Med Surg RN
Missouri Valley, Iowa
CHI Health Missouri Valley

Medsurg/ED/Swing RN

Overview

• Location: Missouri Valley, Iowa
• Contract Length: 13 weeks
• Shift: Nights, 12-hour shifts
• Hours: 36 hours per week
• Department: MedSurg/Swing, mostly MedSurg with float to ED
• Setting: Critical access hospital with a small, experienced team and no consultation services on the floor

Required Qualifications

• Certifications: ACLS, BLS, PALS, TNCC
• Valid driver's license at submittal, used to confirm the candidate lives outside 50 miles
• Must live outside a 50-mile radius and may not have been full time, part time, or PRN with any affiliated facility within the past year
• Must pass a Friday pass/fail exam during orientation (open book, on skills learned, with all resources provided). A score of 90% or higher is required, or the contract will be terminated.
• Artificial nails are prohibited. Refusing to remove them will lead to contract termination.
• Requested days off (RTO) must be submitted upfront. Additional RTO will not be approved, including after submissions.

Unit Details

• Beds: 14
• Ratio: 1:5-6
• Common diagnoses: CHF, pneumonia, skilled patients for PT/OT, antibiotic (ATB) patients
• At times admits cardiac or diabetic Progressive Care level patients
• RNs are not required to titrate drips. Common set-rate drips are antibiotics.
• A charge nurse is on each shift and takes an assignment.
• Nurse aides/patient care techs are on the unit at a 1:10 ratio.
• Floating: to ED for support
• Staff: experienced small team
• Available support: telehospital medicine services
• Quality: 5-star quality, ranked in the top 20 critical access hospitals

Schedule and Orientation

• Shift times: 630-7
• Weekends: at least every third weekend
• Holidays: rotate with core staff where there is a need
• Manager builds the schedule
• Orientation: 2 unit/department-specific shifts
• Scrubs: navy blue

Role Expectations

• Works well with a strong team but can work independently with decreased resources
• Acts as a patient and department advocate focused on quality and safe care
• Thinks critically and prioritizes care
• Key attributes: flexibility, adaptability, and confidence in nursing skills