Acute Care RN for Ortho Trauma

Trinityhealth; Iowa (LA); On-site; USD 10,000 - 20,000; Full time

Job summary

MercyOne is seeking an Acute Care RN for a full-time, 12-hour day shift in a general medical-surgical setting. You will assess patients, develop care plans, and coordinate with physicians, nurses, and support staff to ensure quality outcomes.

Responsibilities include telemetry monitoring where needed, medication safety, and comprehensive discharge planning. Strong communication and evidence-based practice are essential.

Qualifications

• Active RN license in the state.
• Acute medical/surgical unit experience preferred.
• Strong communication and safety focus.
• Ability to coordinate care across disciplines.

Responsibilities

• Conduct initial patient assessments within 30 minutes of arrival.
• Develop and implement goal-based care plans.
• Coordinate care with team and discharge planning.
• Evaluate progress and adjust plans as needed.
• Communicate with physicians and care team clearly.
• Ensure medication safety and accurate documentation.
• Monitor telemetry/cardiac status as applicable.

Skills

Critical thinking

Telemetry monitoring

Nursing assessment

Communication

Medication safety

Clinical documentation

Team collaboration

Evidence-based practice

Education

RN License

BSN preferred

Tools

EHR systems

Telemetry software

Job description

Employment Type: Full time Shift: 12 Hour Day Shift

0-1 years of experience: $10,000

1-3 years of experience: $15,000

3+ years of experience: $20,000

POSITION PURPOSE

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. Adheres to MercyOne's performance expectations and upholds the Mission, Vision, and Values of MercyOne.

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 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 education needs.
   Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
3. 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 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 develop discharge plan.
   Documents discharge instructions for patient and/or significant other and/or other care provider.
4. Evaluates patient progress and revises the outcome/goal-based plan as needed.
   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.
5. 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.
6. Demonstrates clinical competence.
   Utilizes Patient Care Policies and Procedure 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 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.
7. 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.
   Must be capable of ma