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

About the role

The Acute Care RN provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, they utilize critical thinking to assess, plan, implement, and evaluate outcome-based care. They manage a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. They supervise and coordinate care provided by LPNs, Patient Care Assistants, and other nursing team members. They facilitate 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.
• Makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
• Implements the outcome/goal-based plan of care.
• Sets priorities and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.
• 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.
• Aids 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.
• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
• Participates in developing 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/revises the outcome-based plan of care based on ongoing reassessments.
• 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 and in accordance with policy.
• Demonstrates clinical competence.
• Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
• Affirms 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.
• Communicates and works with others in an age-appropriate manner.
• 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 in order 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, high critical thinking ability.
  • Basic computer skills required.
  • Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs.
  • Stand; Walk/Move About 76-100% of the time.
  • Must possess the ability to comply with Trinity Health policies and procedures.

  Qualifications

  • Minimum qualifications: Associate degree in nursing required.
  • Preferred qualifications: Bachelor of Science in Nursing (BSN).

  Skills

  • Ability to work independently and as part of a team.
  • Strong communication and interpersonal skills.
  • Effective problem-solving and decision-making abilities.
  • Knowledge of nursing care standards and protocols.
  • Ability to prioritize and manage multiple tasks simultaneously.
  • Proficiency in computer systems and applications.
  • Ability to interpret and apply age-specific data.
  • Ability to manage patient care in a fast-paced environment.

  Benefits

  Our organization offers competitive benefits, including:

  • Sign on bonus of up to $20,000 and relocation bonus.
  • Comprehensive health insurance coverage.

  • Pay

    Salary range based on experience:

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

    Schedule

    Shift: 12 Hour Night Shift