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RN - Labor & Delivery - FT Rotating Shifts
4 months ago
Job Summary:
Perform admitting assessments, review history and develop plan of care. Initiate fetal heart monitor, perform vaginal exams, interpret fetal heart tones and determine frequency duration and intensity of contractions
Monitor progress of laboring mothers, interpret fetal heart monitor and notify physician when appropriate for progress or problems. Assist mother and labor coach with breathing exercises, pain management techniques and administer pain medication as ordered. Prepare birthing room for delivery using strict sterile technique
Prepare mothers for elective or emergency Cesarean Section
Provide emotional support to mother and coach, obtain proper consents and pre-op diagnostic studies and coordinate smooth transfer to surgery
Assist physician with initiation of pitocin inductions and monitor progress of labor: mix IV pitocin drips, adjust flow rate or pump according to physician's orders, be alert for abnormalities or problems
Document nursing care properly on forms, birth certificates, and computer
Assist physician in administering care during labor: artificial rupture of membranes, initiation of internal fetal monitoring or intrauterine pressure catheter, initiation of pitocin drip or other IV medications, sterile vaginal exams or other procedures. Assist anesthesia with the administration of spinal or epidural anesthetic
Perform immediate post-delivery care of mother and infant: determine Apgar scores, DeLee suction and bulb suction infants, apply ID bands, weigh and measure infant, administer medications to mother and infant as ordered, assist physician with resuscitation, perform fundal message and monitor vital signs and lochia as needed, promote infant/parent bonding and obtain newborn identification per policy
Perform post-partum care and provide patient education to mother: check lochia, episiotomy and fundus, provide instruction in child care, breast feedings and self-care to mother, monitor vital signs per policy, report problems to physician
Perform nursery care on infant: operate OB equipment, assess infants and vital signs, assist with circumcision, coordinate stabilization and transfer of unstable infants, perform or assist with all feedings (breast feeding, bottle feeding ) perform cord care, do heal sticks, initiate isolation if indicated. Assess gestational age, give bath, take pictures, and perform hearing screening and any other treatments
Administer medications, solutions and treatments per physician's order: Display knowledge of administration and effects of medications used and operate IV/PCA pumps correctly
Initiate and maintain IV and oxygen therapy on infants under the direction of a physician
Assesses postpartum patients’ physical condition and monitors parameters for both vaginal and cesarean section deliveries through discharge from the hospital
Assesses neonates’ physical condition and monitors parameters through discharge from the hospital
Manages pain control needs for postpartum patients and newborns
Develop, implement and evaluate an individualized and specific discharge plan of care based on an assessment of the patient and family/significant other’s needs
Promotes a philosophy of maternal/infant care that advocates breastfeeding and supports the normal physiological functions involved in the establishment of this maternal/infant process
Assesses for and in collaboration with the medical staff, stabilizes and evaluates effectiveness of interventions for obstetrical/medical complications such as: postpartum hemorrhage; pregnancy induced hypertension (PIH); diabetes; thermoregulation of the newborn; hypoglycemia of the newborn; and, hyperbilirubinemia
Engages in the development of a caring environment for grieving families
Admit and care for post-surgical patients. Monitor and assess per post-anesthesia protocol
Float and assist with care for Medical-Surgical and ER patients as needed
Perform discharge teaching for all patients
Participate in educational activities for the department
Participate in intra- and interdepartmental committee activities
Prepare and process requisitions for housekeeping, maintenance and general supply needs and ensure adequate par levels are maintained. Notify appropriate department(s) for repairs
Complete mandatory in-services/competencies during specified times.
Skills & Abilities:
Show up for work as scheduled
Demonstrate honesty & integrity
Technical, clerical, critical thinking and interpersonal skills relevant to total patient care/area in order to safely and efficiently treat patients
Good verbal and written communication skills in order to be clearly and easily understood by patients, families and members of the Health Care team
Ability to write/print legibly in order to document accurately and understandably, and to provide direction to support staff and others
Exhibit a pleasant, helpful and caring demeanor in order to be an effective patient advocate
Demonstrate good organizational skills
Demonstrate positive working relationships with all health care customers.
Ability to function with an awareness and application of safety issues as identified within the institution.
Education, Licenses/Certifications, and Experience:
Registered Nurse (RN) who has successfully graduated from an accredited School of Nursing and possesses a current license to practice in the state of Wyoming.
Must have current BLS, ACLS, and NRP certifications or be willing to become licensed within 6 months of hire.
Prefer 1 year Medical Surgical, ICU, ER, Nursery or Postpartum experience
Schedule:
36 hours per week, 12-hour shifts (days & nights)
Experience
Required
1 year(s): 1 year Medical Surgical, ICU, ER, Nursery or Postpartum experience preferred.
Education
Required
Associates or better in Nursing
Licenses & Certifications
Required
C-ACI-ACLS
C-ACLS Instit-NRP
C-ACLS Instit-PALS
C-AWHONN-Adv Fet Mon
Behaviors
Required
Team Player: Works well as a member of a group
Dedicated: Devoted to a task or purpose with loyalty or integrity
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Preferred
Thought Provoking: Capable of making others think deeply on a subject
Loyal: Shows firm and constant support to a cause
Functional Expert: Considered a thought leader on a subject
Enthusiastic: Shows intense and eager enjoyment and interest
Motivations
Required
Self-Starter: Inspired to perform without outside help
Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
