Registered Nurse | PRN | Emergency Room

Great River Health•Fort Madison, IA

3d•$37

About The Position

The Registered Nurse delivers patient care through assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. The nurse interacts effectively with patients, significant others, and health team members while maintaining professional nursing standards. In the Emergency Department, care includes geriatric, medical/surgical, adult, telemetry, pediatric, behavioral health, and critical care patients. The role includes triage, emergency support, collaboration with providers, keeping patients and families updated, and reporting patient results. The nurse assesses and monitors patient condition, documents and communicates findings, administers medications and treatments, provides basic care and education, and formulates and modifies individualized care and discharge plans. The nurse advocates for patients, maintains confidentiality, coordinates care with the health team, delegates and oversees appropriate care activities, participates in performance improvement, and follows safety and evidence-based practices. Additional duties include bedside shift reporting, fall prevention, wound prevention, and prevention of hospital-acquired pressure injuries.

Requirements

Associate’s degree in nursing (ADN) required.
Registered Nurse license from the Iowa Board of Nursing required.
Basic Life Support Healthcare Provider certification from the American Heart Association within 60 days of hire.
Iowa Child Abuse Mandatory Reporter training within 180 days.
Iowa Dependent Adult Abuse Mandatory Reporter training within 180 days.
For Emergency Department assignment: NIHSS and 8 hours of Primary Stroke Education within 90 days of hire.
For Emergency Department assignment: Basic Dysrhythmia within six months of hire.
For Emergency Department assignment: ACLS, PALS, MOAB Provider, and HERT within one year of hire.
For Emergency Department assignment: TNCC within 18 months of hire.
Knowledge of English language structure, vocabulary, spelling, composition, and grammar.
Knowledge of human injuries, diseases, and deformities, including symptoms, treatment alternatives, drug properties and interactions, and preventive health care.
Knowledge of customer and personal service principles, including assessing needs, meeting service standards, and evaluating satisfaction.
Knowledge of human behavior and performance, individual differences, learning, motivation, psychological research methods, and assessment and treatment of behavioral and affective disorders.
Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
Basic math skills to calculate medication doses.
Ability to understand others’ reactions and adjust actions accordingly.
Active listening and ability to understand spoken information and ask relevant questions.
Ability to communicate information effectively in speech and writing and understand work-related written material.
Ability to use logic and reasoning to evaluate alternative solutions and recognize problems or potential problems.
Ability to help people and combine information to draw conclusions or identify relationships.
Ability to keep the hand and arm steady while moving or holding them in position.
Ability to arrange actions or items in a required order or pattern.
Ability to identify and understand another person’s speech.

Nice To Haves

Bachelor’s degree in nursing or another related field preferred.
MOAB within one year of hire for all inpatient units.

Responsibilities

Assess and monitor patient condition, and document and communicate findings to physicians as appropriate.
Document all aspects of care in the medical record according to documentation standards.
Administer prescribed medications, IV fluids, and enteral feedings; monitor effectiveness and address patient needs.
Respond to patient calls and provide or arrange assistance.
Assemble equipment, perform procedures and treatments, and assist medical staff with procedures.
Provide basic patient care, including wound care, pressure-ulcer prevention and treatment, and catheterization.
Prepare patients for examinations, tests, and treatments, and explain procedures.
Collect blood, urine, and sputum samples; perform routine laboratory tests such as blood glucose monitoring or send properly labeled specimens to the laboratory.
Formulate, evaluate, and modify individualized plans of care, including discharge planning; evaluate outcomes and confer with health team members as needed.
Monitor medication use and results and ensure responsible use of medical and pharmaceutical supplies.
Assist patients with bathing, dressing, personal hygiene, mobility, and walking.
Measure and record vital signs, including height, weight, temperature, blood pressure, pulse, respiration, oxygen saturation, and pain.
Educate patients and families, assess resources, and plan and coordinate care.
Advocate for patients and respect their rights and confidentiality.
Collaborate with the health care team to assess needs, plan and modify care, implement interventions, and participate in treatment conferences for difficult cases.
Participate in performance improvement, quality assurance, and quality monitoring activities.
Delegate appropriate aspects of care to certified nursing assistants, patient service associates, and licensed practical nurses; oversee completion and mentor new employees and students.
Follow safety and evidence-based practices, including personal protective measures and use of lifts, gait belts, eye shields, and gloves.
Prioritize assigned care needs and coordinate and oversee nursing care.
Perform bedside shift reports at the beginning and end of shifts; follow policies and procedures to prevent falls and hospital-acquired pressure injuries.
In the Emergency Department, triage patients, provide emergency support measures, coordinate with providers and family members, keep them updated, and report patient results.
Use appropriate equipment according to unit and organizational policies and troubleshoot equipment as needed.
Recognize and clarify unsafe, incorrect, or inadequate orders; anticipate and respond appropriately to emergency and complex care situations.