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.
6 months before
Shortlist units
Check application windows. Gather clinical experience, references and your expected graduation date.
Find residencies →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 →2–3 months before
Meet the unit manager
Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.
Prepare your questions →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
- 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?
On your path
Med surg is open from year one. A broad first base while you learn which path pulls harder.
Original listing
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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 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
Nurses on this role
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RN ER/MedSurg PRN
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