Outpatient Services RN-Registered Nurse

About the role

MercyOne Dyersville Medical Center is a 20-bed critical access hospital serving 17 rural communities in western Dubuque County. As a Level IV Community Trauma Care Facility, it offers 24/7 emergency and trauma services, along with acute and skilled inpatient care, ambulatory surgery, home care and specialty clinics. The center includes a fully equipped laboratory, imaging services, retail pharmacy with drive-thru and delivery, and Phase II cardiac rehabilitation tailored to those recovering from heart events. Outpatient and inpatient physical, occupational, and speech therapy are available locally to help patients regain function and independence.

Responsibilities

• Conducts an initial assessment to gather data and 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 (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and educates patients and families.
• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
• Implements the outcome/goal-based plan of care.
• Schedules and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members.
• 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 to decrease 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.
• 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.
• Documents completely, comprehensively and legibly and in accordance with policy.
• Demonstrates clinical competence.
• Utilizes Patient Care Policies and Procedures 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.
• Receives, transcribes and 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.
• 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.
• 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.

Qualifications

• Minimum qualifications include an associate degree in nursing and current Iowa RN license.
• Preferred qualifications include a bachelor's degree in nursing and American Heart Association Advanced Cardiac Life Support certification.

Skills

• Strong clinical judgment and decision-making skills.
• Excellent communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Knowledge of hospital policies and procedures.
• Proficiency in computer systems and applications.

Benefits

MercyOne Dyersville Medical Center offers a full benefits package including competitive compensation, comprehensive health insurance, retirement plans, and opportunities for growth throughout the system.

Pay

Competitive compensation with a full benefits package and opportunity for growth throughout the system.

Schedule

1.0 FTE, 40 hours per week, Day shift, 8-hours.

Minimum Qualifications

• Associate degree in nursing required.
• Current Iowa RN license.
• American Heart Association Basic Life Support (BLS) required.
• 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.