RN - OB GYN

Obstetrics Rn, Labor And Delivery Nurse

Assess (and reassess), plans, implements, and evaluates nursing interventions, plans of care, and patient goals. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures. Respects each patient as an individual and provides care that fosters the patient's sense of dignity and positive self-regard. Provides patient and family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient and family for discharge, incorporating support systems and resources as necessary. Appropriately delegates and supervises nursing interventions performed by others. Appropriately prioritizes patient care, seeking assistance as needed from appropriate resources and reassigning personnel as necessary. Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions, and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, functioning as a preceptor, instructor, and trainer, and attending professional development programs. Proactively identifies risk to patient safety and identifies opportunities to reduce medical and health care errors, including appropriate reporting of errors and incidents. Identifies ethical issues in care and develops a plan to address them. Safely administers medications and intravenous therapy in accordance with physician's orders, protocols, policies, and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis, utilizing the numerical pain scale. Reassesses the effectiveness of pain control and notifies physicians as needed, documenting assessment and patient's response to medication. Provides appropriate care to postpartum and gynecological patients. Safely cares for surgical and postpartum patients, recognizes complications, and initiates appropriate nursing interventions in collaboration with physicians. Provides information and education to patients and families based on individual needs to ensure effective care during hospitalization and following discharge. Ensures new mothers and families understand newborn care and resources available after discharge. Demonstrates knowledge of medications and the correct administration based on age of patient and clinical condition. Demonstrates proper technique for assessing fundal height and fundal massage. Demonstrates ability to assess lochia, perineum, breast, bowel, bladder, and emotional status. Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the attending physician. Provides assessment and planning for individualized patient care in collaboration with physicians and other disciplines. Assesses the normal stages of labor, delivery, and recovery, identifies any deviation from the normal pattern and progress, and takes appropriate action. Utilizes fetal monitoring equipment, both external and internal, and correctly interprets fetal heart rate patterns, initiating appropriate nursing interventions as needed. Assists in stabilizing high-risk patients and accompanies them during transfer to a higher level of care as appropriate. Communicates with physicians about changes in patients' clinical conditions. Safely administers and demonstrates knowledge of medications used in labor and delivery. Implements appropriate procedures for labor checks, inductions, augmentations, non-stress tests, external cephalic versions, and epidurals. Articulates care for patients with fetal demise based on perinatal loss protocol and provides care when applicable. Performs a systematic and thorough newborn assessment based on knowledge of expected adaptation to extrauterine life to recognize deviations. Communicates appropriately and clearly with physicians concerning any changes in newborn condition and abnormal diagnostic test results. Performs neonatal resuscitation, assisting the physician as necessary. Identifies newborn problems, initiates appropriate nursing interventions, and assists in the stabilization of a critical newborn. Provides care and support to mothers in their chosen method of infant feeding to enhance learning. Demonstrates appropriate feeding techniques to new mothers using literature and teaching videos as needed. Provides teaching to new mothers on newborn care based on individual patient and family needs to ensure they can care for their newborn upon discharge. Utilizes informative discussions, videos, handouts, one-on-one consultations, and teaching classes