Registered Nurse | PRN | Emergency Room

Southeast Iowa Regional Medical Center•Fort Madison, IA

About The Position

The Registered Nurse delivers patient care through assessment, planning, intervention, implementation, and evaluation, coordinating with other health team members while maintaining professional nursing standards. This PRN Emergency Room role includes triage, emergency support, collaboration with providers and family members, and reporting patient results. The nurse performs bedside shift reports, follows safety practices to prevent falls and hospital-acquired pressure injuries, and documents care in accordance with hospital standards. The nurse assesses and monitors patients, identifies and prioritizes changes in condition, develops and revises individualized care plans, administers treatments and medications, evaluates outcomes, and provides patient and family education. Responsibilities also include assisting with procedures, collecting samples, providing basic patient care, coordinating and delegating care, supporting quality improvement, and mentoring employees and students. Required credentials and certifications include an Iowa Registered Nurse license and specified training and certifications within stated timeframes after hire.

Requirements

Associate’s degree in Nursing (ADN) required.
Current Registered Nurse qualification/license through the Iowa Board of Nursing (IBON) required.
Basic Life Support Healthcare Provider certification from the American Heart Association required within 60 days.
Iowa Mandatory Reporter training for Child Abuse required within 180 days.
Iowa Mandatory Reporter training for Dependent Adult Abuse required within 180 days.
MOAB required within one year of hire for inpatient units.
For the Emergency Department: NIHSS and 8 hours of Primary Stroke Education required within 90 days of hire.
For the Emergency Department: Basic Dysrhythmia required within six months of hire.
For the Emergency Department: ACLS, PALS, MOAB Provider, and HERT required within one year of hire.
For the Emergency Department: TNCC required within 18 months of hire.
Knowledge of medical conditions, symptoms, treatment alternatives, drug properties and interactions, and preventive healthcare.
Knowledge of nursing diagnosis, treatment, and rehabilitation principles and procedures.
Knowledge of basic mathematics for calculating medication doses.
Knowledge of customer and personal service principles, including assessing needs and meeting service standards.
Ability to communicate effectively, listen attentively, understand written work-related materials, and interact appropriately with patients and colleagues.
Ability to use logic and reasoning, recognize problems, prioritize care, and respond appropriately in emergency and complex situations.
Ability to understand human behavior and recognize others’ reactions and needs.
Ability to maintain steady hand and arm control and arrange actions or items according to specific rules or patterns.

Nice To Haves

Bachelor’s degree in Nursing or another related field preferred.

Responsibilities

Perform bedside shift reports at the beginning and end of shifts.
Follow policies and procedures to help prevent patient falls, wounds, and hospital-acquired pressure injuries.
Obtain admission histories and perform comprehensive physical and ongoing patient assessments.
Recognize, analyze, prioritize, and respond to abnormal findings and changes in patients’ physical and mental status.
Integrate diagnostic information into assessments and care, and identify patient and family learning and discharge needs.
Formulate, evaluate, and modify individualized nursing diagnoses and plans of care, including discharge planning.
Administer prescribed treatments, medications, IV fluids, and enteral feedings according to policies and medication-administration standards; monitor effectiveness and clarify unsafe or inadequate orders.
Document the nursing process and all patient care clearly, accurately, and promptly in the medical record or appropriate forms.
Communicate clearly with patients, significant others, physicians, and other health team members; advocate for patients and protect their rights and confidentiality.
Assess and monitor patient conditions, measure and record vital signs, and report assessment results to physicians as appropriate.
Answer patient calls and provide assistance or determine how to assist patients.
Assemble equipment, perform procedures and treatments, and assist medical staff with procedures.
Provide basic patient care, including wound care, pressure-ulcer prevention and treatment, catheterization, hygiene assistance, mobility assistance, and preparation for examinations, tests, and treatments.
Collect and appropriately label patient specimens and perform routine laboratory tests or send specimens to the laboratory.
Educate patients and families and explain procedures and care information.
Assess resources to plan and coordinate patient care; collaborate with the healthcare team and participate in treatment conferences for difficult cases.
Monitor medication use and outcomes and use medical and pharmaceutical supplies responsibly.
Delegate appropriate aspects of care to nursing assistants, patient service associates, and licensed practical nurses, and oversee completion.
Participate in performance improvement, quality assurance, and quality monitoring activities.
Follow evidence-based and safety practices, including appropriate use of infection-control devices and personal protective equipment.
Prioritize patient-care assignments and coordinate and oversee nursing care.
Mentor new employees and students.
For Emergency Room duties, triage patients, provide emergency support measures, work with providers and family members to keep them updated, and report patient results.