ER RN - Weekend Option

Jefferson County Health Center; Fairfield (IA); On-site; USD 41,000 - 52,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

Jefferson County Health Center Emergency Room in Fairfield, IA is seeking a dedicated RN to deliver total patient care in a high‑volume ER. The role emphasizes assessment, planning, implementation, and evaluation of patient needs, along with patient teaching and coordination with the care team.

Qualifying candidates hold an Iowa RN license and BCLS/ACLS as required by the area. The position offers a weekend option with evenings, Friday to Sunday hours: 10:30 a.m.

Qualifications

• Graduate of an accredited school of nursing.
• Current Iowa RN license.
• BCLS and ACLS as indicated by area of responsibility.
• Successful completion of JCH pharmacology qualifying examination.

Responsibilities

• Plan and provide total patient care using the nursing process.
• Direct and guide patient teaching and ancillary staff.
• Act as liaison between physicians, care team, patient and family.
• Document assessments, planning, intervention and outcomes.

Skills

BCLS

ACLS

Pharmacology exam

Education

RN license (Iowa)

Job description

Jefferson County Health Center Emergency Room

Nursing

Weekend Option , Evenings , Friday-Sunday: 10:30 a.m. – 11:00 p.m. | every other holiday

Posted 08/10/2026

This position is eligible for a $20,000 sign-on bonus.

POSITION OVERVIEW: (non-exempt)

To plan and provide for total patient care through the use of the nursing process in assessing, planning, implementing, and evaluating patient needs. To direct and guide patient teaching, and activities of ancillary personnel while maintaining standards of professional nursing.

QUALIFICATIONS:

• Graduate of an accredited school of nursing, with current Iowa RN license.
• BCLS, ACLS as indicated by the area of responsibility.
• Successful completion of JCH pharmacology qualifying examination.
• Experience preferred, but not required.

ACCOUNTABILITY:

Reports to unit Nurse Manager, Assistant Nurse Manager, or House Supervisor.

DIRECT REPORTS:

Licensed Practical Nurse; Certified Nursing Assistant; Unit Clerk.

POSITION-SPECIFIC REQUIREMENTS:

• Consistently utilizes methods and knowledge to accurately assess all patient systems.
• Identifies appropriate nursing diagnosis to develop a plan of care that is individualized, timely, and patient-centered.
• Implements nursing actions safely and consistently with the plan of care.
• Incorporates patient and family teaching into the assessment and care of each patient. Evaluates outcomes of patient care and teaching.
• Assessment, planning, and intervention, including teaching and evaluation of patient care are reflected by completed and accurate documentation.
• Acts as liaison between physicians, care team, the patient, and the family. Serves as a patient advocate, as necessary.
• Demonstrates the ability to use critical thinking skills in prioritization, delegation, decision making, and practicing safety.
• Attends all required meetings and in‑services.

WORK ENVIRONMENT

• Works in a well-illuminated, climate-controlled environment.
• May come in contact with hazardous chemical or treatment modalities.
• Possibility exists of exposure to communicable diseases.
• Involvement in inpatient care may result in unavoidable work‑related illness or injury.
• Work environment is comfortable, with minimal exposure to physical hazards.
• Moderate to loud noise environment when machines/equipment in use.
• Involvement in checking in/moving of supplies may result in unavoidable work‑related injury.
• Must be constantly alert for patient/family emergency situations.