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Medical–Surgical Registered Nurse; RN – Night Shift

Job in Osceola, Clarke County, Iowa, 50213, USA
Listing for: Clarke County Hospital
Full Time position
Listed on 2026-01-24
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Emergency Medicine
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Medical–Surgical Registered Nurse (RN) – Night Shift
Location: Osceola

Medical–Surgical Registered Nurse (RN) – Night Shift

Join to apply for the Medical–Surgical Registered Nurse (RN) – Night Shift role at Clarke County Hospital

Schedule: 7:00 PM – 7:00 AM
Status: Full-Time | 36 hours per week

Position Summary:

The Medical–Surgical Registered Nurse (RN) provides comprehensive, patient-centered care during the night shift. This role is responsible for coordinating and delivering high-quality nursing care to adult and geriatric patients in a fast-paced inpatient setting. The Med Surg RN collaborates with physicians, interdisciplinary teams, patients, and families to ensure safe, effective, and compassionate care while maintaining compliance with hospital policies and regulatory standards.

Essential Duties & Responsibilities
  • Receive report at bedside with nurse going off duty. Admit and orientate new patients and family. Check patient identification, physician orders, pre-admission and transfer information if applicable. Make appropriate bed assignments. Take patients medical and social history. Requisition and arrange for ordered diagnostic and therapeutic services. Send diet orders to dietary. Order prescribed medications, patient supplies and equipment. Review the Electronic Medical Record to see that all permits, authorizations, releases and other required forms are completed.

    Take physician’s orders and place in the EMR. Schedule appointments with other departments and arrange for transport.
  • Develop and implement nursing care plans that enhance the effectiveness of the general therapeutic plan for each patient in consultation with supervisor, physician, and/or other ancillary services.
  • Plan for patient discharge or transfer. Initiate discharge/transfer process. Initiate referral to social services when needed, i.e. home health, nursing home placement etc.
  • Function clinically as staff nurse delivering direct patient care. May also be team lead while functioning in direct patient care role.
  • Make hourly rounds to evaluate patient’s conditions, answer questions, give instructions, take vital signs and check the functioning of equipment. Record vital signs and observations. Make rounds and assist physicians during treatments and examinations.
  • Prepare and operate equipment. Prepare supplies, cleanse wounds, incisions and change dressings. Prepare and administer prescribed medications. Start, replenish and discontinue intravenous infusions. Perform catheterizations, suctioning, lavage, nasal packing etc. Perform prescribed treatments.
  • Observe and record: medications, treatment, patient reactions/response, patient condition, progress of infusions and infiltrations, physical appearance of patients, attitude, appetite, new or change in symptoms. Notify supervisor and/or physician of significant changes in patient’s response to treatment and care, symptoms of infections, disease, stress, reactions to medications etc.
  • Float to other clinical areas for assistance in emergencies.
  • Recognize emergencies and respond with proper protocol, i.e. resuscitation, oxygen, emergency drugs, cardiac massage, application of medical equipment etc as established by the Medical Staff.
  • Institute nursing measures to prevent patients from developing complications and alleviate discomfort and pain.
  • Interpret and explain procedures, regimens and services to patients and families.
  • Inform supervisor if standards of care and performance are not being met.
  • Assist in planning, supervising, and instructing LPN’s, Aides and students. Demonstrate nursing techniques procedures and assist non-professional nursing care personnel in rendering nursing care.
  • Assists LPN’s in performing treatments and giving certain medication.
  • Actively participate in team oriented decision making process. Is a team player, willing to be flexible and open to other’s ideas.
  • Focus portion of daily work toward high customer satisfaction. The goal of all employees is to meet or exceed our customer’s expectations 100% of the time.
  • Develop a proactive mind set towards the job. Observes opportunities for improvement, formulates ideas, communicates those ideas with their supervisor and/or other staff, and carries out variations in work habits in…
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