Acute Care RN-Medical Surgical Registered Nurse

Mission & Overview

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.

Part time

Rotating Shift

Dyersville is known for its small‑town charm and excellent schools in the Western Dubuque Community School District. Families enjoy safe neighborhoods, local parks and attractions like the Field of Dreams movie site. Community events and easy access to Dubuque add to its appeal.

Mercy One Dyersville Medical Center is a 20‑bed critical access hospital serving 17 rural communities in western Dubuque county. As a Level IV Community Trauma Care Facility, it offers 24/7 emergency and trauma services, along with acute and skilled inpatient care, ambulatory surgery, home care and specialty clinics. The center includes a fully equipped laboratory, imaging services, retail pharmacy with drive‑thru and delivery and Phase II cardiac rehabilitation tailored to those recovering from heart events.

Outpatient and inpatient physical, occupational and speech therapy are available locally to help patients regain function and independence. Mercy One Dyersville Medical Center delivers compassionate, personalized health care that keeps essential care close to home.

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, you utilize 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.

You supervise and coordinate care provided by LPNs, Patient Care Assistants, and other nursing team members. You facilitate communication with physicians, patients and families, and interdisciplinary team members. You adhere to Mercy One’s performance expectations and uphold the Mission, Vision, and Values of Mercy One.

• 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 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.
• 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, physician 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…