RN - Labor and Delivery (L&D)

RN - Labor and Delivery (L&D)

Shift: Nights (Nights) 3 x 12Hrs

Summary of Primary Function:

The Obstetrics (OB) Registered Nurse (RN) addresses the care provided to healthcare consumers in the context of women-, newborn-, and family-centered care and includes those who do not self-identify as women or exclusively as women, as well as all people parenting newborns. The competent and proficient OB RN provides, coordinates, plans and evaluates nursing care and supervises licensed and unlicensed associate's in nursing care delivery within established nursing procedures, professional standards and organizational mission/policies/philosophies. This RN demonstrates the ability to care for patients in the outpatient and/or acute obstetrical setting as part of an interprofessional team focused on achieving the best individual maternal/neonatal/gynecology/women's health and population outcomes.

Essential Job Functions:

• In collaboration with the interdisciplinary care team (Care Management in coordinating care [e.g. Children's Protective Services], transfer centers, and pharmacies), conducts initial and ongoing patient assessment, analyzes assessment data, creates a place of care, educates patient and/or family, implements nursing care/interventions, evaluates the effectiveness of the nursing care/intervention, and advocates for the patient/family.
• Provides episodic (outpatient) and inpatient (at designated units) Obstetrical/Women's Health Nursing care were applicable.
• Administers medications in a safe manner consistent with the State of Practice and Bon Secours Mercy Health; coordinates care within hospital departments.
• Acts as a patient safety advocate by participating in ongoing quality improvement in the department.
• Applies knowledge of contemporary obstetrical/women's health nursing practice and future innovations.
• Applies the nursing process in the care of women during pregnancy, birth, postpartum, gynecological and other women's health issues and the neonate from birth until discharge with differing gestational ages, diagnoses, and complications.
• Provides care to women of all ages requiring triage, prioritization, assessment, education, stabilization, resuscitation and emergency management.
• Models core cultural and safety behaviors to eliminate preventable harm, ensure worker safety and safe high quality experience of care.

BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements or working conditions associated with the job. Employees may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification:

• Current RN license in the state in which they are working or covered by compact (required)
• BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care; ACLS Advanced Cardiac Life Support acceptable in lieu of BLS)
• NRP Neonatal Resuscitation Program (preferred at hire, must obtain within 3 months of hire)
• Electronic Fetal Monitoring Certification-National Certification Corporation (preferred if interpreting fetal monitoring)
• Inpatient OB Certification-National Certification Corporation (preferred)
• Maternal Newborn Nursing Certification- National Certification Corporation (preferred)
• Neonatal Intensive Care Certification - National Certification Corporation (required for critical care transport NICU teams within 2 years of hire)
• Low Risk Neonatal Nursing Certification - National Certification Corporation (preferred)
• Care of the Extremely Low Birth Weight Neonate Certification - National Certification Corporation (preferred)

Education:

Bachelor of Science in Nursing (preferred)

Work Experience:

1 year of RN experience (required) Recent OB, ED or critical care experience (preferred)

Training:

Epic Electronic Health Record (EHR) (preferred)

Skills:

Assigns patient care according to the nursing skill, knowledge and scope of practice of staff. Orients, facilitates learning experience and provides education (based upon quality improvement indicators to nursing staff and others. Possesses clinical knowledge, skills and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure and the BSMH mission. Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficiently develops, implements and prioritizes plan of care. Application of the nursing process in the patient care delivery. Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient's illness. Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/written communication skills. Applies cultural diversity and inclusion principles when caring for patients and their support resources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advances personal and professional growth through participation in educational programs, current literature, in-services and workshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effective measures into practice and models effective stewardship of available resources. Practices self-care and cultivates resilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding and utilization of office and clinical technologies. Ability to communicate with patients in a manner they can understand considering their personal preferences. Compassionate, relationship-based approach to help find meaning, illness, suffering, pain and existence. Remains calm, adaptive and collective during an emergency. Electronic fetal monitoring Conducting vaginal exams. Caring for mother/fetal dyad. Resuscitation and stabilization of mother/fetal dyad. Breastfeeding support and education Teaching self/neonate/infant care, discharge teaching, planning and follow up. Age-and department specific emergency and lifesaving equipment Ability to recognize, understand and communicate family dynamics and parent/child relationship. Advanced care management skills in caring for the unstable, acute or chronically ill neonate. Working Conditions:

Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardous substances or body fluids.*May be exposed to human blood and other potentially infectious materials*May have periods of constant interruptions*Individuals in this position are required to exercise universal precautions use personal protective equipment and devices and learn the policies concerning infection control Physical Requirements Lifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.): 34-66% Push/Pull (0-50 lbs.):34-66% Push/Pull (50-100 lbs.): 34-66% Stoop/Kneel: 1-33% Crawling: 1-33% Climbing: 1-33% Balance: 1-33% Bending: 1-33% Sitting: 34-66% Walking: 34-66% Standing: 34-66% Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity-far Acuity-near Depth perception Use of Latex Products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to xray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in the departmental policies and procedures. Neonates(0-4 weeks ) Infant(1-12 months) Pediatrics(1-12 years) Adolescents(13-17 years) Adults(18-64 years ) Geriatrics(65 years and older ) Additional Notes and Requirements:

Position Details Position will not accept local candidates EKG exam will be required Traveler must float between L&D and Mother Baby 12 HR Nights, EOW, EOH Navy Blue Scrubs Unit Specific Details 8 labor beds, 6 triage beds, 20 postpartum beds, 6 special care nursey beds Circulating and recovering C-sections *Bonus if can scrub but not required* EPIC, Obix for tracings, GE monitors for fetal monitoring 1:1 for pitocin inductions or unmedicated labor. 1:2 cervical ripening. 1:3 antepartum. 90-100 deliveries/month. Midwives are in house 7a-7p with OB on call. OB laborists in house 7p-7a. 2