- A Brief Overview Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing. Provides high quality care to the following patient populations: Geriatric, Adult, and Pediatrics. Duties are included but are not limited to those below for specified units. * Perform Bedside shift report at beginning and end of shift.* Utilize policies and procedures to keep patients safe from falls. * Assist in wound prevention and Hospital acquired pressure injuries. Assessment
- Demonstrates the ability to obtain a comprehensive admission history, performs physical assessment of patient
- Differentiates variations of normal and abnormal assessment findings
- Analyzes and prioritizes abnormal findings. Initiates appropriate response
- Anticipates actual or potential problems or health concerns in the hospital and/or home setting
- Demonstrates ongoing assessment of patient's psychosocial, physiological and educational process per unit policy
- Anticipates, recognizes and documents subtle changes in patient's physical and mental status
- Integrates analysis of diagnostic information in patient assessment and care
- Analyzes ongoing assessments to determine patient's and/or significant others learning and discharge needs Diagnosis
- Integrates assessment data and formulates an individual nursing diagnosis according to policies and procedures Planning
- Formulates an individualized plan of care including discharge planning based on standards of care and policies and procedures
- Modifies individualized plan of care based on ongoing assessment and changes in patient status
- Anticipates and manages changing situations Implementation
- Administers prescribed treatments and medications according to hospital policies and procedures
- Recognizes and questions unsafe, incorrect or inadequate orders. Intervenes to clarify patient order
- Utilizes opportunities during delivery of patient care to teach the patient information necessary to attain the optimal level of self-care Evaluation
- Evaluates patient's response to care and comprehension of education Documentation
- Documents all aspects of the nursing process in a legible, concise, clear, and timely manner utilizing PCS or appropriate hospital forms, utilizing correct medical terminology and accepted abbreviations Communication
- Involves patient and significant other(s) in all aspects of the nursing process
- Acts as a patient advocate and respects the rights and confidentiality of patients
- Promotes communication and relays information in a clear manner
- Understand and acts within the guidelines for addressing ethical concerns
- Communicates delays or wait times to patient/significant other Judgment
- Demonstrates sound judgment with the Nursing Process based upon critical thinking skills and a problem-solving approach
- Anticipates and takes proper action in emergency and complex patient care situations Equipment
- Demonstrates the ability to utilize appropriate equipment when providing nursing care according to unit/organizational policies, including ability to trouble shoot equipment
Assess and monitor patient condition, documenting and communicating results to physician as appropriate Document all aspects of patient care provided in the medical record, adhering to documentation standards. Administer prescribed medications adhering to the six rights of medication administration, IV fluids, enteral feedings, monitoring their effectiveness, and addressing needs. Answer patients' calls and provides assistance or determines how to assist them.
Assemble equipment, performs procedures and treatments and/or assists medical staff with patient procedures Provide basic patient care and treatments such as dressing wounds, preventing and treating pressure ulcers or performing catheterizations. Prepare patients for examinations, tests or treatments and explain procedures. Collect samples such as blood, urine and sputum from patients, and perform routine laboratory tests on samples (such as blood glucose monitoring) or sends the specimen to lab appropriately labeled.
Evaluate nursing intervention outcomes, conferring with other health care team members as necessary. Help patients with bathing, dressing, maintaining personal hygiene, moving in bed, or standing and walking. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, respiration, oxygen saturation and pain.
Provide patient and family education. Work as part of a health care team to assess patient needs, plan and modify care and implement interventions. Participate in performance improvement activities, including quality assurance, quality monitoring and improvement efforts.
Delegate aspects of care to others including certified nursing assistants, patient service associates, and licensed practical nurses; provides oversight for ensuring completion of the functions. Adhere to safety practices and evidence-based practices. Prioritize specific aspects of assignment based on patient care needs.
Coordinate and oversee nursing care provided for patient care assignment. Access resources to plan and coordinate patient care. Qualifications Associate’s Degree (AA) in Nursing (ADN) Required Bachelor’s Degree in Arts/Sciences (BA/BS) bachelor’s degree in nursing or other related field Preferred Hospital based nursing or Home Health care experience is preferred but not required Preferred Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Knowledge of principles and processes for providing customer and personal services.
This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction. Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders. Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions.
Knowledge of basic math to calculate medication doses. Being aware of others' reactions and understanding why they react as they do. Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Adjusting actions in relation to others' actions. Talking to others to convey information effectively. Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Understanding written sentences and paragraphs in work related documents. Actively looking for ways to help people. The ability to tell when something is wrong or is likely to go wrong.
It does not involve solving the problem, only recognizing there is a problem. The ability to listen to and understand information and ideas presented through spoken words and sentences. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
The ability to communicate information and ideas in speaking so others will understand. The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position. The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
The ability to identify and understand the speech of another person and the ability to use language interpretive services. Registered Nurse Iowa Board of Nursing (IBON) Required
MOAB within 1 year of hire for all inpatient units BLS within 60 days of hire Including but not limited to the following duties specified by unit: Heart & Vascular: Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing.
Demonstrates a high level of practice utilizing critical thinking skills in caring for the following patient populations: Cardiac/ Acute Myocardial, Infarction (AMI), Vascular, Hemodynamic Monitoring, Endocrine, Renal, Pulmonary. ACLS within 1 year of hire. Basic Dysrhythmia within 6 months of hire.
Basic 12 Lead within 6 months. Acute Care: Telemetry and Med Surg: Geriatric, Adult, Medical/Surgical, Telemetry. Includes monitoring and interpreting cardiac rhythms, administering medications and treatments as prescribed (including IV medications and non-titrating drips), caring for pre- and post-surgical patients, chronic trach patients on baseline settings, wound vacs, working closely with providers and family members to keep them updated, and reporting patient results.
Basic Dysrhythmia within 6 months of hire. ACLS within 1 year of hire. Cardiac Care Unit: Adult cardiac/ telemetry, Stroke, Vascular intervention, Hemodynamic monitoring.
Includes administering cardiac medications, monitoring cardiovascular status, operating and maintaining advanced cardiac monitoring equipment. Basic Dysrhythmia within 6 months of hire. NIHSS and 8 Hours of Primary Stroke Education within 90 days of hire ACLS within 1 year of hire.
Intensive Care Unit: Cardiac/ Acute Myocardial Infarction (AMI), Vascular, Hemodynamic Monitoring, Endocrine, Renal, Pulmonary, severe trauma and other severe medical issues. Including patients on multiple drips, CRRT, Impella, ventilators and other monitors and devices. Administer medications and IV therapy, monitor vital signs, provide lifesaving care, and collaborate with the healthcare team.
ICU: Basic Dysrhythmia within 6 months of hire. NIHSS and 8 Hours of Primary Stroke Education within 90 days of hire ACLS within 1 year of hire. Inpatient Dialysis: Provides high quality care to patients receiving dialysis in the inpatient setting.
Prepare and maintain dialysis equipment, administer dialysis treatments to patients as prescribed by physicians, assess patients' response to dialysis treatment and report and patient condition changes to the provider. Dialysis: ACLS within 1 year of hire. Surgical Services - Registered Nurse: (OR & DHC) Delivers care to patients undergoing procedures, utilizing the nursing process of assessment, planning, implementation, and evaluation in coordination with other health team members.
Effectively interacts with the patient, significant others, and team members while maintaining high standards of professional nursing. Primary duties include but not limited to circulating procedures, instrumentation of procedures, and assisting surgeon and /or anesthesia providers. On Call responsibilities.
Active participation in surgical consciousness. Surgical services: ACLS within 1 year of hire. Basic Dysrhythmia within 6 months of hire.
Specialties at the WB campus: Dental/Oral, ENT, Gastroenterology, General, OB/Gynecology, Orthopedics, Pain Management, Podiatry, Spine, Urology and Vascular DHC: Gastroenterology, Neurology – Lumber Puncture, Pain Management and Pulmonary PACU: Provides post anesthesia nursing care to the patient in the immediate post anesthesia period (phase I) and transitioning them to phase II level of care, the impatient care setting, or to an intensive care setting for continued care.
They provide a safe transition from a totally anesthetized state to one requiring less acute interventions. On Call responsibilities. PACU: PALS within 1 year of hire.
Basic Dysrhythmia within 6 months of hire. ACLS within 1 year of hire. ED: Geriatric, Medical/Surgical, Adult, Telemetry, Pediatric, Behavioral Health, Critical Care.
Including triage of patients, providing emergency support measures to patients, working closely with providers and family members to keep them updated, and reporting patient results. ED: NIHSS and 8 Hours of Primary Stroke Education within 90 days of hire Basic Dysrhythmia within six months of hire ACLS, PALS, MOAB Provider, and HERT within one year of hire. TNCC within 18 months of hire.
Behavioral Health Unit: Geriatric, Adult, Psychiatric, Substance Abuse and Detoxification. The nurse will assess patient needs, develop individualized care plans and work closely with a multidisciplinary team. Administer medications as prescribed, monitor for side effects, facilitate individual and group therapy sessions to manage mental health conditions.
MOAB within 1 year of hire Medical Care Unit: Geriatric, Medical/Surgical, Adult, and Psychiatric Issues. Work with patients recovering from serious injuries or illness. Provide care to help restore and maintain function and prevent complications.
Quality Indicators Online Certification within 1 year of hire. Inpatient Rehab: Adult, Geriatric, Medical/Surgical, and Adolescents. Document necessity of twenty-four-hour nursing care and nursing functions that supports the medical necessity of the ongoing patient stay.
Quality Indicators Online Certification within 1 year of hire. Women and Family LDRP: Adolescent and Adult Females, Neonates. Perform assessments and monitoring on both the mother and fetus throughout the pregnancy, labor, delivery.
Basic Fetal Monitoring within 1 year from hire. NRP within 1 year of hire. ACLS within 1 year of hire Intermediate Fetal Monitoring within second year of hire.
STABLE must be completed at first class offering. Lactation consultant would need to have International Board-Certified Lactation Consultant (IBCLC) or obtained within 1 year. Peds: Newborn, Infant, Toddler, Children, and Teens up to age 18.
Supports compassionate care and understanding of patients' and families' physical and emotional needs. NRP within 1 year of hire. PALS within 1 year from hire.
WB Float - May work in the following units Acute Care, MCU, and Behavior Health. Acute Care: Telemetry and Med Surg: Geriatric, Adult, Medical/Surgical, Telemetry. Includes monitoring and interpreting cardiac rhythms, administering medications and treatments as prescribed (including IV medications and non-titrating drips), caring for pre- and post-surgical patients, chronic trach patients on baseline settings, wound vacs, working closely with providers and family members to keep them updated, and reporting patient results.
Acute care: Med Surg and Telemetry Basic Dysrhythmia within 6 months of hire. ACLS within 1 year of hire. Medical Care Unit: Geriatric, Medical/Surgical, Adult, and Psychiatric Issues.
Work with patients recovering from serious injuries or illness. Provide care to help restore and maintain function and prevent complications. Quality Indicators Online Certification within 1 year of hire.
Behavioral Health Unit: Geriatric, Adult, Psychiatric, Substance Abuse and Detoxification. The nurse will assess patient needs, develop individualized care plans and work closely with a multidisciplinary team. Administer medications as prescribed, monitor for side effects, facilitate individual and group therapy sessions to manage mental health conditions.
MOAB within 1 year of hire Day Hospital: Delivers care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation in coordination with other health team members. Effectively interacts with the patient, significant others, and other health team members while maintaining high standards of professional nursing. Provides high quality care to the following patient populations: Geriatric, Medical/Surgical, Adult, Telemetry.
Klein: Basic Life Support (BLS) Healthcare Provider -American Heart Association; within 60 days of hire. • Dependent Adult Abuse Mandatory Reporter – Iowa Department of Human Services; within 180 days of hire. The RN position provides each Resident with routine daily nursing care and other desired services in accordance with the Resident’s assessment, choices, and care plan. Each RN is assigned to a primary household to 16 Residents.
The RN works closely with the Manager-Nursing at Klein to manage the day-to-day functions.
We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes: Competitive base pay Matching retirement programs Health, Dental and Vision plans Health Savings and Flexible Spending Accounts Employee discounts including car rental, cell-phone plans Employer-paid, Long-Term Disability, Life, and AD&D Paid time off (PTO) Education Assistance Program Employee Assistance Program Employee Referral Bonus Program Discounted cafeteria meals Paid Parental Leave Employee Service Recognition program Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity Great River Health and its affiliates are Equal Opportunity employers.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.