Mixed Acuity unit RN - Nights

Community Health Systems•Kirksville, MO

About The Position

The Registered Nurse (RN) provides patient-centered care through assessment, diagnosis, planning, implementation, and evaluation. The RN coordinates and delivers high-quality care based on established clinical protocols and physician or provider orders, collaborating with physicians, nurses, and other healthcare professionals to support effective care and desired outcomes. The role also helps maintain a supportive and compassionate environment for patients and families. The Mixed Acuity Unit provides care for a diverse medical and surgical population across multiple levels of care. Its structure includes a 21-bed Mixed Med/Surg and PCU Step-Down unit on the fourth floor and a 12-bed Observation, Extended Recovery, and Swing Bed unit on the third floor. Common patient diagnoses include CHF, COPD, Afib, sepsis, GI bleeds, SBO, post-operative orthopedic cases such as hips and knees, and cardiac stents. The unit is described as fast-paced and supportive, with broad clinical exposure, strong RN, LPN, and PCT support, and a community-focused, family-centered environment.

Requirements

  • 0–2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting.
  • RN—Registered Nurse state licensure and/or compact state licensure required.
  • BCLS—Basic Life Support required.
  • Strong knowledge of the nursing process and clinical nursing practices.
  • Ability to perform thorough patient assessments and communicate findings effectively.
  • Proficiency in administering medications and monitoring for side effects.
  • Effective communication and interpersonal skills for collaboration with interdisciplinary teams.
  • Strong organizational skills and attention to detail in documenting patient care.
  • Knowledge of safety standards, infection control, and quality improvement initiatives.

Nice To Haves

  • ACLS—Advanced Cardiac Life Support preferred.
  • PALS—Pediatric Advanced Life Support preferred.
  • NRP—Neonatal Resuscitation preferred.

Responsibilities

  • Coordinate and deliver high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
  • Conduct thorough patient assessments, document findings accurately, and report changes in condition to appropriate care team members.
  • Use knowledge of human growth and development to provide age-appropriate care and education.
  • Administer prescribed medications, monitor for side effects, and document administration according to standards of practice.
  • Assist physicians during procedures within documented competency and skill level.
  • Collaborate with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
  • Respond to medical emergencies and participate in life-saving interventions, including CPR and code team activities, as appropriate.
  • Advocate for patients' rights and needs and ensure their voices are respected in care planning and delivery.
  • Educate patients and families about medical conditions, treatment plans, and post-discharge care.
  • Implement and follow infection control protocols to prevent healthcare-associated infections.
  • Monitor and operate medical equipment, such as IV pumps, monitors, and ventilators, as needed for patient care and safety.
  • Promote patient safety by following National Patient Safety Goals and maintaining a clean, safe environment.
  • Participate in audits, chart reviews, and compliance checks.
  • Make responsible decisions when planning, delegating, and providing care based on patient needs and organizational policies.
  • Document patient care and education thoroughly and promptly in the medical record.
  • Engage in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
  • Participate in performance improvement initiatives, including data collection and process development.
  • Perform other duties as assigned.
  • Maintain regular and reliable attendance and comply with all policies and standards.

Benefits

  • Up to $20,000 sign-on bonus.
  • Up to $20,000 student loan repayment.
  • Medical, dental, and vision benefits starting the first month after hire.
  • 401(k) with a 50% match up to 6%.
  • $5,000 tuition reimbursement.
  • Paid time off.
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