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Emergency Room Registered Nurse

Eligibility
RNEREmergency Medicine

Posted Jul 22 · New grads welcomed · reported

What the listing says

Role

Term
Per Diem
Setting
Hospital
Accepts
RN
Experience
New graduates

Ratio not posted. Ask in the interview.

Pay

We don’t have a pay range for this role yet.

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About this role

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. BCLS, ACLS as indicated by the area of responsibility. Successful completion of JCH pharmacology qualifying examination. Experience preferred, but not required.

Accountability

Reports to unit Nurse Manager, 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.

Schedule

Occasional/PRN, Varies, Varies

Application details and notices

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.

Location: Jefferson County Health Center · Emergency Room

Sourced from a public job board.

Requirements

  • Graduate of an accredited school of nursing, with current Iowa RN license.
  • BCLS, ACLS as indicated by the area of responsibility.
  • Successful completion of JCH pharmacology qualifying examination.
  • Experience preferred, but not required.
  • 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.
Show all 12 requirements
  • 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.

Place

City
Fairfield, Iowa
Median rent
$870/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$51,311/yr

all local households, not nurse pay · Census ACS 2024

State price level
12% below the national average

Iowa index 87.8, where 100 is the national average.

CMS overall rating
2 of 5 stars (Care Compare, Sep 2026)
Beds
25

Fairfield is a small southeast Iowa city where traditional Midwestern farm heritage meets an unexpected arts-and-meditation culture anchored by Maharishi International University. A classic town square and surrounding rolling countryside give nurses a quiet, community-focused lifestyle with easy access to outdoor recreation.

Map showing the location of Fairfield, IA
Approximate location in Fairfield, IA. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024.

How this role fits you

About the employer

Jefferson County Health Center logo
Jefferson County Health Center
Community Hospital

You would be walking into Jefferson County Health Center in Fairfield, Iowa — a county hospital that has been open since 1912 and still serves as a critical-access campus. ER RN roles here post as Occasional or PRN with a…

On your path

Emergency is open from year one. Fellowships take new grads. The windows matter.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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