Job Title: Labor and Delivery Registered Nurse
Job Type: Full-time
Job Location: Omak, WA
The Obstetrical Nurse is responsible for the care of the obstetrical patient through all areas of patient care in the hospital setting, including inpatient and outpatient care. She/he must organize, implement and evaluate the patient’s activities. She/he facilitates the operation of the Obstetrical Department through participation, contribution, and cooperation with peers, supervisors, and the Director of Patient Care Services. Labor and Delivery Nurses are dedicated to OB.
Other responsibilities may be assigned or delegated by the Department Manager or Director of Patient Care Services.
Age Specific Categories:
__x__ Neonates __x__ Pediatrics __x__ Adolescents __x__ Adults __x__ Geriatric
POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA
- Psychosocial needs and perceptions of patient and/or family expectations of present hospitalization are identified and documented.
- Alertness and skill in recognizing and identifying symptoms. Symptoms are recognized and appropriate action taken (e.g. notify delivering physician, offer prn medication, etc.).
- Set priorities and give care based on problem solving needs. Ability to complete work within scheduled time.
- Understands the consequences of nursing action. Activities are carried out safely, correctly, and economically.
- Administer medications.
- Perform blood transfusions.
- Special treatments.
- Provide bedside nursing care.
- Serve meal trays.
- Answer lights and telephones.
- Admit, transfer, and discharge patients.
- Provide and document patient teaching concerning routine hospital procedures and special procedures regarding their condition.
- Be familiar with and having on hand all emergency drugs and supplies.
- Checks crash carts per p&p.
- Maintain a clean and safe environment for all patients.
- Communicates pertinent information to family or significant other when appropriate.
- Mobilizes additional personnel when appropriate.
- Perform the initial assessment of the patient by palpating the abdomen, performing a vaginal examination, and determining fetal position and descent within the first hour of admission.
- Notify the delivering practitioner.
- Possessing knowledge and skill necessary to administer and monitor IV fluids including Pitocin, MgSO4, and medication to stop labor.
- Explain the fetal monitor to patients, operate the monitor efficiently, document appropriately, and identify signs of fetal distress.
- Obtains vaginal cultures per proper protocol.
Assist the delivering physician with:
1. Vaginal examination
2. Rupture of membranes
3. Obtaining vaginal cultures
4. External versions
Prepare for and assist with delivery by:
1. Prepping patient as indicated
2. Circulating for delivery
3. Cleaning instruments and unit
Recover patients following delivery:
1. Checking fundus
2. Monitor vital signs
3. Checking lochia
4. Helping mother bond with and breastfeed newborn
Care for the newborn:
1. Apgar scoring and immediate newborn care and vitals
3. ID band application
4. Applying eye ointment
5. Vitamin K injection
6. Monitoring vitals
7. Bonding with parents
8. Initiate breastfeeding within first hour after birth for stable infants of mothers desiring to breastfeed
9. All care necessary to monitor and care for newborn – including resuscitation.
- Proper disposal of a stillborn.
- Accurate and legible documentation completed each shift.
- The skills checklist completed within the first 6 months of employment.
- Computerized charting.
- Interact with other team members to keep them informed of any changes in patient’s condition.
- Check narcotics with each shift change or as procedure dictates.
- Assist in orientation of new employees.
- Receive and record in the appropriate areas of the medical record – all orders from the medical staff.
- Keep the delivering physician informed of the patient’s condition.
- Takes an active part in the hospital-wide quality assurance program in accordance with hospital policies and procedures.
- Reads and initials memos and administrative directives as posted.
- Maintains a well-stocked and aseptic department by cleaning equipment and replacing supplies and medications.
- Follows the normal chain of command.
- Participate and document continuing education.
- Attended NRP. Takes class every 2 years as recommended.
1. Reports for scheduled shift on time and prepared to assume responsibilities.
- Reports to work in proper uniform or attire.
- Leaves for meal break on time and returns on time.
- Varies work schedule to meet the needs of the department.
- Ensures the department head prior to working has approved all overtime.
- Schedules all time off with supervisor’s approval.
- Strictly adheres to hospital attendance/tardiness policies 100% of the time.
- Performs all duties as assigned.
- Wears I.D. badge in a visible location at all times on hospital property.
2. Attends and participates in meetings and is responsible for information communicated at meetings.
- Attends all mandatory in-services on a timely basis as scheduled.
- Participates as an active team member at staffs meetings.
- Reads communications and acts upon in a positive and informative manner.
3. Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.
- Extends special attention and sensitivity to all patients, visitors, physicians, and fellow employees.
- Assists in maintaining an atmosphere of cooperation with other departments and allied professionals.
- Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve interpersonal conflicts.
- Demonstrates the ability to participate in and/or implement team decisions.
- Actively participates in and encourages actions that promote good public relations with patients’ families, visitors, and the community.
- Works together in a spirit of teamwork.
- Shares information on a “need to know” basis.
4. Follows Infection Control procedures at all times.
- Clinical Personnel: Strictly adheres to standard precautions by adhering to the usage of personal protective equipment when handling blood or body fluids.
- Adheres to isolation procedures at all times as applicable.
5. Adheres to the following environmental care standards.
- Demonstrates adequate knowledge of safety policies and procedures, the use of MSDS sheets, hazardous material procedures, and safety codes.
- Code Blue, Code Gray, Code Red, Code Black, Code Silver, Code Orange, Code Amber
- Demonstrates adequate knowledge of security issues, i.e. personal protection, protection of personal and hospital property.
EDUCATION: Graduated from an accredited School of Nursing. ADN required, BSN or MSN are a plus.
EXPERIENCE: 1+ years of Acute Care Nursing experience with 1+ years of Labor and Delivery experience. The Obstetrics Department will employ only registered nurses who meet the requirements of a staff nurse at Mid-Valley Hospital plus the special qualifications necessary to render quality Labor and Delivery care. She/he must demonstrate professional behavior.
- Current WA State RN licensure, required.
- Electronic Fetal Monitoring Certification, preferred.
- Neonatal Resuscitation Certification, required.
- ACLS required – May have one year in which to obtain with biannual renewal.
- CPR Certification required with annual renewal.
- Ability to communicate clearly and effectively: delegate and coordinate through leadership skills. She/he must demonstrate professional behavior.
- She/he must participate in continuing education and demonstrate motivation for continued self-improvement.
- Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.
PERSONAL PROTECTIVE EQUIPMENT : Standard precautions.
- May be required to work any shift in emergencies.
- May be required to work any day of the week.
- Exerting up to 50 pounds of force occasionally, and/or up to 25 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
Works in the Obstetrics’ Department and Acute Care as assigned, which encompasses a variety of kinds of patients. Occasional stress during emergency situations. Majority of work is performed indoors. High risk for biohazards. This person spends 95% of their time in temperature controlled space. The potential for exposure to bio-hazardous agents or exposure to blood-borne pathogens and other potentially infectious agents is high. This position requires contact with patients and staff under a wide variety of circumstances. This person is subject to varying and unpredictable situations, many interruptions, long irregular hours, multiple calls and inquiries.
- Acute Care: 1 year (Required)
- Labor and Delivery: 1 year (Required)
- Nursing: 1 year (Required)
Licenses or certifications:
- CPR (Required)
- Neonatal Resuscitation (Required)
- ACLS (Preferred)
- Electronic Fetal Monitoring (Preferred)
- Registered Nurse (RN) (Required)
- Associates Degree in Nursing (Required)
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