RN - PRN

Registered Nurse (RN) – Med-Surg & Emergency Department PRN

Adair County Health System (ACHS) is seeking compassionate, skilled Registered Nurses (RNs) to join our Medical-Surgical and Emergency Department teams on a PRN basis. This opportunity offers the chance to make a meaningful impact while working alongside supportive, dedicated clinical professionals.

In this role, you’ll use your current nursing expertise while expanding your skill set across both Med-Surg and Emergency care in a collaborative, patient-centered environment. Whether you’re looking to grow professionally or bring your experience to a close-knit healthcare team, this position offers variety, challenge, and purpose.

At ACHS, we’re continually looking for highly skilled and passionate professionals to join our team. We offer competitive wages, excellent benefits, and a healthy work/life balance—but what truly sets us apart is our culture. Recognized as an Iowa Top Workplace in 2022, 2023, and 2025, we’re proud that this honor is based solely on feedback from our employees.

Why Join Adair County Health System?

Opportunity to work across Med-Surg and Emergency Departments

Competitive wages and excellent benefits

Supportive, team-oriented clinical environment

Award-winning workplace culture focused on collaboration and respect

If you’re a dedicated RN looking for a rewarding role where your work truly matters, we invite you to apply and become part of the Adair County Health System team.

Essential Functions

Administer nursing care to patients; including assessment, planning, implementing and evaluating the patient’s care plan in coordination with the physician. Provides total patient care, i.e., hygiene, ambulating, elimination, etc. Maintains knowledge of documentation requirements needed for patient records. Maintains knowledge of equipment set-up, maintenance and use, i.e., IV pumps, monitoring equipment, suction, drainage devices, etc. Ensures that self and all ACHS nursing staff follow safety policies and procedures to ensure other staff, self and patient safety.

Provides patient/family or caregiver education or counseling in recognition of physical, emotional and environmental health problems. Coordinates activities to maintain efficient and competent nursing services. Makes all patient care assignments.

Takes in consideration the complexity of patient care needs and the competence and specialized qualifications of each nursing staff member. Supervise and evaluate the nursing care for each patient. Evaluation includes assessing the patient’s needs as well as the patient’s response to interventions.

Maintains professionalism within Acute service, using Behavioral Standards. Analyzes nursing services to continuously improve quality of patient care and obtain maximum utilization of time and abilities. Effectively communicates both verbal and written information.

Maintains confidentiality regarding all patient/personnel information. Initiates emergency support measures, and maintains certification in BLS, ACLS, PALS and TNCC. Participates in quality improvement activities promoting quality patient care.

Currently licensed as a registered nurse by the State Board of Nursing for Iowa or compact state. Med/Surg and ER experience preferred but we are willing to train compassionate nurses with a desire to serve our rural communities. New grads encouraged to apply.

ACHS loves helping professionals launch their career by providing on the job training, experience and support by experienced colleagues.

Adair County Health System (ACHS) is a network of health care facilities and services focused on providing exceptional care to individuals in Adair County and the surrounding area. ACHS staff provide essential health care services in the hospital, family practice, urgent care and specialty clinics, public health and paramedic-level ambulance service.

From illnesses to injuries, surgeries to hospitalizations, ACHS is ready to provide personalized and specialized health care individuals of all ages and health conditions. Our team of providers and health care professionals are highly skilled, kind and compassionate, and we are located just down the road. Adair County residents can have peace of mind knowing they will receive excellent care close to home.