RN - Pediatrics Registered Nurse

Pediatric Registered Nurse

Dubuque, located right on the Mississippi river, is known for its historic charm and has a cost of living approximately 12% below the U.S. average. The Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails. As the region's leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri-state area. It holds Magnet designation (fifth consecutive cycle), CMS 5-star quality rating and national recognition including Fortune/IBM Watson's 100 Top Hospitals. It's a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership.

RN

Pediatrics

Status:.9/FT (36 hours a week)

Shift: Nights

Hours: 6pm-6:30am

As the only Pediatric inpatient unit in the Dubuque area, pediatric staff provide family centered care to pediatric patients up to the age of 18. This includes conducting physical assessments, monitoring and administration of medications, creating care plans and providing relevant patient education. Pediatric staff work closely with physicians, respiratory therapists and laboratory personnel to fulfill each patient's plan of care.

Working a primarily night position, staff are assigned every third weekend and have an assigned holiday rotation. Working primarily 1800-0630, schedule is otherwise created utilizing self-scheduling with the guidance of the unit based staffing committee.

Pediatric staff will be cross-trained to the Level 2 NICU to take patients admitted to that unit, in addition to crosstraining to care for postpartum couplets. Opportunities to assist in the Emergency Department with pediatric patients as well, including assessments and cares. All Pediatric staff are certified in NRP and PALS onsite, and are also required to be certified in BLS and mandatory reporter.

Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required.

POSITION PURPOSE: Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne's performance expectations and upholds the Mission, Vision, and Values of MercyOne.

MINIMUM QUALIFICATIONS:

1. Associate degree in nursing required

2. Bachelor of Science in Nursing (BSN) preferred.

3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

4. American Heart Association Basic Life Support (BLS) required.

5. Proof of completion of Mandatory Reporter Child and/or Dependent Adult Abuse training within three (3) months of hire.

6. High language, intermediate to high math, high critical thinking ability.

7. Basic computer skills required.

ESSENTIAL FUNCTIONS:

1. Conducts an initial assessment to gather data.

Makes an initial assessment of new admissions within 30 minutes of the patient's arrival to the unit.

Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.

Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.

Determines nursing interventions to achieve those outcomes/goals.

Prioritizes care needs for both mother and infant.

Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).

3. Implements the outcome/goal-based plan of care

Assigns and coordinates patient care based on acuity and team member competencies.

Organizes and prioritizes care for mothers, newborns, and pediatric patients.

Delegates tasks appropriately to other team members.

Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.

Coordinates implementation with Case Manager, Social Worker, and other disciplines.

Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.

Uses nursing judgment to determine frequency and components of reassessment.

Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.

Documents discharge instructions for mother, infant, and/or caregiver.

4. Evaluates patient progress and revises the plan as needed

Evaluates maternal and pediatric response(s) to interventions.

Updates the plan of care based on ongoing reassessments.

Revises problem list and outcomes/goals as conditions change.

5. Evaluates patient progress and revises the outcome-based plan of care based on ongoing reassessments.

Evaluates patient response(s) to interventions.

Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

Updates the problem list and outcomes/goals.

6. Communicates relevant clinical information to optimize outcomes

Communicates maternal and pediatric status to physicians and team members.

Reports progress toward outcomes/goals and changes in condition promptly.

Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.

Documents completely and accurately per policy.

7. Demonstrates clinical competence

Utilizes Women & Children-specific policies and procedures to guide practice.

Ensures medication safety following the "5 Rights."

Demonstrates competency in electronic health record systems.

Processes and implements physician orders accurately.

Maintains communication with leadership regarding admissions, acuity, and significant events.

Completes assigned shift duties and resolves discrepancies.

8. Manages fetal and neonatal monitoring when applicable

Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.

Responds appropriately to changes in maternal or neonatal condition.

Provides interventions for obstetric or neonatal emergencies.

Serves as a resource for other hospital services and participates in quality improvement initiatives.

9. Provides age-appropriate care based on principles of growth and development

Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.

Performs tasks and uses equipment in an age-appropriate manner.

Communicates effectively with patients and families at their developmental level.

10. Adheres to safety and infection control standards

Attends required safety programs.

Uses appropriate PPE consistently.

Demonstrates emergency procedures for obstetric and pediatric emergencies.

Maintains a safe environment for mothers, infants, and staff.

11. Maintains compliance with laws, regulations, and organizational standards

Upholds Trinity Health's Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS 1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics.