Knoxville Hospital and Clinics strive to be your healthcare destination, building on compassion and innovation. We are committed to faithfully providing exceptional healthcare. The values we hold true are Teamwork, Innovation, Compassion, Integrity, Service, and People-Centered.

This is a Full-Time position working 3 12-hour days 7am – 7:30pm with weekend rotations every 4th weekend. This position is eligible for a $10,000 sign on bonus.

The Registered Nurse in the Medical/Surgical Department is accountable for the coordination of nursing care, patient education, and discharge planning.

Essential Functions

Use assessment skills and techniques to determine patient needs and condition upon admission and on an ongoing basis, responding appropriately.
Completes and documents the nursing admission assessment in a thorough and accurate manner as defined by unit policy.
Assesses the need for patient and family education.
Hourly Rounding on patients.
Initiate, develop and document patient plan of care based on patient’s assessment and medical diagnosis and setting priorities for nursing action in accordance with the unit’s policy on time-frames.
Review and update the plan of care once every 12 hours or as necessary.
Develop a patient education and discharge plan as necessary.
Collaborates with other health team members in planning and providing care.
Delegates care to team members based on complexity, staff education and competency, state regulations and Knoxville Hospital and Clinics’ policy.
Provides safe and comprehensive nursing care according to state regulations, hospital policy and procedure and DNV standards.
Establish care priorities based on patient problems; communicate with staff and new employees of patient problems, concerns, and changes in condition. Notify physician promptly regarding concerns.
Must be proficient in medication administration, including IV therapy, as evidenced by lack of medication errors, reports medication errors.
Perform procedures accurately, completely, and safely according to established policy and procedure and physician orders.
Provide care with minimal supervision in a timely manner.
Maintains a safe work environment for patients and coworkers. Uses safety precautions and PPE appropriately.
Use an interdisciplinary approach to patient care.
Use critical thinking skills to intervene with appropriate care for urgent or emergent patient care needs.
Care of acute and chronically ill patients.
Able to identify and manage life-sustaining physiologic functions in unstable patients.
IV and Central Line management skills.
Additional Essential Functions and certifications as needed for area.

Job Requirements

Current license as a Registered Nurse in Iowa.
Current BLS with ACLS and PALS preferred within one year.
Mandatory Reporter Training
One year general Medical / Surgical experience preferred.
Required to complete all annual competency training and maintain license and/or certification.

This is a Full-time position and is eligible for benefits for medical, dental, vision, flexible spending accounts, retirement plan with company match of up to 6%, accrued hours for vacation and sick time, paid holidays, and company benefits for employee life, employee AD&D, short term and long-term disability.

Work Location: In person

Knoxville Hospital and Clinics strive to be your healthcare destination, building on compassion and innovation. We are committed to faithfully providing exceptional healthcare. The values we hold true are Teamwork, Innovation, Compassion, Integrity, Service, and People-Centered.

This is a Part-Time position working 2 12-hours shifts per week, with every 4th weekend rotation.

Responsible for delegating appropriate nurse care responsibilities provided throughout the facility. Supervises and directs all aspects of patient care. Tasks include establishing effective distribution and utilization of personnel focusing on staffing for nursing areas by organizing work schedules and shift coverage. An RN license is required for this position.

Essential Functions

Provides oversight and leadership and represents administration and management during hours they are not present and is authorized to act on their behalf.
Notify manager/administrator of any significant problems or situations.
Coordination of staffing for current and on-coming shifts by reallocating or calling in additional staff. Determines staffing for the entire hospital focusing on Emergency Department and Medical Surgical Floor but also assists with staffing for other departments as need arises.
Maintains accurate records of staffing and bed counts, including census report, daily staffing sheets and Nurse Grid.
Receives and documents all call-ins and reports this to appropriate department manager.
Makes rounds to all departments assuring support for patient care. Identifies and utilizes available resources within nursing, delegating as necessary.
Collaborate with nurses in Emergency Department, Surgery and Clinics for admissions and bed placements
Reviews all transfers forms for completion and compliance with EMTALA regulations, cosigns forms. Coordinates transfers based on patient acuity and available EMS.
Assists with tele-psychiatry consults and transfers.
Assists with tele-hospitalist services.
Assists with patient care in all departments, including ER. Responds effectively and appropriately in emergent or critical situations including MET calls and codes.
Lead daily house wide huddle to increase communication throughout hospital and participate in inpatient unit discharge huddles each day.
Reviews all patient falls during shift, and responsible for the completion of the post-fall huddles with staff and documentation of the huddle.
Medication retrieval from Pyxis units or pharmacy after department hours, includes mixing of intravenous medications for immediate use. Notification of on call pharmacist with need of high-risk medications.
After department hours, handle immediate needs for supplies from Nutritional Services, Surgery and/or Materials Management for patient care.
Notifies appropriate on-call staff of various departments, including maintenance, housekeeping and information technology, of pertinent needs after hours.
Notifies appropriate entities if facility on diversion for any reason
Coordinates resources and equipment utilized by multiple departments
Assure that KHC policies and procedures are followed. Acts as a role model/mentor and provides staff education as appropriate.
Maintains clinical competencies for all clinical areas. Applies the nursing process and performs clinical skills for the direct delivery of quality patient care.
Participates in process improvement activities to promote quality patient care.
Communicates to department managers about unusual patients or staff occurrences, changes in staffing requirements, commendable performance and/or disciplinary issues with staff. Contacts administration for risk management issues, physician issues, and/or legal issues.
Practices excellent service recovery. Resolves with tact and diplomacy.
Actively promotes excellence in customer service by creating a positive work environment by demonstrating a cooperative team approach and attitude.
Build trusting, collaborative relationships with staff, physicians, and ancillary staff. Acknowledges the efforts of the staff, provides positive reinforcement.
Participates in charts audits as designated.
Provides input to the department managers and administration into:
Equipment purchases, product demonstrations
Reviewing, revising, and/or developing policies and procedures
Evaluation and performance of staff
Computer competency; training and superuser
Other issues as identified by hospital leadership
Protect patients and employees by developing and interpreting infection-control policies and protocols, enforcing medication administration, storage procedures, and controlled substance regulations.
Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
Directs and administers nursing care to patients; includes assessment, planning, implementing and evaluating the patient’s care plan in coordination with the physician and/or physician’s assistant.
Maintains an awareness of the workload of coworkers and offer assistance as appropriate.
Performs under stress when confronted with emergency, critical, unusual or dangerous situations, or situations in which working speed and sustained attention are make-or-break aspects of the job.
Will be responsible for having huddle with staff once a shift, more if needed.
Rounds on all departments every few hours each shift including but not limited to Emergency Department, Medical Surgical Floor, Infusion Center, Surgery, Specialty Clinics, Cardiac Rehabilitation and Family Clinic to offer assistance to staff.
Supervises, directs and coordinates the nursing and related activities of the hospital. This includes functioning as the Nurse Manager when the Nurse Manager is not available in all departments of the hospitals with a focus on Emergency Department and Medical Surgical Floor.
Monitors compliance with standards of care by observations, verbal reports and written documentation and communicates results to appropriate staff members; develops plan to increase compliance and implements actions to correct deficiencies during his/her shift and reports all to the CNO and/or Nurse Manager.
Makes rounds to receive report from unit nurses. Visits patients, paying special attention to critically ill, post-op, labor and those scheduled for diagnostic tests, being sure patient needs are being met.
Specifically assigns work to team members (RN/CNA and Patient Care Techs / Clerks). This may be patient care, writing a care plan, doing and documenting patient teaching, cleaning an area, preparing paperwork of anything else necessary for the functioning of the nursing unit.
Participates in and adheres to the financial plan of operation for the hospital; contributes to operating and capital budgets with recommendations for nursing service personnel. Is supportive of hospital policies and procedures for nursing and of the administrative staff and monitors overtime and keeps it to a minimum.
Continually evaluates the quality of care being provided for patients, recommends modifications and improvements as appropriate and enforces the same.
Serves as clinical coordinator for the entire hospital on off shifts, weekends, and holidays when the Nurse Managers aren’t on duty. Replaces nursing personnel to make certain areas are adequately staffed for all shifts. Checks the schedule daily for the next shift and utilizes low census when appropriate.
Accurately obtains medications from Pharmacy in the absence of Pharmacy personnel.
Constructively critiques work performed by professional and other non-professional personnel. Does not criticize staff in front of others. Keeps anecdotal notes on nursing personnel job performance and counsels’ personnel appropriately and in a timely manner; uses disciplinary action appropriately.
In addition to the functions above, this role may include other responsibilities and duties as assigned, based upon the needs or requirements of Knoxville Hospital and Clinics.

Job Requirements

Must be able to perform each essential function satisfactorily.
A minimum of two years’ acute care/hospital experience, including Emergency Department
Prior supervisory experience preferred.
Graduate of an accredited RN program. Valid Iowa RN license.
Current BLS and mandatory reporter for adult and child abuse required
ACLS, NRP, and TNCC are required within 6 months of hire. STABLE optional. PALS optional.
CEU maintenance as required for licensure.
Must demonstrate effective leadership skills. High degree of empathetic listening, tact, and kindness toward others. Must work effectively as a member of the team.
Ability to communicate effectively with all customers. Proficient in-patient experience
Basic computer knowledge. Sound technical skills in relation to medical equipment.
Technical and critical thinking nursing practices in relation to nursing judgment.
Required to complete all annual competency training and maintain license and/or certification for both Medical Surgical and Emergency Department

This is a Part-Time position and is eligible for benefits for medical, dental, vision, retirement plan with company match of up to 6%, flexible spending accounts, accrued hours for vacation, and company paid benefits for employee life, employee AD&D, short term and long-term disability.

Knoxville Hospital and Clinics strive to be your healthcare destination, building on compassion and innovation. We are committed to faithfully providing exceptional healthcare. The values we hold true are Teamwork, Innovation, Compassion, Integrity, Service, and People-Centered.

This is a Full-time night position working in the Med/Surg department 3 12-hour shifts 7pm – 7:30am, and every third weekend. This position is eligible for a $10,000 sign on bonus.

The Registered Nurse in the Medical/Surgical Department is accountable for the coordination of nursing care, patient education, and discharge planning.

Essential Functions

Use assessment skills and techniques to determine patient needs and condition upon admission and on an ongoing basis, responding appropriately.
Completes and documents the nursing admission assessment in a thorough and accurate manner as defined by unit policy.
Assesses the need for patient and family education.
Hourly Rounding on patients.
Initiate, develop and document patient plan of care based on patient’s assessment and medical diagnosis and setting priorities for nursing action in accordance with the unit’s policy on time-frames.
Review and update the plan of care once every 12 hours or as necessary.
Develop a patient education and discharge plan as necessary.
Collaborates with other health team members in planning and providing care.
Delegates care to team members based on complexity, staff education and competency, state regulations and Knoxville Hospital and Clinics’ policy.
Provides safe and comprehensive nursing care according to state regulations, hospital policy and procedure and DNV standards.
Establish care priorities based on patient problems; communicate with staff and new employees of patient problems, concerns, and changes in condition. Notify physician promptly regarding concerns.
Must be proficient in medication administration, including IV therapy, as evidenced by lack of medication errors, reports medication errors.
Perform procedures accurately, completely, and safely according to established policy and procedure and physician orders.
Provide care with minimal supervision in a timely manner.
Maintains a safe work environment for patients and coworkers. Uses safety precautions and PPE appropriately.
Use an interdisciplinary approach to patient care.
Use critical thinking skills to intervene with appropriate care for urgent or emergent patient care needs.

Job Requirements

Current license as a Registered Nurse in Iowa.
Current BLS with ACLS and PALS preferred within one year.
Mandatory Reporter Training.
One year general Medical / Surgical experience preferred.
Required to complete all annual competency training and maintain license and/or certification.
Care of acute and chronically ill patients.
Able to identify and manage life-sustaining physiologic functions in unstable patients.
IV and Central Line management skills.
Additional Essential Functions and certifications as needed for area.

This is considered a Full-Time position and is eligible for benefits such as medical, dental, vision, retirement plan with company match of up to 6%, flexible spending accounts, company paid basic employee life, employee AD&D, short term and long-term disability, accrued hours for vacation.