Staff Registered Nurse (RN)-Medical Unit

Employment Type: Full time Shift:12 Hour Night ShiftThe Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails.As the region's leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the tri‐state area. It holds Magnet designation (fifth consecutive cycle), CMS 5‐star quality rating and national recognition including Fortune/IBM Watson's 100 Top Hospitals. Position Title: RNShift: 3rd shiftFull time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne's performance expectations and upholds the Mission, Vision, and Values of MercyOne.Associate degree in nursing requiredBachelor of Science in Nursing (BSN) preferred.Current Iowa RN license, (current Illinois (IL) license if working in IL) 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.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 obstetric, neonatal, or pediatric history into the plan of care.Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.Determines nursing interventions to achieve those outcomes/goals.Prioritizes care needs for both mother and infant.Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).Implements the outcome/goal-based plan of careAssigns and coordinates patient care based on acuity and team member competencies.Organizes and prioritizes care for mothers, newborns, and pediatric patients.Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.Coordinates implementation with Case Manager, Social Worker, and other disciplines.Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.Uses nursing judgment to determine frequency and components of reassessment.Documents discharge instructions for mother, infant, and/or caregiver.Updates the plan of care based on ongoing reassessments.Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.Communicates maternal and pediatric status to physicians and team members.Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.Documents completely and accurately per policy.Utilizes Women & Children-specific policies and procedures to guide practice.Demonstrates competency in electronic health record systems.Processes and implements physician orders accurately.Completes assigned shift duties and resolves discrepancies.Manages fetal and neonatal monitoring when applicableProvides interventions for obstetric or neonatal emergencies.Serves as a resource for other hospital services and participates in quality improvement initiatives.Provides age-appropriate care based on principles of growth and developmentCollects, analyzes, and applies age-specific data for newborns, children, and adolescents.Performs tasks and uses equipment in an age-appropriate manner.Communicates effectively with patients and families at their developmental level.Adheres to safety and infection control standards• Demonstrates emergency procedures for obstetric and pediatric emergencies.• Upholds Trinity Health's Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.Must possess the ability to comply with Trinity Health policies and procedures.By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.