PCU RN-Progressive Care Unit Registered Nurse

Trinity Health•Clinton, IA

About The Position

MercyOne is seeking a Registered Nurse to provide and direct safe, effective, culturally competent care for patients with acute medical and surgical conditions. The RN uses evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care for a diverse patient population that may include post-operative, medical, telemetry, and neurologic patients. The RN supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members, and facilitates communication with physicians, patients and families, and interdisciplinary colleagues. The role also upholds MercyOne’s Mission, Vision, Values, and performance expectations. The Registered Nurse conducts admission and ongoing assessments; identifies patient problems and establishes and revises outcome-based plans of care; coordinates and delegates care according to patient acuity and team members’ competencies; implements treatments, orders, education, and medications; and supports discharge planning. The RN evaluates patients’ responses to interventions, communicates relevant clinical information, documents care, and demonstrates clinical competence, including medication safety and appropriate telemetry and cardiac monitoring where applicable. The RN provides age-appropriate care, follows safety and infection-control practices, and complies with applicable laws, regulations, and organizational policies. This is a .9 FTE position scheduled for 36 hours per week on day shift, 7:00 a.m. to 7:00 p.m., with every third weekend and rotating holidays.

Requirements

Associate degree in nursing.
Current Iowa RN license.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association Advanced Cardiac Life Support (ACLS) certification if the unit has telemetry monitoring capabilities.
Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three months of hire.
High language skills, intermediate-to-high math skills, and high critical-thinking ability.
Basic computer skills.

Nice To Haves

Bachelor of Science in Nursing (BSN).

Responsibilities

Conduct initial assessments, including assessing new admissions within 30 minutes and completing the admission assessment database within 24 hours.
Identify patient problems and develop outcome- and goal-based plans of care using assessment data and relevant medical history.
Determine nursing interventions, prioritize patient needs, identify referrals and education needs, and collaborate with other health care disciplines.
Assign, coordinate, and delegate care according to patient acuity and team members’ skills, knowledge, and abilities.
Implement the plan of care, including procedures, treatments, physician and nursing orders, education, and medications.
Coordinate care with case managers, social workers, and other disciplines, and assist patients and families in securing appropriate services for discharge.
Reassess patients at appropriate intervals, at least every 24 hours, evaluate responses to interventions, and revise plans of care as needed.
Develop and document discharge plans and instructions for patients, significant others, or other care providers.
Communicate clinical information, patient progress, and changes in condition to physicians and other team members, including during shift changes and transfers of care.
Complete accurate, comprehensive, and legible documentation in accordance with policy.
Demonstrate clinical competence, follow patient care policies and procedures, administer medications according to the 5 Rights, and process physician orders according to policy.
Maintain communication with the manager or house supervisor and staffing office about admissions, unit needs, acuity, and significant events; complete assigned shift duties and resolve discrepancies.
Manage telemetry and cardiac monitoring when applicable; interpret rhythms, recognize and respond to arrhythmias and changes in condition, and provide appropriate interventions for cardiac events.
May assist with data collection and quality improvement, serve as a resource to other hospital services, and participate in unit committees or staff education as requested.
Provide care, collect and interpret data, perform procedures, use equipment, and communicate in an age-appropriate manner.
Follow safety, infection-control, colleague-health, and emergency procedures; use required personal protective equipment; report unsafe equipment; and seek assistance as needed.
Maintain knowledge of applicable laws, regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, and other policies and procedures.