**Location:** Avera Marshall Hospital **Worker Type:** Regular **Work Shift:** Night Shift (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** + Night shift + 7:00pm-7:30am; 72 hours/2 week (0.9 FTE) + Position is Part-Time/Benefit Eligible + Every third weekend + Holiday rotation **Pay** The hourly range for this position is listed below. Actual hourly rate dependent upon experience. + $35.06- $55.45 per hour **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 Labor and Delivery is accountable for the safe, individualized, efficient, and effective management and delivery of nursing care for women before, during and after delivery of the baby. **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. + akes 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. + Engages in organizational initiatives and department operations by attending 80% department meetings, 75% Employee Forums, and other assigned in-services and meetings according to direction of department leader. + 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. + Performs all other duties as assigned. + Unit Charge - A Unit Charge Nurse is a registered nurse designated by Avera Marshall to have responsibility for care and coordination of care on a particular unit during a particular shift. + Meets all of the essential functions of a staff nurse and may have patient assignment. + Begins each shift with Daily Line-Up with enthusiasm-stand up, engaging group in questions for discussion, and concludes with prayer. + 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 nursing supervisor/department leader in a timely fashion. + Supports service excellence strategies by ensuring completion of hourly rounding, consistent use of AIDET, and other skills and expectations as defined by the department leader; evidenced by consistent and thorough documentation, and managing up organizational goals and initiatives to peers, patients, visitors, physicians, and community members. + 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. + Utilizes the Shift Management Tool for documentation of staffing needs and/or variances routinely, and/or utilizes department staffing matrix to staff unit accordingly. + Plans for meal breaks at the beginning of each shift, keeps shift report focused on pertinent patient information and on time, ensures OT is minimized, 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 avoid overtime. + Investigates incidents, patient complaints, and care issues and reports to nursing supervisor with suggestions for change/improvement. + Reports all AHE and high risk situations to department leader, Assistant CNO, and CNO immediately. + Ensure quality care is delivered on all shifts as assigned to Unit Charge role through regular interactions with Unit Charge RNs in each area, and as needed based on activity and needs of department for a given shift. + Performs all other duties as assigned. **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:** + Associate's Graduate from an accredited school or program or + Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire + Neonatal Resuscitation Program - American Academy of Pediatrics (AAP) within 60 Days + Perinatal Practicum - Avera McKennan within 180 Days + S.T.A.B.L.E. Certification - The S.T.A.B.L.E. Program within 180 Days + Crisis Prevention Intervention Certification - Crisis Prevention Institute within 180 Days + Intermediate Fetal Monitoring Course - Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) within 1 Year **Preferred Education, License/Certification, or Work Experience:** + Bachelor's Graduate from an accredited school or program **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 front-loaded for eligible hires + Free health insurance options, for full-time single coverage on Avera High Deductible Health Plan + Up to 5% employer matching contribution for retirement + Career development guided by hands-on training and mentorship _Avera is an Equal_ _Opportunity/Affirmative_ _Action Employer_ _Minority/Female/Disabled/Veteran/Sexual_ _Orientation/Gender Identity. 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_ _talent@avera.org_ _._ At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.