Registered Nurse (RN) | Labor & Delivery

Location: Avera Marshall Hospital Worker Type: Temporary Work Shift: Night Shift (United States of America) Position Highlights Temporary position to begin immediately for approximately 9 months. 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. Position requires Labor & Delivery RN experience. Work Schedule Night shift 7 p.m.-7:30 a.m.; 72 hours/pay period (2 weeks) Every third weekend One summer and one winter holiday rotation Pay The hourly range for this position is listed below. Actual hourly rate dependent upon experience.  $38.29-$61.16 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 interac