Registered Nurse | PRN | Emergency Department

Registered Nurse

Minimum Hiring Wage: From $35.79 per hour

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.

Duties are included but are not limited to those below for specified units.

• Perform Bedside shift report and beginning and end of shift.
• Utilize policies and procedures to keep patients safe from falls.
• Assist in wound prevention and Hospital acquired pressure injuries.
• 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
• Integrates assessment data and formulates an individual nursing diagnosis according to policies and procedures
• 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
• Administers prescribed treatments and medications promptly 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
• Evaluates patient's response to care and comprehension of education
• 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
• 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
• 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
• Demonstrates the ability to utilize appropriate equipment when providing nursing care according to unit/organizational policies, including ability to trouble shoot equipment

Qualifications:

• Associate's Degree (AA) Associates Degree in Nursing (ADN) Required
• Bachelor's Degree in Arts/Sciences (BA/BS) bachelor's degree in nursing or other related field 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.
• Basic Life Support Healthcare Provider - American Heart Association within 60 Days Required
• Child Abuse Iowa Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
• Dependent Adult Abuse Mandatory Reporter - Iowa Department of Human Services within 180 Days Required
• Registered Nurse Iowa Board of Nursing (IBON) (United States of America) Required

MOAB within 1 year of hire for all inpatient units.Specialties at each campus:FM: ENT, Gastroenterology, General, OB/Gynecology, Orthopedics, Ophthalmology, Pain Management, Podiatry.HCHC: ENT, Gastroenterology, General, Orthopedics, Ophthalmology, Podiatry, UrologyWB: Dental/Oral, ENT, Gastroenterology, General, OB/Gynecology, Orthopedics, Pain Management, Podiatry, Spine, Urology and VascularWB DHC: Gastroenterology, Neurology Lumber Puncture, Pain Management and PulmonaryED: 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. NIHSS and 8 Hours of Primary Stroke Education within 90 days of hireBasic Dysrhythmia within six months of hireACLS, PALS, MOAB Provider, and HERT within one year of hire.TNCC within 18 months of hire.

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.