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RN ER/MedSurg PRN

Guthrie County Hospital

Guthrie Center, Iowa

Posted Aug 8, 2025 · New grads welcomed

Unit and setting
ER, Med-Surg
License
RN licenseCurrent license in the State of Iowa
Term
Per Diem

Do you qualify?

New grads
Welcomed
License
Current license in the State of Iowa Check your license
Certification
Basic Life Support (BLS)
Also asks
Dependent Adult and Child Abuse Mandatory Reporter Training

Preferred

Certification
Advanced Cardiac Life Support (ACLS) preferred
Certification
Pediatric Advanced Life Support (PALS) preferred
Certification
Trauma Nursing Core Course (TNCC) preferred
Education
Graduate of accredited school of nursing; Bachelor of Science in Nursing (BSN) preferred
Experience
Previous experience, preferred
Your six-month RN application plan

Start about six months before graduation. Some programs open earlier; use each employer’s application dates. See program calendars.

  1. 6 months before

    Shortlist units

    Check application windows. Gather clinical experience, references and your expected graduation date.

    Find residencies
  2. 4–6 months before

    Apply as windows open

    Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.

    Explore new grad jobs
  3. 2–3 months before

    Meet the unit manager

    Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.

    Prepare your questions
  4. Around graduation

    Confirm your start

    Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.

    Plan your license

What it pays

Shift differential
+$1/hr

Benefits

  • Employee assistance program
  • Gym membership
  • Employee discount
  • Professional Development Packages

The workplace

Guthrie County Hospital
Hiring organization
Address
710 NORTH 12TH STREET, GUTHRIE CENTER, IA, 50115

Workplace: GUTHRIE COUNTY HOSPITAL.

Your fit

Questions to ask

  • Can you walk me through base pay range?
  • 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?
Build questions for this role

On your path

Med surg is open from year one. A broad first base while you learn which path pulls harder.

Original listing

Read full text

Come be a part of the GCH team! GCH has not only been named one of the Top 100 Critical Access Hospitals in the nation, but was recently named one of the TOP 20. We pride ourselves on our excellent patient care and exceptional staff, and we are looking to add to our team! New grads are welcome!

GCH is dedicated to providing our employees not just a job, but a career where they can grow and have their voices heard. GCH offers an extensive benefits discount including:

Professional Development Packages (clinical ladder & licensure assistance) Competitive compensation, full benefits package, IPERS, and employee discounts for GCH & GCH Clinic services Work/Life Balance Perks (free fitness center membership, discounted personal training, discounted meals, & EAP) Bonus incentive for Nursing staff picking up extra shifts Nursing

  • Shift Differentials: $1.00 additional for weekend (Friday 7P-Monday 7A), $2.00 additional for 3P-11P shifts, & $3.00 additional for 11P-7A shifts

Job summary

The staff RN utilizes assessment, planning, intervention, and evaluation in providing comprehensive and competent patient care. Provide effective interaction with patients, family members and staff, and coordinate interdepartmental patient care activities while maintaining nursing standards and policies of the department and GCH.

Essential job duties and responsibilities

Utilize the nursing process, for the performance of patient care, to assess, plan, intervene, delegate, and evaluate patient care to achieve optimal patient outcomes. Perform complete admission assessment, including full body system analysis and home med reconciliation process for various patient types. Perform hourly patient rounding for all patient assignments.

Perform patient/family teaching for assessed knowledge deficits. Evaluate patient progress toward desired outcomes prior to discharge. Demonstrate personal accountability in the delivery of patient care in a competent, professional, and compassionate manner.

Utilize basic infection control measures and demonstrate basic infection control measures including handling of hazardous wastes and safety measures. Perform comprehensive nursing assessments in an efficient and effective manner, according to scope of practice. Perform and document all steps of the admission process, in initial interview, and ongoing assessments that reflect nursing interventions, patient responses, patient teaching, and status of outcomes at discharge.

Assess and reassess pain. Utilize appropriate pain management techniques. Educate the patient/family regarding pain management.

Promote patient independence by establishing patient care goals; teaching and counseling patients, friends, and family; and reinforcing their understanding of disease, medications, and self-care skills. Utilize assessment/observation and review of available data to develop a comprehensive nursing care plan (NCP) that supports the medical plan for each patient. Update NCP as indicated.

Utilize appropriate nursing diagnosis definitions. Develop individualized nursing interventions. Include patient, family, or other support systems in implementation and education of intervention.

Perform emergency treatment as required. Initiate or assist in patient care in an effective and responsive manner. Communicate and collaborate effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes.

Perform other duties as assigned.

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice.

Salary varies depending on shift and experience.

Bonus is for Full Time positions only and subject to terms and conditions.

Requirements

  • Graduate of accredited school of nursing; Bachelor of Science in Nursing (BSN) preferred
  • Current license in the State of Iowa
  • Dependent Adult and Child Abuse Mandatory Reporter Training
  • Basic Life Support (BLS)
  • Advanced Cardiac Life Support (ACLS) preferred
  • Pediatric Advanced Life Support (PALS) preferred
  • Trauma Nursing Core Course (TNCC) preferred
  • Previous experience, preferred

What's around it?

Guthrie County Hospital · Guthrie Center, IA

Guthrie Center, IAFrom Census ACS 2024.

Living costs about 12% below the US average

Median rent
$868/mo
Household income
$71,116/yr, all local households, not nurse pay

See Guthrie Center, IA

Nurses on this role

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