Acute Care RN-Medical Surgical Registered Nurse

Employment Type:Full time
Shift:12 Hour Night Shift
Description:At Mercy One, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. DeWitt is a growing and welcoming community in Eastern Iowa. Located at the crossroads of U.S. 30 and U.S. 61, it offers convenient access to the Quad Cities and the Mississippi River.

With a population of approximately 5,500, DeWitt is the fastest-growing city in Clinton County, Iowa. The community blends small-town charm with modern amenities: a safe and vibrant community known for its civic pride and volunteerism, a thriving downtown with festivals year-round, family-friendly events, abundant parks and trails, and a strong focus on education supported by local schools and community programs.

Mercy One Genesis DeWitt Medical Center is a 13-bed, not-for-profit critical access hospital that has served DeWitt and the surrounding communities since 1952. As an essential part of Mercy One Genesis, the hospital provides dependable, close-to-home care and a robust range of services, including 24/7 emergency care, ambulance services, cardiac rehabilitation, physical therapy and breast health and gastroenterology services, among many others.

The hospital is accredited by The Joint Commission and is a two-time Pathway to Excellence- designated facility, supporting high-quality care and a strong nursing environment.

As a Registered Nurse at Mercy One, you will provide and direct 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 Mercy One’s performance expectations and upholds the Mission, Vision, and Values of Mercy One.

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…