SEASONAL REGISTERED NURSE

Seasonal Registered Nurse – Labor and Delivery
Seasonal Per Diem Agreement Requirements:

• Individual will work a 8 or 13-week seasonal assignment.
• Individual is required to work 3, 12 hour scheduled shifts per week.
• Must have 1+ years as an RN in L&D.

*Shift: 6:45p– 7:15a

PATIENT POPULATION:
The patient population served can be all patients, including geriatric, adult, adolescent, pediatric, and newborn. This also includes services which affect facility staff, physicians, visitors, vendors and the general public.

POSITION SUMMARY:
Under the general direction of the Unit Director, Clinical Manager and Charge Nurse, the Registered Nurse (R.N.) independently provides holistic, individualized care using the Nursing Process for patients routinely seen on the unit. Demonstrates an advanced level of clinical competency, Nursing judgment, teaching skills, and a commitment to improving the quality of patient care. Independently performs general and unit-specific clinical skills. Contributes to the Sierra View Medical Center Department of Patient Care Services and the Nursing profession in a positive manner.

Is responsible for the assessment, treatment or care appropriate to the ages of the patients served. Demonstrates the ability to obtain and interpret information in terms of the patient’s needs. Possesses knowledge of growth and development and has an understanding of the range of treatment needed for all patient groups.

Must be able to work normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call. Agrees to participate, as directed, in emergencies and community disasters during scheduled and unscheduled hours. As a designated disaster service worker you are required to assist in times of need pursuant to the California Emergency Services Act.
(Gov’t. Code §§ 3100, 3102)

Needs to recognize that they have an affirmative duty and responsibility for reporting perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or this organization’s standards/code of conduct.

The employee shall work well under pressure, meet multiple and sometimes competing deadlines; and the incumbent shall at all times demonstrate cooperative behavior with colleagues and supervisors.

EDUCATION/TRAINING/EXPERIENCE:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

To perform this job successfully, an individual must have current licensure as a Registered Nurse in the state of California. Must have and maintain current BLS certification or obtain within orientation process, prior to hands-on patient care. Must have and maintain ACLS certification or obtain within six (6) months of assignment to department. Must have and maintain NRP, EFM or obtain within 6 months of assignment to department. Six (6) month time frame is at the discretion of the Department Director.

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence if required.

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

To perform this job successfully, an individual should have basic computer skills.

LICENSURE/CERTIFICATIONS:
To perform this job successfully, an individual must have current licensure as a Registered Nurse in the state of California. Must have and maintain current BLS Card, required. Must have and maintain ACLS certification prior to assignment to department. Must have and maintain NRP & EFM.

Responsibilities and Essential Functions:
*Indicates Essential Function

1 * Is responsible for the assessment, treatment and/or care appropriate to the ages of the patients served. Demonstrates the ability to obtain and interpret information in terms of the patient’s needs. Possesses knowledge of growth and development and has an understanding of the range of treatment needed for all patient groups.
2 * Utilizes holistic assessment skills, recognizing subtle, covert or abnormal signs and symptoms that include at least one of the following: involvement of patient/significant other, discharge needs, psychosocial needs, biophysical needs, environmental needs, teaching needs.
3 * Identifies nursing diagnosis and interdependent nursing problems and selects applicable nursing care standards to guide patient care. Recognizes issues/concerns that could impact development of mutual goals.
4 Ensures that the Care Plan is specific and unique to the individual patient utilizing Interdependent Nursing Standards and the discharge needs of complex/multi-system patients.
5 According to established clinical policy, procedure and standards, the R.N. safely performs nursing care including safe administration of medication, troubleshoots equipment and demonstrates skill in clinical problem solving.
6 Ensures that the nursing care provided is consistent with the established Nursing Plan of Care, the Medical Plan of Care and the ages of the patients served.
7 * The effectiveness of the Plan of Care is evaluated and communicated through exchange report; recommendations are made for future care and are consistent with current documentation.
8 * Communicates evaluation of, or changes in, patient status providing supportive data to the physician or health care team as appropriate.
9 * Demonstrates adherence to the Joint Commission "National Patient Safety Goals for Hospitals" as defined by Scope of Practice.
10 * Documentation reflects compliance with established Hospital policies and procedures.
11 * Demonstrates knowledge of role by adherence to NPSGs as it relates to area of practice.
12 Demonstrates an understanding of the use, actions and interactions of drugs used in combination for patients with multi-system problems.
13 * Completes required unit specific performance criteria checklist.
14 * Demonstrates proper Infection Prevention skills to include Standardized Protocols or procedures related to Intrauterine, IUPC, FSE, Bakari Balloonsand indwelling Foley catheters.
15 Reports quality or Risk Management issues through appropriate lines of authority, i.e. administrative or clinical.
16 Maintains current knowledge of health care trends that affect the clinical practice of Nursing on the unit.
17 Demonstrates standards of documentation as evidenced by individual chart review and no letters of education in file.
18 * Upholds all aspects of the Nursing Practice Act as defined by the California Board of Registered Nursing.
19 * Provides evidence of adherence to all nine (9) ANA Code of Ethics for the Nursing profession.
LABOR & DELIVERY POSITION SPECIFICS:
1 Is knowledgeable of interpretation of fetal monitor strips.
2 Is knowledgeable of Maternal/Fetal complications and nursing responsibilities.
3 Is knowledgeable of breathing and relaxation techniques, and ability to teach labor patients and support persons these methods.
4 Understands the stages of labor and nursing responsibilities during each stage.
5 Documents appropriate information on monitor strips (dates, times, nursing measures, etc.) and ensures each monitor strip is properly labeled with patient information.
6 Is informed of current developments in the nursing field and Maternal Child Health.
7 Is knowledgeable of medications used in the Maternal Child Health Department, including Neonatal dosages. Is knowledgeable of pediatric doseages when administering medications to the newborn.
8 * Functions as a Team Member in the Delivery Room.
9 Is knowledgeable of sterile technique in the Delivery Room.
10 * Performs physical assessment of the newborn by following established policies and procedures.
11 Utilizes appropriate anatomical sites for intramuscular injections.
12 Functions as a Team Member in the Operating Room during C-section, receiving baby with Pediatrician.
13 Is knowledgeable of postpartum maternity complications. Demonstrates competency in caring for the postpartum patient.
14 Is competent in assembling and using equipment such as: Oxygen supplies, Oximeter, Radiant Warmer, Neonatal monitor, Suction setups, Catheters, Neonatal emergency supplies, and Bilirubin light.
15 Demonstrates knowledge of EMTALA guidelines as evidenced by appropriate disposition of patient.
16 Demonstrates knowledge of breast-feeding and encourages breast-feeding with all patients.
17 Performs and supports family centered care including family in the care of the mother and infant.
18 Is knowledgeable of the care of the antepartum, intrapartum, and postpartum patient.
19 Able to perform a medical screening exam on patients in the observation/Triage room, (after two (2) year of labor and delivery experience).
20 Demonstrates care and knowledge of couplet care.
21 Demonstrates care and knowledge in caring for a fetal demise, stillbirth or neonatal death.