Private Duty Pediatric RN

About the role

Provide comprehensive, one‑on‑one home health skilled nursing care for a pediatric patient transitioning home from the NICU. Work closely with the family and primary care team to ensure a safe, supportive home environment in Clinton County, IA.

Responsibilities

• Ventilator & Tracheostomy Management: Maintain and monitor a home ventilator via tracheostomy tube; perform routine trach cares, monitor for site breakdown, suctioning, and emergency troubleshooting as needed.
• Enteral Nutrition Administration: Manage G‑tube cares and administer scheduled formula feeds; monitor and manage intermittent emesis.
• Cardiorespiratory Monitoring: Conduct continuous respiratory assessments and pulse oximetry monitoring; manage chronic bronchopulmonary dysplasia and systemic/pulmonary hypertension, including administration of maintenance medications.
• Medication Administration: Safely administer daily and PRN oral/G‑tube medications.
• Neurological & Physical Therapy Support: Provide support for a right brachial plexus injury (arm atrophy), including maintaining a prescribed wrist splint and supporting prescribed PT/OT exercises.
• Renal Health Monitoring: Monitor input/output closely due to a history of bilateral non‑obstructive renal stones and hydronephrosis; follow hydration protocols to prevent stone accumulation.

Qualifications

• Active Iowa or compact RN license and BLS/CPR certification.
• Experience with Pediatric Intensive Care, Neonatal Intensive Care, or Pediatric Private Duty Home Health preferred.
• Demonstrate proficiency in tracheostomy management, home health mechanical ventilation, and gastrostomy tubes.
• Strong critical thinking skills, excellent documentation, and a compassionate, family‑centered approach to care.

Benefits

• Competitive hourly pay
• Sign‑on bonus available
• Flexible scheduling
• Health, dental, vision, PTO, and 401(k) for eligible employees

Schedule

Day and night shifts available; up to 112 hours per week (16 hours/day, 7 days/week).