Registered Nurse (RN) | Medical Surgical Unit

Avera•Marshall, MN

1d•Onsite

About The Position

The Registered Nurse in the Med Surg Unit is accountable for the safe, individualized, efficient, and effective management and delivery of nursing care for hospitalized inpatients and hospital-based outpatients. This role involves demonstrating critical thinking, identifying and responding to changes in clinical condition, and including patients and their families in the plan of care. The nurse will also participate in learning experiences, engage in organizational initiatives, and ensure safe medication administration. Additionally, the RN participates in quality improvement practices, interacts professionally with providers, ensures readiness for emergencies, and participates in the development of the trauma program. They may also participate in a committee or project improvement team and be familiar with EHR systems. A Unit Charge Nurse, a specific role within this position, is designated to have responsibility for care and coordination on a particular unit during a shift, meeting all essential functions of a staff nurse and potentially having patient assignments. The Charge Nurse role includes leading daily line-ups, supporting service excellence, considering safety and cost in care delivery, utilizing staffing matrices, planning breaks, managing shift reports, investigating incidents, and reporting high-risk situations.

Requirements

The individual must be able to work the hours specified.
Visual acuity adequate to perform position duties.
Ability to communicate effectively with others.
Ability to hear, understand and distinguish speech and other sounds.
Crisis Prevention Intervention Certification - Crisis Prevention Institute within 180 Days
Registered Nurse (RN) - Board of Nursing
An active license in the state of practice Upon Hire
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.

Nice To Haves

May be eligible for a sign on bonus up to $10,000
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.

Responsibilities

Assumes other job duties as per RN licensure, training and scope of practice when floating to other areas of the medical center r/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.
Engages in organizational initiatives and department operations by attending 50% department meetings, at least 1 Employee Forum annually, at least 1 Mission for Staff session annually, at least 1 volunteer experience annually, and other assigned in-services and meetings according to direction of nursing supervisor.
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 providers 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.
Is familiar with EHR and attends trainings as assigned as well as being an IT resource for physicians in those EHR modules assigned by department leader.
Participates in interdisciplinary rounds with treatment team.
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.
A Unit Charge Nurse Meets all of the essential functions of a staff nurse and may have patient assignment.
A Unit Charge Nurse Begins each shift with Daily Line-Up with enthusiasm-stand up, engaging group in questions for discussion, and concludes with prayer.
A Unit Charge Nurse 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.
A 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.
A Unit Charge Nurse Utilizes critical thinking and department staffing matrix to staff unit accordingly.
A Unit Charge Nurse 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.
A Unit Charge Nurse Investigates incidents, patient complaints, and care issues and reports to nursing supervisor with suggestions for change/improvement.
A Unit Charge Nurse Reports all AHE and high risk situations to department leader, Assistant CNO, and/or CNO immediately.
A Unit Charge Nurse 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.