Registered Nurse (RN) | Medical Surgical Unit

Avera • Marshall, MN

1d • Onsite

About The Position

The Registered Nurse in the Medical Surgical Unit is accountable for the safe, individualized, efficient, and effective management and delivery of nursing care to hospitalized inpatients and hospital-based outpatients. The role involves applying nursing standards and best practices, assessing and responding to patient needs, coordinating care with the interdisciplinary team, and supporting patient and family education from admission through discharge. Nurses may float to other medical center areas under established guidelines and perform duties within their RN licensure, training, and scope of practice.

The position is based at Avera Marshall Hospital and works night shifts from 7 p.m. to 7:30 a.m., totaling 48 hours per two-week pay period. The schedule includes every third weekend and one summer and one winter holiday rotation. A Unit Charge Nurse may also be designated to coordinate unit care during a shift, while meeting staff nurse essential functions and carrying a patient assignment as applicable.

The role requires an active RN license in the state of practice and Crisis Prevention Intervention Certification within 180 days. The successful candidate supports Avera’s mission and values, maintains confidentiality, works effectively with others, and complies with applicable safety requirements. The hourly pay range is $39.43–$62.99, with the actual rate dependent on experience.

Requirements

• Active Registered Nurse license in the state of practice, required upon hire.
• Crisis Prevention Intervention Certification from the Crisis Prevention Institute within 180 days.
• Ability to work the specified hours.
• Ability to perform essential job functions satisfactorily, including adequate visual acuity and effective communication, hearing, understanding, and distinguishing speech and other sounds.
• Commitment to Avera’s mission, vision, core values, social principles, and CARE standards.
• Ability to work effectively in a team environment and coordinate workflow with other team members.
• Ability to maintain confidentiality and comply with applicable safety principles, laws, regulations, and standards.

Responsibilities

• Provide safe, individualized, efficient, and effective nursing care to hospitalized inpatients and hospital-based outpatients.
• Float to other areas of the medical center as needed, following established guidelines and working within RN licensure, training, and scope of practice.
• Use critical thinking to synthesize best-practice protocols, standards, and patient data when determining a course of action.
• Recognize changes in a patient’s clinical condition and promptly communicate them to appropriate care team members using SBAR.
• Involve patients and significant others in care planning and education from admission through discharge, with complete and accurate documentation and appropriate interventions.
• Participate in the learning experiences of orientees, coworkers, and students as assigned.
• Maintain professional development by staying current with practice standards, seeking specialty learning opportunities, and sharing new learning with peers.
• Attend required department meetings, Employee Forum and Mission for Staff sessions, volunteer experiences, in-services, and other meetings as directed.
• Follow safe medication administration principles, including the five rights and Avera MedSafe barcode medication administration.
• Support quality improvement by following Core Measures and appropriate care interventions, documenting accurately, and contributing to quality outcomes across the continuum of care.
• Coordinate patient care with providers across the continuum, not only during the acute phase.
• Prepare for emergencies, use Rapid Response procedures appropriately, fulfill assigned code team roles, and follow safety policies.
• Follow guidelines for the hospital’s MDH Level III trauma designation and participate in trauma program development.
• Participate in a committee or improvement project that supports patient experience, workflow efficiency, employee satisfaction, or the organization’s mission.
• Maintain familiarity with the EHR, attend assigned training, and serve as an IT resource to physicians for EHR modules assigned by the department leader.
• Participate in interdisciplinary rounds with the treatment team.
• As a Unit Charge Nurse, lead the shift’s Daily Line-Up, support service excellence practices such as hourly rounding and AIDET, and communicate organizational goals and initiatives.
• As a Unit Charge Nurse, consider safety, effectiveness, and cost when making unit assignments and use critical thinking and the staffing matrix to staff the unit appropriately.
• As a Unit Charge Nurse, plan meal breaks, keep shift reports focused and timely, minimize overtime, and organize handoffs by the end of the assigned shift; document variances and attempts to avoid overtime.
• As a Unit Charge Nurse, investigate incidents, patient complaints, and care issues and report them to the nursing supervisor with suggestions for improvement.
• As a Unit Charge Nurse, immediately report AHE and high-risk situations to the department leader, Assistant CNO, and/or CNO.
• As a Unit Charge Nurse, help ensure quality care across assigned shifts through regular interaction with Unit Charge RNs and attention to departmental activity and needs.
• Apply Avera’s mission, vision, core values, and social principles in service to patients, families, and the community; promote compassion, hospitality, and stewardship.
• Uphold CARE standards, maintain confidentiality, coordinate workflow with team members, and comply with applicable safety laws, regulations, and standards.

Benefits

• Options for free health insurance.
• Eligible position may qualify for Avera’s Student Loan Repayment Program, with an extra monthly payment of $167 toward principal, up to $10,000.
• PTO available on day one for eligible hires.
• Up to 5% employer matching contribution for retirement.
• Career development through hands-on training and mentorship.
• Benefits offered to qualifying part-time and full-time employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed