Published on December 16, 2025

Maria Rivera, Avera Quality Congress Caring Spirit Award recipient.

From Child Care to Phlebotomy: Avera Employee Thrives in Patient-Centered Job

Some people are better at going with the twists and turns of life. Maria Rivera is one of those people.

“God puts me in the places I need to be,” she said of the many life changes she’s been through. Now, she has a job she loves at Avera after a recent career change and is the mom to four kids she’s proud to watch make their own ways in life.

It’s not just anyone who would interview for a job as a phlebotomist with no job experience after working in child care for more than two decades. But she saw the opportunity and said she liked what Avera stood for.

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“I thought, what are my chances?” Rivera recalled after getting called back for an interview. “I don’t have any experience.”

But Rivera wanted to work with people in a place where she could make a difference. She decided to take the leap.

“When I read Avera’s mission statement, this is where I want to be. What better place to be the hands and feet of Jesus.”

Hands-On Training to Award-Winning Employee

Rivera got hired and began her on-the-job training program before working with patients. As a phlebotomist in the hospital, she visits patients in rooms to take blood for lab testing. It can be stressful to find a working vein when patients are already not feeling well, may be dehydrated or have had a lot of blood taken already.

What Rivera appreciated was that her supervisor continued having a trainer shadow her until she felt comfortable.

From the very beginning, Rivera put patients first, taking time to talk with them even though she doesn’t consider herself an outgoing person. She remembers shortly after starting work having a patient for whom coworkers were having trouble finding a vein.

“I prayed to God to help me find a vein,” Rivera said. “I held her hand, and she was crying, and saying,’ I don’t have any good veins.’ I said, ‘Give me a chance to try once.’ I got her labs on the first try. That was the first time I felt like I was in the right place.”

Maria Rivera's Acceptance Speech

Four and half years later and Rivera now helps to train others. And her ability to connect with patients has been recognized, most notably as the recipient of an Avera Quality Congress Caring Spirit Award in 2025. The awards honor people who are improving the quality of care throughout Avera.

Putting Patients First

Rivera said she is careful to follow protocols, but she also tries to put herself in the patient’s shoes. How would she feel if she was in a hospital, along and not feeling well?

“A little conversation helps people feel like they’re not just another patient to poke,” Rivera said. “I see first-hand the pain and the sorrow. I always put myself in their shoes.”

She is sometimes one of the first people a patient will see when they’re admitted to the hospital. Her experience with kids comes in handy at times when people are in stressful situations. She always tries to find something nice to recognize about the person to put them at ease. Maybe it’s their haircut, smile or a picture or card they have sitting out.

“When you make everyone feel welcome, kids respond to that — same with patients.”

Finding Ways to Help At Work and in Life

Rivera, who has lived in Sioux Falls for 25 years, has four kids who she is proud to say are all thriving on their own. Her youngest is attending college at Vanderbilt University, her other kids have careers in health care, IT and accounting.

She is originally from Mexico and first moved to Texas with her family. When she moved to Sioux Falls with her three kids, her sister helped her get established. She had never lived on her own – without parents or a husband.

Over the years, she developed a deep faith in God and has always put others first, whether it was her kids or her patients.

Working as a translator, she once met a family that was new to the country and in need of housing. She couldn’t stop thinking of them all day. When she left work, they were outside and Rivera saw it as a sign. She took them home to help them until they got their footing. They stayed with her for six months and still live in the community today.

“I realized I don’t have to find people to help; God will bring them to me,” Rivera said. “Whoever needs a prayer, whoever needs a hug.”

Heading into Retirement Happy and Fulfilled

In Avera, she found the mission encompasses who she is as a person and her desire to help people. “I think Avera is a place where we all feel welcome,” she said.

Five years from now she hopes to be retired. Until then, she will keep working to improve at her job and add a little light to patients’ days. In retirement, she plans to continue living out the gospel, wherever it might take her.

“I have more than I ever dreamed,” she said. “I just want the glory to go to Jesus Christ.”