RN - Labor and Delivery - PRN

Job: RN-L&D
Classification: Hourly/Non-Exempt
Job Category: 2 Professionals


Position Summary
The Labor and Delivery RN knows and conforms to the Texas Nursing Practice Act and the Board's rules and regulations as well as all federal, state, and local laws, rules or regulations. The RN provides, without discrimination, nursing services regardless of age disability, economic status, gender, national origin, and race, religion, or health problems of the patient. The RN is responsible and accountable for providing, delegating, and coordinating patient care, ensures that patient care needs, standards of safety, standards of care and patient rights are met, and coordinates plan of care and collaborates with team members to achieve goals of the unit for patient education and discharge planning.


Essential Functions
-Provides age-appropriate care.
-Demonstrates knowledge and skill in the assessment and care of antepartum, intrapartum, newly delivered, and postpartum women.
-Accurately evaluates labor progress.
-Accurately assesses and documents fetal heart rate tracings and contraction patterns.
-Accurately assesses quantitative blood loss during and after delivery.
-Administers appropriate medications and treatments to patients.
-Assesses and documents vital signs according to unit guidelines.
-Updates Care Plan according to patient status and unit guidelines.
-Educates the patient and her family on all aspects of her care.
-Assesses and intervenes appropriately based on patient's coping abilities.
-Provides clear information to providers regarding status of the patient.
-Participates in unit Process Improvement projects.
-Actively participates in chart audits.
-Provides bedside hand-off whenever transfer of care occurs.
-Adheres to and follows all patient experience initiatives.
-Reports to and departs from work on time and as scheduled.
-Performs other duties as assigned.
-Must be able to deal with stress while maintaining composure.
- Participates in unit specific quarterly education.
- Provides appropriate care/care planning to unit guidelines, designation and national mandates.
-Provides mother-baby care as appropriate for census and staffing.
- Acts a surgical circulator in cesarean section, tubal ligations and emergency procedures.
-Demonstrates knowledge and competence in pre-operative and post anesthesia care.
- Demonstrates knowledge and competence in obstetric triage.
-Must be able to deal with stress while maintaining composure.
- Demonstrates knowledge and competence in care and transfers of high-risk obstetrical patients.
- Willingness to take unit call as needed assigned by Director.
-Advocate of family-centered care.
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).


Work Experience
-L&D, Antepartum, or Postpartum experience preferred.


Education
-Registered Nurse currently licensed to practice in the State of Texas required.
-BLS (Basic Life Support) upon hire date.
-ACLS (Advanced Cardiovascular Life Support) within 90 days of hire
-NRP (Neonatal Resuscitation Program) 90 days of hire date.
- AWHONN Fetal Monitoring preferred.


Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. % Time Lbs. % Time
1-10 34-66 1-10 34-66
11-20 0-33 11-20 0-33
21-50 0-33 21-50 0-33
51-75 0-33 51-75 0-33
76-100 0-33 76-100 0-33


Movement % Time
Bend/Stoop/Twist 0-33
Crouch/Squat 0-33
Kneel/Crawl 0-33
Reach Above Shoulder 0-33
Reach Below Shoulder 0-33
Repetitive Arm None
Repetitive Hand 0-33
Grasping 0-33
Squeezing 0-33
Climb Stairs None
Walking Uneven 0-33
Walking Even 34-66


Environment % Time
Indoors 67-100
Outdoors 0-33
Extreme Heat None
Dusty None
Excessive Noise 0-33


Equipment % Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 0-33


Work Near % Time
Machinery None
Electricity None
Sharps 0-33
Chemicals 0-33
Fumes 0-33
Heights None


Vision
Depth Perception Required
< 20" Required
Color Not Required
Peripheral Required


Endurance Hours at Once Total in 12HR
Sit 1 3
Stand 4 4.5
Walk 4 4.5