Casual OB RN

Obstetrics (OB) Registered Nurse

Osceola Medical Center is committed to implementing core behavior standards as a foundation for how we hire, develop, and retain our team members. By intentionally selecting candidates whose values and behaviors align with these standards, we ensure that our mission is lived out every day, creating an environment where patients feel valued, respected, and confident that OMC is the place for all their healthcare needs.

An Obstetrics (OB) Registered Nurse in a critical access hospital (CAH) provides comprehensive, high stakes care to patients throughout the prenatal, labor, delivery, and postpartum stages, often operating in a "jack-of-all-trades" capacity. The OB RN must possess advanced skills to manage low-risk, high-risk, and emergency scenarios in a single setting, including cross-training to float to other departments like Medical-Surgical or the Emergency Department.

Qualifications:

• Graduate of an accredited Registered Nursing program
• Licensed in the state of Wisconsin and in good standing
• Active BLS
• Active ACLS
• Active NRP certification
• STABLE certification or required to obtain within 6 months of hire.

Responsibilities include:

• Follows the Standards of Nursing Care as well as the Nursing Process of assessment, planning, implementation, and evaluation while delivering high quality patient care.
• Manage the full birthing process from admission to discharge, including triage of patients with pregnancy complications.
• Monitor fetal heart rates, track contractions, and assist physicians or midwives during vaginal deliveries and C-sections.
• Provide care for both mother and newborn, including lactation support, newborn assessments, and education on infant care.
• Act as a first responder to acute OB emergencies such as shoulder dystocia, fetal heart rate decelerations, and postpartum hemorrhage.
• Communicates an accurate, concise end of shift patient report in a timely manner
• Interacts with physicians regarding patient status on an on-going basis though SBAR format
• Work in other units, including emergency department nursing, medical-surgical care, or swing bed, and
• Must be proficient in using Epic for documentation.

Knowledge, Skills, and Abilities:

• Monitors patient throughout (before/during/after) the labor
• Performs basic IV skills
• Knowledge of hemodynamics
• Administers pain medication as ordered
• Takes and records patient's vital signs, ascertains if problematic
• Reads fetal monitor & ascertains if problematic
• Identifies & manages life-sustaining physiological functions in unstable patients
• Cares for patients Pitocin, MgSO4 & continuous epidural
• Ensures patient is in proper position for delivery & all monitoring equipment is functioning properly
• Aids doctor during delivery and as needed
• Immediate care of newborns (clean, weight, etc)

Mother-Baby care responsibilities (but are not limited to):

• Consults and coordinates with health care team members to assess, plan, implement and evaluate patients' (both mother and infant) care plans
• Maintains a comfortable, safe and clean environment for mother and infant Assists mother with her hygienic needs
• Checks mother for any post-partum bleeding
• Examines mother's fundus
• Inspects c-section incision (if applicable)
• Assesses mother's pain, if any
• Performs emotional status checks on mother, recognizing symptoms such as those related to postpartum depression
• Monitors bonding between mother and infant
• Provides mother with breast-feeding tips, Educates mother on sore nipple management
• Teaching mother bathing tips for infants
• Keeps track of all feeds and diapers
• Involves and educates family/significant others in implementing best practices for mother and infant care
• Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
• Performs other position-related duties as assigned, depending on assignment setting

Float among various clinical services:

• Med/Surg
• Swing Bed
• ED

Physical Requirements for the Role:

• Mobility & Stamina: Walking, standing, bending, stooping, kneeling, and reaching (above shoulders and below waist) throughout the shift.
• Strength & Lifting: Ability to lift, pull, push, and support at least 2550 pounds, such as moving equipment, repositioning patients, or assisting with ambulation.
• Fine Motor Skills: Precise hand-eye coordination for tasks like handling syringes, inserting catheters, manipulating small equipment, and typing.
• Endurance: Ability to sustain repetitive movements (e.g., CPR) and maintain physical stamina for long shifts, often running between 8 and 12 hours.
• Sensory Abilities: Visual acuity (including color vision) and hearing to assess patients, monitor equipment, and hear alarms.

Work Environment:

The OB unit is a fast-paced, high-acuity environment with high emotional intensity where you will care for patients with diverse, complex, and rapidly changing conditions. The workload can be heavy, so we focus on creating a multi-disciplinary, team-oriented environment to ensure patient centered care. There is the potential for exposure to infectious patients, harmful physical agents, and hazardous or toxic substances.

Behavior-Based Leadership Expectations:

• Treat every patient, visitor, and team member with dignity and respect
• Take ownership of their actions and follow through on commitments
• Adapt positively to change and support new initiatives
• Contribute to a culture of trust, collaboration, and accountability
• Consistently act in ways that support OMC's mission and values

Why Join OMC?

At OMC, we don't just hire for skillswe hire for behaviors that align with our mission. We invest in team members who are committed to making a meaningful difference in the lives of our patients and in the communities we serve.

Osceola Medical Center is an equal opportunity employer and is committed to creating an inclusive environment for all employees.