RN - Pediatrics Registered Nurse

Employment Type: Full time Shift: 12 Hour Night Shift Description: Dubuque, located right on the Mississippi river, is known for its historic charm and has a cost of living approximately 12% below the U.S. average. The Dubuque Community School District is highly regarded, and the city offers private schools plus colleges like Loras College and Clarke University. Families enjoy cultural attractions such as the National Mississippi River Museum, arts festivals and an abundance of parks and trails. As the regionu2019s leading hospital, MercyOne Dubuque Medical Center offers the only Level II NICU and the most comprehensive cardiology center in the triu2011state area. It holds Magnet designation (fifth consecutive cycle), CMS 5u2011star quality rating and national recognition including Fortune/IBM Watsonu2019s 100 Top Hospitals. Itu2019s a Wellmark Blue Distinction Center+ for maternity and earns American Heart Association awards u2014Stroke Gold Plus, Mission: Lifeline NSTEMI and STEMI Gold. It recently celebrated 100 years of American Heart Association membership. RN Pediatrics Status: .9/FT (36 hours a week) Shift: Nights Hours: 6pm-6:30am As the only Pediatric inpatient unit in the Dubuque area, pediatric staff provide family centered care to pediatric patients up to the age of 18. This includes conducting physical assessments, monitoring and administration of medications, creating care plans and providing relevant patient education. Pediatric staff work closely with physicians, respiratory therapists and laboratory personnel to fulfill each patientu2019s plan of care. Working a primarily night position, staff are assigned every third weekend and have an assigned holiday rotation. Working primarily 1800-0630, schedule is otherwise created utilizing self-scheduling with the guidance of the unit based staffing committee. Pediatric staff will be cross-trained to the Level 2 NICU to take patients admitted to that unit, in addition to crosstraining to care for postpartum couplets. Opportunities to assist in the Emergency Department with pediatric patients as well, including assessments and cares. All Pediatric staff are certified in NRP and PALS onsite, and are also required to be certified in BLS and mandatory reporter. Full time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily night position; this position is also required to work every third weekend and every third holiday. Care for the laboring patient in addition to postpartum couplets and surgical patients. Will be cross trained to assist in pediatrics during times of high census. Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP; Mandatory Reporter and BLS also required. POSITION PURPOSE: Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOneu2019s performance expectations and upholds the Mission, Vision, and Values of MercyOne. MINIMUM QUALIFICATIONS: 1. Associate degree in nursing required 2. Bachelor of Science in Nursing (BSN) preferred. 3. Current Iowa RN license, (current Illinois (IL) license if working in IL) required. 4. American Heart Association Basic Life Support (BLS) required. 5. Proof of completion of Mandatory Reporter u2013 Child and/or Dependent Adult Abuse training within three (3) months of hire. 6. High language, intermediate to high math, high critical thinking ability. 7. Basic computer skills required. ESSENTIAL FUNCTIONS: 1. Conducts an initial assessment to gather data. u2022 Makes an initial assessment of new admissions within 30 minutes of the patientu2019s arrival to the unit. u2022 Completes all areas of the admission assessment database within 24 hours of admission. 2. Identifies patient problems and develops them into an outcome/goal-based plan of care. u2022 Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care. u2022 Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child. u2022 Determines nursing interventions to achieve those outcomes/goals. u2022 Prioritizes care needs for both mother and infant. u2022 Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care). 3. Implements the outcome/goal-based plan of care u2022 Assigns and coordinates patient care based on acuity and team member competencies. u2022 Organizes and prioritizes care for mothers, newborns, and pediatric patients. u2022 Delegates tasks appropriately to other team members. u2022 Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications. u2022 Coordinates implementation with Case Manager, Social Worker, and other disciplines. u2022 Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up. u2022 Uses nursing judgment to determine frequency and components of reassessment. u2022 Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress. u2022 Documents discharge instructions for mother, infant, and/or caregiver. 4. Evaluates patient progress and revises the plan as needed u2022 Evaluates maternal and pediatric response(s) to interventions. u2022 Updates the plan of care based on ongoing reassessments. u2022 Revises problem list and outcomes/goals as conditions change. 5. Evaluates patient progress and revises the outcome/goal-based plan as needed. u2022 Evaluates patient response(s) to interventions. u2022 Review/modifies/revises the outcome-based plan of care based on ongoing reassessments. u2022 Updates the problem list and outcomes/goals. 6. Communicates relevant clinical information to optimize outcomes u2022 Communicates maternal and pediatric status to physicians and team members. u2022 Reports progress toward outcomes/goals and changes in condition promptly. u2022 Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers. u2022 Documents completely and accurately per policy. 7. Demonstrates clinical competence u2022 Utilizes Women & Children-specific policies and procedures to guide practice. u2022 Ensures medication safety following the u201c5 Rights.u201d u2022 Demonstrates competency in electronic health record systems. u2022 Processes and implements physician orders accurately. u2022 Maintains communication with leadership regarding admissions, acuity, and significant events. u2022 Completes assigned shift duties and resolves discrepancies. 8. Manages fetal and neonatal monitoring when applicable u2022 Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs. u2022 Responds appropriately to changes in maternal or neonatal condition. u2022 Provides interventions for obstetric or neonatal emergencies. u2022 Serves as a resource for other hospital services and participates in quality improvement initiatives. 9. Provides age-appropriate care based on principles of growth and development u2022 Collects, analyzes, and applies age-specific data for newborns, children, and adolescents. u2022 Performs tasks and uses equipment in an age-appropriate manner. u2022 Communicates effectively with patients and families at their developmental level. 10. Adheres to safety and infection control standards u2022 Attends required safety programs. u2022 Uses appropriate PPE consistently. u2022 Demonstrates emergency procedures for obstetric and pediatric emergencies. u2022 Maintains a safe environment for mothers, infants, and staff. 11. Maintains compliance with laws, regulations, and organizational standards u2022 Upholds Trinity Healthu2019s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS 1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics. In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment. 2. Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs. 3. Stand; Walk/Move About 76-100% of the time 4. Must possess the ability to comply with Trinity Health policies and procedures. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran

Created: 2026-01-01