RN- Emergency Department

Rehabilitation Services

$68K — $96K *
Boone, IA 50036In-Person
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of nursing experience in an Emergency Department setting
  • Valid Iowa RN license required
  • Graduation from an accredited nursing program (Diploma RN, ADN, BSN, or MSN)
  • Certifications in BLS and ACLS
  • Effective communication skills, both verbal and written
  • Caring attitude and strong critical thinking skills
  • Ability to handle emotional stress in high-pressure situations

Responsibilities

  • Provide direct nursing care to patients using the nursing process
  • Utilize critical thinking and evidence-based practices in patient care
  • Ensure compliance with the Iowa Nurse Practice Act and regulatory standards
  • Document and maintain accurate patient records
  • Act as an advocate for patient welfare
  • Educate patients and families about care procedures
  • Mentor and precept nursing staff and students

Benefits

  • Medical, dental, and vision insurance
  • Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
  • Life and disability insurance coverage
  • Wellness program initiatives and reimbursement
  • Access to onsite fitness facilities
  • Generous paid time off (PTO) accrual
  • Employee Assistance Program (EAP) and onsite cafeteria
Full Job Description
Status: Full-Time, 36 hours per week

Shift: Days/Evenings

Shift Schedule: 12:00pm-12:00am

Days: Monday-Thursday, occasional weekends

We offer competitive pay and a great benefits package that includes:
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Flexible Spending Accounts (FSA)
  • Health Savings Accounts (HSA)
  • Life insurance
  • Aflac
  • Short-term and long-term disability coverage
  • Wellness program and reimbursement
  • Free access to Boone County Hospital's onsite fitness room
  • Generous PTO Accrual Plan
  • Iowa Public Employees Retirement System (IPERS)
  • Employee Assistance Program (EAP)
  • Onsite Cafeteria

Salary Scale: $32.50-$46.15

POSITION SUMMARY:

Provide direct nursing care to patients utilizing thenursing process, performs technical nursing functions, and upholds thestandards of practice of a professional nurse.

ESSENTIAL FUNCTIONS:
  • Provides direct nursing care to patients utilizing the nursing process, performs technical nursing functions, and upholds the standards of practice of a professional nurse
  • Utilizes critical thinking and evidence-based practice to facilitate the nursing process in the provision of patient care
  • Assures compliance with the Iowa Nurse Practice Act and other regulatory standards
  • Performs according to the ANA Code of Ethics for Nurses
  • Considers age, growth and development of the patient when planning, teaching and providing care
  • Documents and maintains data on patient's electronic and paper record
  • Explains procedures and treatments to patient to gain cooperation, understanding, and allay apprehension
  • Acts as a patient advocate
  • Applies teaching/learning concepts to patient and family education
  • Observes patient, record significant conditions and reactions, and notifies Physician of changes in patient's condition and progress or lack of progress towards goals of care
  • Responds to life saving situations based upon nursing standards, policies, procedures and protocol
  • Participates in precepting and mentoring while providing education/orientation to staff, students and others
  • Actively supports and participates in continuous quality improvement efforts
  • Actively demonstrates customer service philosophy
  • Participates in department staff meetings and hospital wide in-service programs as required
  • Computer literacy attainable
  • Communicates and collaborates with interdisciplinary team to facilitate safe, effective and appropriate patient care
  • Assures safe, therapeutic environment for patients, families, visitors and staff
  • Participates in department staff meetings, hospital wide in-service programs as required and quality improvement efforts
  • Serves as a resource and mentor for staff
  • Restocks and assures adequate supplies as they are utilized for patient care

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
  • Must be caring, sympathetic, responsible, and detailed orientated.
    Able to direct or supervise others correctly assess patients' conditions, and determine when consultation is required.
    Need to be emotional stability to cope with human suffering, emergencies, and other stresses
  • Emergency Department experience required
  • Graduation from an accredited school of nursing: Diploma RN, ADN, BSN, or MSN

Valid Iowa RN license

Certifications: BLS, ACLS, TNCC, PALS optionalcertifications are ENPC, NRP, and CEN.
  • Caring nature, critical thinker, great communication skills, adaptive, detailed-orientated, and maintain regular and reliable attendance
  • Ability to communicate effectively both verbally and in writing

Skill in effective oral and written communication in English

PHYSICAL ACTIVITY REQUIREMENTS:

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

A. Activity Level

Percent of Time

Sedentary Work:

Exerting up to 10 lbs. of force occasionally and/or a negligible amount of force frequently.

40%

Light Work:

Exerting up to 20 lbs. of force occasionally and/or 10 lbs. of force frequently.

30%

Medium Work:

Exerting up to 20 - 50 lbs. of force occasionally and/or 10 - 25 lbs. of force frequently.

20%

Heavy Work:

Exerting up to 50 - 100 lbs. of force occasionally and/or 20 - 50 lbs. of force frequently.

10%

Very Heavy Work:
Exerting over 100 lbs. of force occasionally and/or 50 -1 00 lbs. of force frequently.


0%

Total:

100%

B. Functions and Activities

Key

C = Continuous

F = Frequent

O = Occasional

N = Not Applicable

More than 5.5 hours (67-100%) > 500 reps/day

2.5 to 5.5 hours (34-66%) 101-500 reps/day

Less than 2.5 hours (1-33%) 1-100 reps/day

Not at all or rarely

Activity

C

F

O

N

Comments

Waist to Floor Lift, 0-20 lbs.

X

Waist to floor lift of various equipment, materials, and supplies, and when moving patients ranging in weight from 0-20 lbs. up to approximately 36".

Waist to Floor Lift, 21-75 lbs.

X

Waist to floor lift of various equipment, material, supplies, and when moving patients ranging in weight from 21-75 lbs. up to approximately 20".

Unilateral Waist to Floor Lift

X

Not required.

Waist to Crown Lift, 0-10 lbs.

X

Lifting of various equipment, materials, and supplies ranging in weight from 0-10 lbs. up to approximately 66".

Unilateral Waist to Crown Lift

X

Not required.

Horizontal Lift, 0-20 lbs.

X

Horizontal lifting of various equipment, materials, supplies, and when moving patients ranging in weight from 0-20 lbs. at approximately 18".

Horizontal Lift, 21-75 lbs.

X

Horizontal lifting of various equipment, materials, supplies and when moving patients ranging in weight from 21-75 lbs. at approximately 18".

Carry (Bilateral), 0-25 lbs.

X

Carrying of various equipment, materials, and supplies ranging in weight from 0-25 lbs. approximately 20 ft.

Carry (Unilateral)

X

Not required.

Horizontal Push/Pull, 0-75 lbs. of force

X

Generating up to 75 lbs. of horizontal push/pull force when performing various work related duties (i.e. moving patients).

Vertical Push/Pull

X

Not required.

Reach At or Below Shoulder Level

X

Reaching at or below shoulder level to complete various work related activities. Reaching occurring in all planes.

Reach Above Shoulder

X

Reaching above shoulder level to complete various work related activities. Reaching occurring in all planes. Reaching up to approximately 73".

Elevated Work

X

Not required.

Stooping

X

Sustained forward flexion of the trunk to retrieve various equipment , materials, supplies, and to position oneself to perform various work related duties. Sustained trunk flexion for up to 2.5 minutes.

Bending

X

Repetitive forward flexion of the trunk up to 60 degrees required to retrieve various equipment, materials, supplies and to position oneself for work related duties.

Twisting

X

Repetitive rotation of the trunk and neck to position oneself for various work related duties.

Squatting

X

Repetitive full flexion of the hips and knees required to retrieve various equipment, materials, supplies, and to position oneself for various work related activities.

Sustained Squat/Crouch

X

Not required

Kneeling

X

Repetitive/sustained kneeling required to position oneself for various work related duties. Sustained kneeling for up to 60 seconds.

Crawling

X

Not required.

Climbing Stairs

X

Stairwells between floors with approximately 7 inch steps. Elevators are available for transitioning between floors.

Climbing Ladders

X

Not required.

Walking

X

Ambulating throughout hospital on level indoor surfaces to respond to patients and communicate with co-workers.

Standing

X

Standing on level indoor surfaces while performing various work related duties.

Sitting

X

When performing charting/documentation.

Balancing

X

Average level balance required to complete various work related duties.

Fine Manipulation

X

Average to above average coordination required to complete various work related duties.

Simple Grasping 0-20 lbs. of force

X

Gross hand grasping, with preferred hand of 0-20 lbs. of force to perform various work related duties.

Firm Grasping 21-50 lbs. of force

X

Gross hand grasping, with preferred hand of 21-50 lbs. of force to perform various work related duties.

2-Point Pinch, up to 5 lbs. of force

X

Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities.

3-Point Pinch, up to 5 lbs. of force

X

Pinching up to 5 lbs. of force with bilateral hands complete various work related activities.

Lateral Pinch, up to 5 lbs. of force.

X

Pinching up to 5 lbs. of force with bilateral hands to complete various work related activities.

Repetitive Hand / Wrist Activities

X

Repetitive bilateral finger flexion/extension and wrist flexion/extension/radial deviation/ulnar deviation to complete various work related activities.

Repetitive Keying / Mousing

X

To perform charting/documentation tasks.

Operates Hand Controls

X

Operating controls on various medical related equipment throughout facility.

Operates Foot Controls

X

Not required.

Drives Car / Truck

X

Not required.

Operates Moving Equipment, Forklift/Skid Mover/Other

X

Not required.

C. Talking Required

Ordinary

Loudly or quickly

D. Hearing Required

Ordinary conversation

Ability to hear alarms, radio/phone, and instructions from others

E. Seeing Required

Close Vision

Distance Vision

Color Vision

Peripheral Vision

Depth Perception

Ability to Adjust Focus

F. Elevated Work Required

G. Work in Confined Spaces Required

Environmental Conditions

H. Environmental Factors

Extreme Heat (non-weather)

Extreme Cold (non-weather)

Outdoor weather conditions

Wet and humid conditions

Quiet Noise Moderate Noise Excessive Noise (Potentially = 85 dB TWA)

Vibration

Hazards

I. Percent of Time Spent in the Performance of Job

Inside: 100%

Outside: 0%

J. Percent of Time Spent in Temperature Extremes in the Performance of Job

NA

K. Atmospheric Conditions to Which Employee is Exposed on a Regular Basis

Fumes:

Gases:

Dusts:

Mists:

Poor Ventilation

Vibration

Odors

Personal Protective Equipment

L. General

Hard Hat

Eye Protection

Hearing Protection

Steel Toed Boots

Chemical Resistant Clothing

Gloves

Other: Various PPE according to hospital policy

M. Respiratory Protection

Dust/Mist Mask

Half-mask

Full-face Mask

Powered Air Purifying (PAPR)

SCBA

None

Physical Activity Requirements

Up to 33%

34-66%

67-100%

N/A

Sitting

x

Standing

x

Walking

x

Climbing

x

Bending/Stooping/Kneeling

x

Repetitive Motion

x

Lifting/Carrying

x

Hearing

x

Seeing

x

EQUIPMENT/TOOLS:

Operate equipment such as computers, printers, copymachines, calculator, IV pumps, defibrillators and suction equipment to name afew.

WORKING CONDITIONS:

Regularly required to use hands to finger, handle, or feeland talk or hear. Employee frequently is required to stand, walk and reach withhands and arms. Occasionally required to sit; climb or balance; stoop, kneel,crouch, or crawl; and taste or smell. The employee must frequently lift and/ormove up to 25 pounds and occasionally lift and/or move more than 100 pounds.Specific vision abilities required by this job include close vision, distancevision, color vision, peripheral vision, depth perception, and ability toadjust focus. Vision must be correctable to view

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