Acute Care RN–Med Surg Registered Nurse–Sign on Bonus–Days

About the Role

Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members.

Responsibilities

• 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.
• Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant medical history into the plan of care.
• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes patient care needs/activities.
• Identifies and makes appropriate referrals (e.g., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator) and education needs.
• Collaborates with other health care disciplines to plan interventions/patient outcomes/goals.
• Implements the outcome/goal-based plan of care.
• Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge, and abilities of the team members.
• Organizes and prioritizes care for the patients within the team.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan, and medications.
• Coordinates implementation of plan of care with the Case Manager, Social Worker, and other health care disciplines.
• Assists in decreasing the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
• Uses nursing judgment to determine the appropriate frequency and components of reassessment (minimum RN reassessment every 24 hours).
• Reassesses at regular intervals to determine patient response(s) to interventions.
• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
• Participates in developing the discharge plan.
• Documents discharge instructions for patient and/or significant other and/or other care provider.
• Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Reviews, modifies, and revises the outcome-based plan of care based on ongoing reassessments.
• Updates the problem list and outcomes/goals.
• Communicates relevant clinical information to the team to optimize patient outcomes/goals.
• Communicates relevant clinical information to physicians regarding the patient’s condition.
• Reports progress toward outcomes/goals and/or changes in condition to other health team members.
• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
• Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.
• Documents completely, comprehensively, and legibly in accordance with policy.
• Demonstrates clinical competence.
• Utilizes Patient Care Policies and Procedures as references to guide nursing practice.
• Assures medication safety by following the “5 Rights” of medication administration.
• Prioritizes and implements intervention according to patient assessment.
• Demonstrates competency in computer systems and applications required for role.
• Receives, transcribes, processes, and implements physician orders per policy including dating, timing, and verifying accuracy.
• Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers, and significant events.
• Completes assigned shift duties and assures resolution of discrepancies.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages multiple patients requiring continuous cardiac monitoring.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• Assists with data collection and quality improvement initiatives as required.
• Serves as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).
• Participates in unit-based committees and provides education to nursing staff as requested.
• Provides care appropriate to the age-related needs of the patients served on the assigned unit based on principles of growth and development.
• Collects, analyzes, interprets, and applies age-specific data.
• Performs tasks/procedures and uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control, and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Knows and can demonstrate departmental emergency procedures for fire, disaster, and other emergency situations.
• Reports and removes unsafe equipment/furniture.
• Asks for assistance when needed to assure safety for all involved.
• Maintains a safe working environment and practices safe working habits.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Requirements

• Associate degree in nursing required; Bachelor of Science in Nursing (BSN) preferred.
• Current Iowa RN license (current Illinois (IL) license if working in IL) required.
• American Heart Association Basic Life Support (BLS) required.
• American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities.
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
• High language, intermediate to high math, and high critical thinking ability.
• Basic computer skills required.

Benefits

Sign-on bonus of up to $20,000 based on experience:

• 0-1 years of experience: $10,000
• 1-3 years of experience: $15,000
• 3+ years of experience: $20,000
• Relocation bonus available.

Schedule

Full time, 12-hour day shift.

Physical and Mental Requirements

• Performs duties that may involve exposure to hazardous substances and normal risks associated with handling narcotics.
• In patient care areas, may perform or demonstrate patient care tasks which may expose the nurse to infectious or communicable disease, or the possibility of injury from irrational or confused patients and visitors or from instruments or equipment.
• Lift/Carry; Push/Pull 76-100% of the time, averaging 50-100 lbs.
• Stand; Walk/Move About 76-100% of the time.
• Must possess the ability to comply with Trinity Health policies and procedures.

Mission and Core Values

Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

• Reverence: We honor the sacredness and dignity of every person.
• Commitment to Those who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
• Justice: We foster right relationships to promote the common good, including sustainability of Earth.
• Stewardship: We honor our heritage and hold ourselves accountable for the human, financial, and natural resources entrusted to our care.
• Integrity: We are faithful to those we say we are.