOR (certified nurse operating room) or RNFA (registered nurse first assist) certification.

Responsibilities

Systematically collects comprehensive data pertinent to the patient’s health or the situation on an ongoing basis, including accurate initial and ongoing assessments, and discharge assessment data.
Analyzes assessment data to determine diagnoses or issues, appropriately determining actual and potential nursing diagnoses based on assessment of data and accurately analyzing monitor/equipment data.
Develops a plan individualized to the patient’s characteristics or the situation that prescribes strategies and alternatives to attain identified expected outcomes, involving the patient, family, and other healthcare providers in assessing, planning, decision making, implementation, and evaluation of nursing care.
Implements the identified plan in a safe and timely manner, ensuring all cares are provided according to the individual plan of care, collaborating with other disciplines to coordinate the delivery of cares in a safe environment conducive to healing, and using health promotion and health teaching methods appropriate to the situation and the patient’s development level, learning needs, and culture.
Evaluates progress toward attainment of outcomes and uses ongoing assessment data to revise the diagnoses, outcomes, plan of care, and implementation as needed, revising care plans throughout the stay and completing them upon discharge, and documenting care provided accurately and at point of care.
Evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations, exhibiting autonomy in care of assigned patients, seeking assistance from proper personnel or resources when appropriate, and responding to patient care and departmental concerns through contacting appropriate resources and initiating actions for concerns identified.
Interacts with and contributes to the professional development of peers and colleagues, and actively participating in teams and committees, volunteering for one or more WHC committee or projects, addressing issues or concerns with colleagues directly in a constructive manner, sharing knowledge and skills with peers and colleagues, and maintaining compassionate and caring relationships with peers and colleagues contributing to a supportive and healthy work environment.
Integrates evidence and research findings into practice, utilizing the best available evidence, including research findings, to guide practice decisions, and identifying clinical problems specific to nursing practice.
Provides leadership during assigned shift and interacts effectively with others to accomplish the requirements of patient care and administrative activities of assigned unit, engaging in anticipatory planning and generating solutions for clinical and operational issues, acting as a clinical resource, anticipating patient needs and staffing requirements, and coordinating multiple tasks to keep unit operations flowing.
Acts as a resource to the clinical areas by providing direction and assistance during assigned shift, coordinating and directing assignment of resources, engaging in anticipatory planning and generating solutions for clinical and operational issues of the hospital, utilizing knowledge of what is happening in the whole hospital and coordinating multiple tasks to keep operations flowing, and responding to emergent situations as per protocol, taking a leadership role in coordinating activities.
Provides preoperative and postoperative patient management in collaboration with other healthcare providers. Under the direction of a surgeon, is responsible for recognizing safety hazards and correctable measures, providing proper exposure, handling and/or cutting of tissue, providing hemostasis, and suturing.
Provides pre-operative teaching to patients, including both inpatient and outpatient procedures. Verifies patients’ demographic information, medical history, allergies, current medications, etc. and completes full body assessment questionnaire with patients. Follows up with all surgical staff with pertinent information that may be needed prior to the surgery. Compiles patient charts prior to the day of surgery and assists the Unit Coordinator with clerical duties of the department as needed.
Performs the medical screening exam (MSE) with competency and provides pertinent information to the provider(s) for verification of emergent versus stable, non-emergent patient situations. Takes accurate medical history of all ED/MSE patients, notating allergies, medications, and surgical history at the patient’s bedside. Performs a focused nursing assessment relevant to the chief complaint and applicable co-morbidities and reports to the provider(s) patient condition changes in a timely manner representing clear critical thinking skills. Completes medication reconciliation for each patient, whether discharged or transferred. Monitors patient interventions closely to report improvement or decline of patient condition. Monitors medications administered and is aware of medication purpose and potential side effects. Provides information/education to patients to determine patient understanding.
Provides direct and indirect patient care to all pain services patients. Care includes, but is not limited to, assessment, medical history, current medications, and education. Assists provider with procedures. Assists with chart preparation, follow-up, referrals, prior authorizations, opioid monitoring, etc. Collaborates with providers and other team members to coordinate the delivery of care in a safe environment conducive to healing.