Staff Nurse-Labor/Delivery

3 weeks ago

New York, United States NYC Health Hospitals Full time

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

7:30 P.M - 8:00 A.M

Job Description

Purpose:

The Staff Nurse in Labor and Delivery has skills and competence in Prenatal Nursing and works within the scope of regulatory standards relating to AWHONN, NYSDOH 495.21 Maternity and Newborn Services, policies and procedures as set forward by Health + Hospitals Coney Island.

Specific Duties and Responsibilities:

The Staff Nurse in Labor and Delivery is in charge and responsible for:
1. Triages patients through the obstetrical emergency room employing the H+H Obstetrical Triage Acuity Scoring and provides timely notification to the provider staff based on the score.
2. Applies external fetal monitor and categories fetal heart tracing utilizing NICHD approved terminology.
3. Completes assessments on patients per established protocols.
4. Maintains on-going assessment of fetal heart rate pattern and maternal status during labor.
5. Identifies emergency situation including changes in fetal heart rate pattern, changes in maternal physiological, neurologic and psychological status and promptly initiates actions including timely provider notification.
6. Assists with the procedures such as application of fetal scalp electrode (FSE), intrauterine pressure catheter (IUPC) Cooks balloon and Bakri placement.
7. Demonstrates proficiency and competency during OB emergencies such as shoulder dystocia, maternal hemorrhage, hypertensive crisis, eclampsia, etc.
8. Utilizes BCMA for the safe administration of all medications including high risk medications including Pitocin, Magnesium Sulfate and Insulin.
9. Demonstrates competency as the circulating and scrub nurse; utilizing aseptic techniques as required.
10. Completes APGAR scoring on newborns at one and five minutes of life in collaboration with the provider at delivery.
11. Performs initial steps of neonatal resuscitation and newborn stabilization.
12. Completes admission assessment of newborn, identifies changes in newborn's condition, initiates appropriate interventions including timely provider notification.
13. Monitors and documents the hemodynamic status of the postpartum and post cesarean patient.
14. Performs nursing skills and interventions efficiently, safely, consistently and cost-effectively.
15. Exhibits an understanding of established obstetrical-newborn standards of care; maintains accountability for care delivered.
16. Demonstrates an awareness of patient's rights by supporting the family centered concept of care, allowing father/significant other to be present during labor and at birth whenever possible.
17. Identifies patient/family learning needs (age appropriate) and teaches appropriate principles and procedures related to care in relation to age, with focus on adolescent mothers.
18. In collaboration with patients and the interdisciplinary team, identifies and documents plan of care reflective of the primary and secondary diagnosis.
19. Demonstrates the ability to safely organize and prioritizes care within a reasonable time for patient and unit management as the Charge Nurse.
20. Directs and coordinates unit activities including delegation of assignment and tasks to nursing and clerical personnel.
21. Demonstrates awareness of AWHONN standards of care for maternal and newborn patients.
22. Meets all mandatory requirements such as annual physical assessment and trainings
23. Enhances personal and professional development through attendance to internal in-service
and external educational offerings.

Minimum Qualifications
1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).
Special Note:
For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).

Department Preferences

  • Baby Friendly concepts: skin to skin, rooming-in, golden hour, etc.
  • Breastfeeding, positioning, latch-on, feeding cues, pumping, manual express, milk storage, etc.
  • Demonstrated commitment to continued professional growth and development.
  • Effective verbal and non-verbal communication skills.
If you wish to apply for this position, please apply online by clicking the "Apply Now" button.

NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

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