Registered Nurse - OBGYN/Reproductive Health

Job Title

Under general supervision, guided by the policies and procedures of the Center for Reproductive Health and Ambulatory Services, and in collaboration with the physician staff, the Registered Nurse performs established nursing procedures using clinical knowledge to care for patients. The RN collaborates with the physician in providing excellent clinical care to the reproductive health patients. S/he consistently projects a professional and courteous demeanor. The RN demonstrates competence in the management of patient flow and daily peri-operative operations. The RN shall comply with the medical center house and telephone standards. S/he provides expert nursing care to the patients receiving assisted and non-assisted reproductive techniques. These duties include patient instruction and discharge teaching; charting and documenting in appropriate records; administering and monitoring medications; assisting with procedures; communicating all patient scheduling needs with practice staff; and coordinating patient care between the various practice teams. S/he will assess patient needs and in collaboration with the physicians' plan interventions; evaluate patient response to treatments; admit, recover and discharge patients. The RN will work collaboratively with the HA staff, anesthesiologists, MDs, RNs and embryology team: and participate in the EMR/APEX process.

The Registered Nurse will assess health needs and perform functions specific to unassisted and assisted reproductive techniques as well as andrology, gynecological treatment patients, and male Urology patients. S/he will assess patient needs, then plan, evaluate and participate in care for patients/couples. S/he will utilize specialized knowledge and skills for evaluation and teaching within this patient population and may act as a resource person within the organization and/or community. S/he will consistently project a professional and courteous demeanor. The Registered Nurse shall comply with the Medical Center house and telephone standards. Registered Nurse will: set-up for and assist physician with Oocyte Retrieval, Ultrasound Guided Embryo Transfer, Hysteroscopy, Manual Uterine Aspiration and Cyst Aspiration; set up and assist with male Urology procedures as needed including providing IV conscious sedation; check in patient, obtain vital signs, obtain IV access and complete preoperative nursing assessment. In addition, other duties include medication scheduling, prescription management; coordination of patient's treatment cycle, education, and support throughout the continuum of care; and will provide accurate and safe postoperative care.

Responsibilities

• DUTIES & ESSENTIAL JOB FUNCTIONS
• CLINICAL KNOWLEDGE/SKILLS MANAGEMENT
• Clinical Knowledge
• Integrates evidence-based nursing theory, research and practical knowledge in patient care delivery.
• Maintains knowledge base consistent with new technology, procedures, and interventions specific to patient groups and their families.
• Assesses, plans, implements, and evaluates appropriate interventions for a patient's current, changing or potential clinical status.
• Clinical Skill
• Performs priority technical procedures required by the area/department assignment and does so safely, legally, effectively, and efficiently.
• Utilizes computer technology for and maintains confidentiality of data collection, documentation, communication, and research.
• Clinical Organization
• Utilizes the nursing process in providing care for a group of patients in accordance with all Department Policies and Procedures.
• Establishes and/or revises priorities for job/patient care activities based on acuity, resource availability, patient/family preference, and scheduled procedures.
• Seeks consultation, supervision, and/or assistance when unable to perform procedures effectively, safely, or independently.
• Patient Care Management
• Directs others in the delivery of patient care, as appropriate and holds staff accountable for completion of delegated tasks.
• Participates collaboratively as a team member to achieve desired patient care outcomes.
• Initiates or maintains interventions to assure continuity of safe/effective care for patients: between units, between shifts, within hospitalization period, prior to admission and/or discharge, and among contacts in the health care agencies.
• NURSING PROCESS/DOCUMENTATION Meets the Department of Nursing Documentation Standards by utilizing the nursing process as evidenced by documentation of the following.
• Assessment
• Completes a nursing history that includes patient and family medical history, psychosocial, cultural factors, nutritional and special needs of the patient's physical status within department timeframes.
• Completes an ongoing pain assessment and management plan, as needed.
• Assesses discharge and teaching needs at the time of admission and throughout each episode of care.
• Planning
• Uses the nursing assessment and other appropriate resources to formulate a multi-disciplinary care plan.
• Revises the multi-disciplinary care plan according to the current condition and changing needs of the patient.
• In response to data indicating potential or actual risk to individual's health, initiates action to correct, reduce or prevent the risk.
• Provides and documents a rationale for actions or decisions based on scientific principles, standards of nursing practice, previous experience, and/or clinical judgement.
• Implementing
• Prepares patients for and instructs them about specific diagnostic and therapeutic procedures and treatments.
• Performs patient care procedures required by scope of clinical assignment and in accordance with the Department and unit policy and procedures.
• Responds and participates in the management of emergency clinical issues.
• Administers medications and blood components safely.
• Performs waived laboratory testing according to departmental policy.
• Provides age-appropriate care and interventions for ages served.
• Evaluating
• Documents patient outcomes and responses to nursing interventions.
• Utilizes theoretical knowledge and clinical skill to develop alternate nursing approaches to patient and family care.
• Teaching
• Identifies patient, family, and/or patient caregiver's learning needs and potential barriers to learning.
• Identifies patient, family, and/or patient caregiver's teaching interventions specific to patient's diagnosis and ability to learn, collaborating with other disciplines as appropriate.
• Involves patient, family, and/or the patient's caregiver in teaching.
• Evaluates the patient, family, and/or patient caregiver's response to teaching.
• COMMUNICATION
• Responds to the emotional needs of patients and families by demonstrating a sensitivity to their socio-cultural dynamics.
• Interacts with patients, families and staff in a supportive, calm, and therapeutic manner.
• Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the telephone standards established by the Medical Center.
• Listens respectfully to the ideas, opinions and feelings of others.
• Demonstrates sensitivity, respect, tact and diplomacy in all interactions.
• Expresses and accepts constructive feedback with a focus on positive outcome.
• Demonstrates knowledge and effective use of conflict resolution techniques.
• Utilizes appropriate chain of command in problem resolution, as identified in the organizational chart and Administrative Manual.
• PROFESSIONALISM
• Professional Development
• Completes annual performance evaluation in accordance with departmental policies and unit practice.
• Identifies and meets own educational needs to enhance area of practice.
• Work Related Policies
• Maintains current California RN license, CPR and specialty certification and presents proof prior to expiration, per policy.
• Meets annual review requirements
• Meets physical examination and PPD or chest exam requirements.
• Meets work schedule commitment.
• Follows departmental guidelines regarding attendance.
• Maintains flexibility in relation to patient assignment, shift assignment and work assignment.
• Adheres to dress code, including appropriate identification.
• Complies with unit-related policies.
• Knowledgeable about and complies with all applicable infection control, health and safety policies and procedures as implemented by the Department and the Medical Center.
• Professional Responsibility
• Participates in Nursing QI and/or Performance Improvement activities.
• Complies with activities mandated by JCAHO/Title 22.
• Maintains knowledge of and adheres to established clinical and administrative policies and procedures.
• Ensures protection of patient rights and confidentiality in all interactions.
• Participates in patient care/ethics conferences, as appropriate.
• Supports Medical Center cost containment efforts.
• Attends and participates in at least 50% of staff meetings.
• Reads meeting minutes and other department communications and integrates information into practice
• Participates in research activities to enhance patient care as appropriate.
• LEADERSHIP
• Uses an Effective Approach with Patient and Unit-related Problems