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Nurses

Med/Surg Registered Nurse - Per Diem*

  • PRN / per diem
  • BLS
  • ACLS
  • RN license

Open in 1 location

Carson Valley Health posts this job as separate openings, each with its own application: the unit, shifts, schedule and pay can differ between them.

Nevada

2 open

How this pay compares

This posting does not state an hourly rate. Med-surg nurses employed in Nevada earn a median of $49.84 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Med-surg nurses in Nevada: pay by town and employer

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About the job

Med/Surg RN (Nights) - Per Diem*

IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis.

POSITION SUMMARY

The Med-Surg Registered Nurse (RN) is responsible for providing comprehensive nursing care to patients in the Medical-Surgical Unit utilizing the nursing process. This role involves performing patient assessments, administering medications, managing care plans, documentation, critical thinking, and collaborating with the healthcare team to ensure high-quality patient care. The Med-Surg RN plays a critical role in patient recovery, education, and support, while adhering to hospital policies and regulatory standards.

POSITION REQUIREMENTS:

Minimum Education

  • Graduate of an accredited school of nursing
  • Minimum of an Associate’s Degree in Nursing.

License Required

  • Current Nevada RN license required.

Certificate Required

  • BLS for Healthcare Providers required.
  • ACLS (may obtain within 90 days of hire).

Minimum Work Experience

  • Previous department specific experience preferred.
  • Professional customer service skills.
  • Ability to read and communicate in English, bilingual abilities preferred.

POSITION ESSENTIAL FUNCTIONS:

Patient Assessment

  • Conduct thorough assessments of patients’ physical, emotional, and psychosocial health, and document findings accurately.
  • Identify patient care needs and develop, implement, and evaluate individualized care plans in collaboration with the healthcare team.
  • Monitor patient status and respond to changes in condition, including initiating appropriate interventions.
  • Accurately assesses and documents patient and family needs to provide quality care to assigned patients and ensures integration of information among the multi-disciplinary health care team.
  • Demonstrates timely, accurate and complete EHR and/or paper documentation per “Nursing Documentation” policy.
  • Develops patient-centered plan of care based on assessment findings, care goals, and patient input.

Medication Management

  • Administer medications accurately and safely, following the CVH “Ten Rights of Medication Administration” policy.
  • Manage controlled substance medications per policy
  • Maintain an accurate medication administration record (MAR)
  • Utilize barcode scanning for medication administration
  • Monitor patients for adverse reactions or side effects and report any issues to the healthcare provider.
  • Educate patients and families on medication purposes, potential side effects, and proper administration.

Communication

  • Communicate effectively with patients, families, and the healthcare team to provide clear and accurate information about patient care and treatment plans.
  • Participate in bedside shift handoffs, interdisciplinary meetings, and care coordination to ensure continuity of care.
  • Address patient and family concerns with professionalism, empathy, and timely responses. Seek assistance from more experienced staff as needed.

Documentation

  • Accurately and timely document all patient care activities, assessments, interventions, and outcomes in the electronic health record (EHR).
  • Ensure documentation meets hospital standards and regulatory requirements, and reflects the care provided.

Clinical Resource

  • Actively seek guidance and mentorship from experienced nurses and other healthcare professionals to enhance clinical skills and knowledge.
  • Participate in ongoing education and training opportunities to stay current with best practices and evidence-based care.
  • Utilize available resources, including policies, procedures, and clinical tools, to ensure safe and effective patient care.
  • Stay current with best practices, clinical guidelines, and continuing education opportunities.

Judgment

  • Demonstrates the skills and judgment necessary to implement nursing plan of care, nursing interventions, and procedures as necessary for the care of the patient.
  • Demonstrates knowledge of hospital policies and procedures.
  • Demonstrates knowledge of commonly used medications: action, dose, and side effects.
  • Observes the rights of medication administration.
  • Demonstrates proper procedures in all methods of medication administration.
  • Administers blood and blood products following hospital policy and procedures.
  • Initiates and maintains IV access according to hospital policy and procedures.
  • Assesses and documents IV site per unit standard.
  • Uses critical thinking and efficient time management.

Scope of Service

  • Performs consistent, purposeful hourly rounding
  • Provide nursing care to a diverse patient population, including those with acute, chronic, and complex medical conditions.
  • Assesses, evaluates, and carries out nursing interventions and teaching as applicable for med-surg and swing bed patients.
  • Work within the scope of nursing practice as defined by state laws, hospital policies, and professional standards.
  • Contribute to the continuous improvement of patient care services through participation in quality improvement initiatives.
  • Demonstrates skill and knowledge in nursing management of emergency situations.
  • Demonstrates knowledge and skill in using equipment.
  • Demonstrates knowledge of setting up and maintaining sterile field for minor sterile procedures such as insertion of central lines, chest tubes, etc.
  • Demonstrates knowledge of current policies and procedures pertaining to vaccination of patients and the documentation of teaching done.
  • Demonstrates knowledge and skill in specific areas of clinical experience, as applicable.

CARSON VALLEY HEALTH IS PROUD TO BE RECOGNIZED AS A FINALIST IN THE

"BEST PLACES TO WORK" - NORTHERN NEVADA, 2021, 2022, 2024, 2025 & 2026!

WE LOOK FORWARD TO WELCOMING YOU TO OUR TEAM!!

Med/Surg Registered Nurse - Per Diem* (*2 days of availability per month, work at least one summer and one winter holiday). The position will fill in for individuals who take unplanned and/or planned time off;

From Carson Valley Health's job posting for Gardnerville, NV, checked 5 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Carson Valley Health

Carson Valley Health is a nonprofit critical access hospital with an emergency department in Gardnerville, NV. Its job board posts jobs for nurses, physicians and advanced practice providers. Source: Medicare Care Compare: Carson Valley Health

Based in Gardnerville, NVHires in NevadaPay on its listings: 0% of its open jobs state an hourly rate

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