Orthopedics

Med Surg / Ortho RN — Night Shift | Council Bluffs, IA

Contract: 13 weeks | Shift: 12-hour nights (1830–0700) | Guaranteed Hours: 36/week

Unit Overview

This Med Surg/Ortho unit manages a diverse orthopedic and general medical population. Common diagnoses include total knee, hip, and shoulder replacements, fractures (hip and ankle), COPD, ia, CHF, sepsis, appendicitis, cholelithiasis, diabetes, oncology, wound care, IV infusions, dementia, acute respiratory distress, and patients managing mental health and/or substance use challenges.

Scheduling & Expectations

• Self-scheduling; weekend requirement is every third weekend (Friday and Saturday nights)
• RNs are first to float within scope
• Charge nurse present each shift and carries an assignment
• Nurse aides/patient care techs on the unit; monitor coverage available at the nurses' station
• Drips administered include heparin, IV antibiotics, antithrombotics, and narcotics (titration not required)

Orientation

• Week one: classroom orientation, followed by one 12-hour shift on the unit
• Orientation includes a pass/fail open-book skills exam; a minimum score of 90% is required to continue

Requirements

• Active RN license
• BLS certification
• BSN required
• Scrub color: Navy Blue
• Artificial nails are not permitted in patient care areas
• Candidates must reside more than 50 miles from the facility and must not have worked (full-time, part-time, or PRN) at any CommonSpirit, CHI, or Dignity-affiliated facility within the past year

Ideal Candidate

This unit values adaptability, self-direction, and a commitment to hourly rounding and bedside shift report. Travelers who embrace change and enjoy a varied patient population will thrive here.