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Registered Nurse
2 months ago
**Job Description**
**Registered Nurse (RN) - Labor & Delivery-Per Diem**Job Category **Nursing** Schedule **Per Diem** Shift **3 - Night Shift** This unit is comprised of L&D and a separate L&D triage area. We have 24 hour perinatologists, neonatologists, and anesthesiologists (dedicated to OB) along with obstetric physicians and 2 groups of midwives. We are a high risk antepartum and intrapartum unit including 16 LDR beds, 8 antepartum outpatient beds, 4 NST Bays and 3 pre-op and post-op beds. We have 3 dedicated L&D ORs for scheduled C-Sections and unscheduled cases such as cerclage placement or removal. We also do emergent cases such as a laboring patient who needs a C-Section for arrest of dilation or descent or fetal intolerance of labor, hysterectomy or D&C for hemorrhage. Our nurses are unique in that they are trained to be the pre-op nurse, intraoperative nurse (circulator), and PACU nurse for all OR cases, along with the nurse for the newborn after delivery. We care for triage patients; ante-partum patients (both outpatient and inpatient if high risk or unstable); intrapartum, and preop and postop patients. Our triage nurses see pregnant women over 20 weeks of gestation for obstetrical concerns. They also take care of patients with scheduled procedures such as non-stress tests and versions. We currently do over 5,500 deliveries a year. We currently have 14 nurses certified in Inpatient Obstetrics through NCC. Several nurses also have a subspecialty certification in electronic fetal monitoring. All nurses in L&D are certified in NRP and ACLS
**SUMMARY:**
Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills in order to maintain patient safety and well-being.
**ESSENTIAL FUNCTIONS**:
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care.
Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans; maintains patient documentation.
Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all units, and notes patients' condition.
Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation.
Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family offering informational material and pointing out special areas of concern.
Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care.
Identifies and resolves workplace health and safety issues.
Provides appropriate, direct patient care utilizing appropriate aseptic techniques.
May manage IV lines, ensure that sterile techniques are adhered to, and oversee patient movement and positioning to ensure that the patient is handled in a medically safe manner.
May perform the administration of pharmacological vasodilator medications for the purpose of nuclear myocardial perfusion imaging; complies with examination competency as defined in the Imaging Services Practice Standards.
Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur.
Orients, instructs, and educates assigned personnel.
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
**MINIMUM QUALIFICATIONS**
**EDUCATION****:** Graduation from a qualified, nationally-accredited nursing program.
**EXPERIENCE:** One year of nursing experience in an acute care setting preferred.
**LICENSURE OR CERTIFICATION****:** Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required. Some departments such as OR, Ambulatory Surgery, Pediatrics/PICU, PACU, and GI Lab will require advanced life support certification (ACLS and PALS).
