Registered Nurse (RN) | Surgery

Location:

Avera Marshall Hospital

Worker Type:

Regular

Work Shift:

Primarily days with night, weekend and holiday on-call involvement (United States of America)

Position Highlights

• Paid Time Off (PTO) available on Day 1! 
• Options for Free Health Insurance!
• Student Loan Repayment: This position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster.
• Job Satisfaction: Each day you will positively impact each patient you serve with providing direct resident care.
• Positive Work Environment: Be part of an organization where we practice the mission in our daily operations and demonstrate our pride by delivering excellent care.

Work Schedule

• Day shift
• 6:45 a.m.-3:15 p.m.
• 8:30 a.m.-5 p.m. one time per week
• 64 hours/2 week pay period
• Weekend, holiday and weekday call time rotation is based on the number of employed Surgical Technicians.

Pay

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

• $38.29-$61.16 hourly.

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

The Registered Nurse in Surgery is accountable for providing counseling, individualized care prescriptions and group education and delivers quality of care that is consistent with acceptable standards of nursing practice.

What you will do

• Assumes other job duties as per RN licensure, training and scope of practice when floating to other areas of the medical center a/t established floating guidelines.
• Demonstrates critical thinking by synthesizing best practice protocols and standards with patient data, to decide on the best course of action.
• Demonstrates ability to identify and respond to changes in clinical condition, and provide timely communication to appropriate care team member, using SBAR format.
• Includes patient and significant others in the plan of care including education needs from admission through discharge, evidenced by complete and accurate documentation, and use of appropriate interventions in accordance to hospital policies and evidenced based standards.
• Actively participates in the learning experiences of orientees, co-workers, and students as assigned.
• Takes ownership of professional development by staying current with professional practice standards; seeking learning opportunities in nursing specialty; and shares new learning (s), with peers formally and informally.
• Consistently incorporates the nine guiding principles of safe medication administration, including the five rights of medication administration and in compliance with Avera MedSafe –Bar-coding medication administration.
• Participates in quality improvement practices by following best practice standards for Core Measures and incorporating Appropriate Care Interventions into patient plan of care, evidenced by: consistent complete and accurate documentation and achieving quality outcomes appropriate to the clinical condition and needs of the patient across the continuum of care.
• Interacts professionally with physicians to coordinate care for patient across the continuum, not just the acute phase of care.
• Ensures readiness of area for anticipated or unexpected emergency situations as evidenced by appropriate use of Rapid Response procedures, fulfilling assigned roles of code team, and appropriate follow though of safety policies.
• Participates in the development of the trauma program for the hospital evidenced by consistency in the following of the program guidelines defined by MDH Level III trauma designation.
• Actively participates in a committee or project improvement team that enhances the patient experience, improves efficiency of workflow, increases employee satisfaction, or positively impacts the mission of the organization.
• Unit Charge Nurse - Completes Nurse-Patient Rounds as assigned: focusing on priority questions, immediate follow up with peers on variances identified, providing praise to peers when recognized by patient, and providing completed documentation to department leader in a timely fashion.
• Unit Charge Nurse - Considers factors related to safety, effectiveness, and cost in the planning and delivery of patient care when making assignments, for a specific unit during an assigned shift.
• Unit Charge Nurse - meets all of the essential functions of a staff nurse.
• Completes Nurse-Patient Rounds as assigned: focusing on priority questions, immediate follow up with peers on variances identified, providing praise to peers when recognized by patient, and providing completed documentation to department leader in a timely fashion.
• Considers factors related to safety, effectiveness, and cost in the planning and delivery of patient care when making assignments, for a specific unit during an assigned shift.
• Plans for meal breaks at the beginning of each shift, keeps shift report focused on pertinent patient information and on time, and assures team stays organized to hand off on or before the end of the assigned shift. – Any variances are to be detailed in writing with measures attempted to get meal breaks completed.
• Investigates incidents, patient complaints, and care issues and reports to department leader with suggestions for change/improvement.
• Reports all AHE and high risk situations to VP Patient Care Services immediately.
• Demonstrates competency and knowledge of specific Perioperative protocols according to regulations set by professional and /or specialty organizations: A.O.RN, including but not limited to the following: (a) Assessment: the POSN is required to collect, interpret, record and communicate pertinent data that is relevant to the patient’s care in surgery; (b) Follows standard procedures for anesthesia interventions, along with preferences of surgeons and anesthesiologists, when preparing for intra-operative care; (c) Assembles the necessary instruments, supplies and equipment for the surgical intervention. Checks for proper functioning of equipment; (d) Applies and monitors the principles of aseptic technique throughout the intra-operative period; (e) Acts as a scrub/circulating nurse during the intra-operative phase; (f) Coordinates in the implementation of anesthesia management during the perioperative period; (g) Monitoring electrodes, blood pressure cuff, IV’s; (h) Stands by during intubation and administration of regional blocks; (i) Administration of blood and blood products; (j) Extubation; (k) Safe transfer/transport of patient; (l) Recognizes symptoms of cardiac arrest, respiratory distress, and/or other impending crises and initiates the necessary emergency action; (m) Proficient with Save Site and Time Out procedures; (n) Knowledge and understanding of WHO recommendations related to surgical services; (o) Schedules patients requiring services in the surgical services department; (p) Performs pre-admission screenings; and (q) Performs post-procedure follow up.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

• Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.

• Up to 5% employer matching contribution for retirement

• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [email protected].