Registered Nurse, Labor & Delivery .75FTE Weekend Package, 3rd shift

Weekend Pack RN- Friday Sat Sun Night Shift

In keeping with Chapter 6 of the Iowa Nursing Practice Act for Registered Nurses, the ANA Scope and Standards of Practice for Nursing and the ANA Code of Ethics for Nursing, the professional nurse assumes responsibility and accountability for the delivery of nursing care at Waverly Health Center. The Registered Nurse is responsible for assessing, delegating, and coordinating nursing care based on the patient's problem and needs, by initiating the nursing process in the everyday practice of nursing. Utilizes substantial specialized judgment and skill in providing direct and indirect patient care, observation, and counsel to patients and family, and accepts responsibility for the total nursing care of assigned patients. Communicates with providers, manager, and/or other healthcare team members about changes in patients' clinical condition, including results of diagnostic studies and symptomatology. Assists with the clinical development of other nursing department staff members by serving as both mentor and consultant.

Assessment: Systematically collects comprehensive data pertinent to the patient's health or the situation on an ongoing basis. Diagnosis: Analyzes assessment data to determine diagnoses or issues. Outcomes Identification/Planning: Develops a plan individualized to the patient's characteristics or the situation that prescribes strategies and alternatives to attain identified expected outcomes. Considers needs specific to the standard of care for population served. Implementation: Implements the identified plan in a safe and timely manner. Evaluation: Evaluates progress toward attainment of outcomes and uses ongoing assessment data to revise the diagnoses, outcomes, plan of care, and implementation as needed. Professional Practice: Evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. Collegiality: Interacts with and contributes to the professional development of peers and colleagues, and actively participating in teams and committees. Research: Integrates evidence and research findings into practice. Charge Nurse: Provides leadership during assigned shift and interacts effectively with others to accomplish the requirements of patient care and administrative activities of assigned unit. Engages in anticipatory planning and generating solutions for clinical and operational issues. House Supervisor: Acts a resource to the clinical areas by providing direction and assistance during assigned shift. Coordinates and directs assignment of resources. Engages in anticipatory planning and generating solutions for clinical and operational issues. Provide leadership during assigned shift and interact effectively with others to accomplish the requirements of patient care and administrative activities. Surgical Assistant: Provides preoperative and postoperative patient management in collaboration with other healthcare providers. Under the direction of a surgeon, is responsible for recognizing safety hazards and correctable measures, providing proper exposure, handling and/or cutting of tissue, providing hemostasis, and suturing. Pre-Operative Teaching Nurse: Provides pre-operative teaching to patients, including both inpatient and outpatient procedures. Verifies patients' demographic information, medical history, allergies, current medications, etc. and completes full body assessment questionnaire with patients. Follows up with all surgical staff with pertinent information that may be needed prior to the surgery. Compiles patient charts prior to the day of surgery and assists the Unit Coordinator with clerical duties of the department as needed. Emergency Department Nurse: Performs the medical screening exam (MSE) with competency and provides pertinent information to the provider(s) for verification of emergent versus stable, non-emergent patient situations. Takes accurate medical history of all ED/MSE patients, notating allergies, medications, and surgical history at the patient's bedside. Performs a focused nursing assessment relevant to the chief complaint and applicable co-morbidities and reports to the provider(s) patient condition changes in a timely manner representing clear critical thinking skills. Completes medication reconciliation for each patient, whether discharged or transferred. Monitors patient interventions closely to report improvement or decline of patient condition. Monitors medications administered and is aware of medication purpose and potential side effects. Provides information/education to patients to determine patient understanding. Pain Services Nurse: Provides direct and indirect patient care to all pain services patients. Care includes, but is not limited to, assessment, medical history, current medications, and education. Assists provider with procedures. Assists with chart preparation, follow-up, referrals, prior authorizations, opioid monitoring, etc. Collaborates with providers and other team members to coordinate the delivery of care in safe environment conducive to healing.

Minimum Qualifications Education, Experience, and Training Must be a graduate of an accredited school of nursing and currently licensed to practice as a Registered Nurse in Iowa. Baccalaureate degree in nursing preferred. Surgical Assistant only: Must Also must maintain either the CNOR (certified nurse operating room) or RNFA (registered nurse first assist) certification. Must be able to read, speak, and write fluent English. Ability to learn and navigate computer systems including the online training modules, the employee timesheet and the performance appraisal system. Job specific systems are also required.

Physical Requirements Sitting Approximately 25% of shift. Standing Approximately 50% of shift. Walking Approximately 50% of shift. Lifting Approximately 35 pounds. Must use, and require staff to use, when in hospital and/or pre-hospital settings, proper body mechanics and ergonomics and, as applicable, lifting/moving devices. Twisting Infrequent. Bending Moderate. Squat/Kneel Approximately 25% of shift.

Work Environment May come in contact with hazardous chemicals or treatment modalities. The possibility exists of exposure to communicable disease due to working in a healthcare environment. Involvement in patient care may result in unavoidable work-related illnesses.