Registered Nurse (RN), 3W Medical Surgical - Grand Forks, Rotating Shift

Altru Health System•Grand Forks, ND

4d•$34 - $56•Onsite

About The Position

The Registered Nurse provides direct nursing care in accordance with organizational policies, procedures, and protocols. The nurse maintains the knowledge and skills needed to care for patients of appropriate ages on the assigned unit, coordinates care with the interdisciplinary team, and educates patients to support safe discharge. The role is based in Altru Hospital’s 3W Medical Surgical unit in Grand Forks, North Dakota, and is scheduled for 36 hours per week on rotating shifts, including every third weekend and holiday. Altru’s RN career ladder recognizes experience, education, and engagement, with opportunities for advancement and increased responsibility. The RN levels have different experience and education criteria. RN I requires an ASN; RN II and RN III criteria are outlined in the posting. The posting describes the Registered Nurse II role and its qualification pathways. The position requires an unencumbered North Dakota or compact-state nursing license before starting. A temporary RN license is accepted before the start date. Basic Life Support certification from the American Heart Association is required within 90 days of starting. English proficiency in reading, writing, and speaking is required for effective communication with patients, families, and colleagues. Physical work includes frequent standing, walking, bending, and reaching; continuous handling, seeing, and hearing; and lifting, carrying, pushing, pulling, or transferring 20–40 pounds. The position is primarily indoors and has an infrequent driving requirement.

Requirements

An unencumbered Registered Nurse license from the North Dakota Board of Nursing or a compact state agreement before the start date; a temporary RN license is accepted before starting.
Basic Life Support certification from the American Heart Association within 90 days of the start date.
English proficiency in reading, writing, and speaking.
For RN II qualification: six or more years of RN experience with an ASN/ADN degree, or a Bachelor of Science in Nursing (BSN).
Ability to meet the physical demands of the position, including handling, seeing, and hearing continuously and lifting, carrying, pushing, pulling, or transferring 20–40 pounds.

Responsibilities

Perform daily rounds on all patients, coordinate service needs, and take action to address unmet requirements.
Develop a plan of care based on assessment and the patient’s physical, psychological, social, educational, developmental, and rehabilitative needs.
Assess patient condition and nursing needs, set goals, prescribe appropriate nursing actions, and address discharge planning.
Assess and reassess patients’ reported pain or symptoms, intervene promptly, and act according to standard operating procedures.
Identify early warning signs of changes in patient condition and respond appropriately, including contacting clinicians or assisting with emergency measures when indicated.
Report and accurately document pertinent patient observations and reactions, ensure timely interventions or referrals, and submit incident reports before the end of each shift.
Communicate with patients and significant individuals and use educational opportunities to support them.
Begin discharge planning, education, and counseling as early as possible; evaluate and document according to standard operating procedures.
Assign or delegate nursing interventions within the scope of practice and the skills and competence of the person receiving the assignment.
Perform other duties as assigned or needed to meet department or organizational needs.