RN - Birth Center Registered Nurse

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Full‑time position in the Birth Center at Mercy One Dubuque Medical Center. Primarily a night position; also required to work every third weekend and every third holiday. Responsibilities include caring for laboring patients, postpartum couplets, and surgical patients. The RN will be cross‑trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within the first year, in addition to ACLS, NRP, Mandatory Reporter and BLS.

Employment Type:

Part‑time

Shift: Rotating Shift

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 Mercy One’s performance expectations and upholds the Mission, Vision, and Values of Mercy One.

• Associate degree in nursing required
• Bachelor of Science in Nursing (BSN) preferred.
• Current Iowa RN license; current Illinois license if working in IL required.
• American Heart Association Basic Life Support (BLS) 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.

• Conduct an initial assessment to gather data.
• Make an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Complete all areas of the admission assessment database within 24 hours of admission.
• Identify patient problems and develop them into an outcome/goal‑based plan of care.
• Initiate the patient problem list and incorporate relevant obstetric, neonatal, or pediatric history into the plan of care.
• Analyze and interpret assessment data to identify desired outcomes/goals for mother and child.
• Determine nursing interventions to achieve those outcomes/goals.
• Prioritize care needs for both mother and infant.
• Identify and make appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).
• Implement the outcome/goal‑based plan of care.
• Assign and coordinate patient care based on acuity and team member competencies.
• Organize and prioritize care for mothers, newborns, and pediatric patients.
• Delegate tasks appropriately to other team members.
• Implement the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.
• Coordinate implementation with Case Manager, Social Worker, and other disciplines.
• Assist in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow‑up.
• Use nursing judgment to determine frequency and components of reassessment.
• Reassess at regular intervals to monitor maternal recovery and newborn/pediatric progress.
• Document discharge instructions for mother, infant, and/or caregiver.
• Evaluate patient progress and revise the plan as needed.
• Evaluate maternal and pediatric response(s) to interventions.
• Update the plan of care based on ongoing reassessments.
• Revise problem list and outcomes/goals as conditions change.
• Evaluate patient response(s) to interventions.
• Review, modify, and revise the outcome‑based plan of care based on ongoing reassessments.
• Update the problem list and outcomes/goals.
• Communicate relevant clinical information to optimize outcomes.
• Communicate maternal and pediatric status to physicians and team members.
• Report progress toward outcomes/goals and changes in condition promptly.
• Maintain ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.
• Document completely and…