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Nurses

Emergency Room Registered Nurse SIGN ON BONUS

Jefferson County Health CenterFairfield, IAFull Time, Nights shiftPosted 2mo ago
  • $20,000 sign-on bonus
  • BLS
  • ACLS
  • PALS
  • RN license
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About the job

This position is eligible for a $20,000 sign-on bonus.

2 nd Shift Differential: $4.50/hour

3 rd Shift Differential: $5.00/hour

POSITION OVERVIEW (non-exempt):

To plan and provide for total patient care through the use of the nursing process in assessing, planning, implementing, and evaluating patient needs. To direct and guide patient teaching, and activities of ancillary personnel while maintaining standards of professional nursing.

QUALIFICATIONS

  • Graduate of an accredited school of nursing, with current Iowa RN license
  • Current BLS, ACLS, and PALS
  • Experience preferred

ACCOUNTABILITY:

Reports to the Emergency Services and Education Director, Assistant Nurse Manager, or House Supervisor

DIRECT REPORTS:

Licensed Practical Nurse; Certified Nursing Assistant; Unit Clerk

POSITION-SPECIFIC REQUIREMENTS

  • Consistently utilizes methods and knowledge to accurately assess all patient systems.
  • Identifies appropriate nursing diagnosis to develop a plan of care that is individualized, timely, and patient-centered
  • Implements nursing actions safely and consistently with the plan of care.
  • Incorporates patient and family teaching into the assessment and care of each patient. Evaluates outcomes of patient care and teaching
  • Assessment, planning, and intervention, including teaching and evaluation of patient care are reflected by completed and accurate documentation.
  • Acts as liaison between physicians, care team, the patient, and the family. Serves as a patient advocate, as necessary.
  • Demonstrates the ability to use critical thinking skills in prioritization, delegation, decision making, and practicing safety.
  • Attends all required meetings and in-services.
  • Other duties as necessary.

WORK ENVIRONMENT

  • Works in a well-illuminated, climate-controlled environment
  • May come in contact with hazardous chemical or treatment modalities
  • Possibility exists of exposure to communicable diseases
  • Involvement in inpatient care may result in unavoidable work-related illness or injury
  • Work environment is comfortable, with minimal exposure to physical hazards
  • Moderate to loud noise environment when machines/equipment in use
  • Involvement in checking in/moving of supplies may result in unavoidable work-related injury
  • Must be constantly alert for patient/family emergency situations

POSITION OVERVIEW: To plan and provide for total patient care through use of nursing process in assessing, planning, implementing, and evaluating patient needs. To direct and guide patient teaching, activities of ancillary personnel while maintaining standards of professional nursing.

QUALIFICATIONS

  • Graduate of accredited school of nursing. Current Iowa license (RN).
  • BCLS, ACLS as indicated by area of responsibility.
  • Experience preferred, but not required.

ACCOUNTABILITY: Reports to Department Manager, Department Assistant Manager, and/or House Supervisor

DIRECT REPORTS:

None

POSITION SPECIFIC REQUIREMENTS

  • Consistently utilizes methods and knowledge to accurately assess all patient systems.
  • Identifies appropriate nursing diagnosis to develop a plan of care that is individualized, timely, and patient centered.
  • Implements nursing actions safely and consistently with the plan of care.
  • Incorporates patient and family teaching into the assessment and care of each patient. Evaluates outcomes of patient care and teaching.
  • Assessment, planning, intervention, including teaching and evaluation of patient care are reflected by completed and accurate documentation.
  • Acts as liaison between physicians, care team, the patient, and the family. Serves as patient advocate, as necessary.
  • Demonstrates the ability to use critical thinking skills in prioritization, delegation, decision making and practicing safety.
  • Attends all required meetings and in-services.
  • Other duties as necessary.

WORK ENVIRONMENT : Good, inside working environment. Occasional hazards, with possible exposure to blood, body fluids, chemicals, and gases.

PHYSICAL DEMAND CHARACTERISTICS OF WORK

  • Work is of heavy demand, requiring lifting weights over 25 pounds.
  • Requires movement, assisting and/or helping lift patients or awkward weights (100-250+ pound patients). May require strenuous physical activity when dealing with agitated patients.
  • Repeated bending, squatting, stooping, and/or sitting.
  • Prolonged walking and standing.
  • Occasional pushing – pulling movement.
  • Hearing acuity to distinguish difference in heartbeat, blood pressure, and other physical signs and symptoms and to receive physician, staff and patient communications.
  • Visual acuity to detect changes in patient condition, to read gauges and meters, to read medical records and physician orders, and to document on patient records and other required documentation.
  • Language skills essential in instructing and supervising personnel and in communications with physicians, staff, and patients.
  • Writing and typing skills for accurate documentation.

Physical Demand

Level

Occasional

0-33% of the workday

Frequent

34-66% of the workday

Constant

67-100% of the workday

Typical Energy Required

SEDENTARY

10 LBS

Negligible

1.5 – 2.1 METS

LIGHT

20 lbs

10 lbs

Negligible

2.2 – 3.5 METS

MEDIUM

20 to 50 lbs

10 to 25 lbs

10 lbs

3.6 – 6.3 METS

HEAVY

50 to 100 lbs

25 to 50 lbs

10 to 20 lbs

6.6 – 7.5 METS

VERY HEAVY

Over 100 lbs

Over 50 lbs

Over 20 lbs

Over 7.5 METS

Typical Energy Required

1 lift/rep/

30 minutes

1 lift/rep/

2 minutes

1 lift/rep/

15 seconds

From Jefferson County Health Center's job posting, checked Oct 20, 2026. The employer's own page is the final word on requirements and availability.

About Jefferson County Health Center

Jefferson County Health Center is a public critical access hospital with an emergency department in Fairfield, IA. Its job board posts jobs for nurses, front-office staff and imaging techs. Source: Medicare Care Compare: Jefferson County Health Center

Based in Fairfield, IAHires in IowaPay on its listings: shown on each listing that states it

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