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Perinatal Nurse Specialist

2 months ago


Texarkana, Texas, United States CHRISTUS Health Full time
Job Summary

CHRISTUS Health is seeking a skilled Perinatal Nurse Specialist to join our team. As a key member of our Labor and Delivery Department, you will provide high-quality patient care and contribute to a positive patient experience.

Key Responsibilities
  • Provide routine and complex care to patients in the Labor and Delivery Department, demonstrating an awareness of all relevant aspects of a situation.
  • Practice independently and make appropriate assignments and delegate to other care providers as needed.
  • Continuously develop the ability to cope with and manage contingencies of clinical nursing.
  • Meet expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Provide nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention, and evaluation for assigned patients.
  • Address increasingly complex psychological, emotional, cultural, and social needs of patients and families in accordance with their level of practice.
  • Administer medications and treatments, monitor for side-effects, and evaluate the effectiveness of prescribed treatments.
  • Document patient history, symptoms, medication, and care given.
  • Assess learning needs and provide education to patients, family members, and/or caregivers, identifying issues and resources.
Core Competencies
  • Standard I: Utilizes the Nursing Process
    • Use critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and developmental needs of patients and families.
    • Communicate findings to appropriate healthcare team members.
    • Develop and use a specific plan of care and modify it to meet individual patient needs using evidence-based practice.
    • Implement patient care and therapeutic procedures, monitor, and document progression of treatment and teaching goals.
    • Evaluate the care and treatment provided to patients and the patient response to the care and treatment.
    • Perform timely reassessment and documentation.
    • Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
  • Standard II. Patient Throughput & Patient Flow Process
    • Anticipate and plan for admission/discharge/transfer needs to facilitate patient flow.
    • Utilize appropriate systems of communication and tools to facilitate the discharge process.
    • Coach on tools and techniques for checking, cross-checking, and validating orders to ensure accuracy.
  • Standard III. Unit Operations
    • Plan, direct, and evaluate the overall nursing care and functions in a particular nursing unit during an assigned shift.
    • Demonstrate good stewardship in proper use and maintenance of equipment and supplies.
    • Assess departmental staffing needs; actively participate in resourcing efforts.
    • Educate and train others on the operations, ethics, and regulations within the industry.
  • Standard IV. Safe Practice/Quality Care/Regulations
    • Incorporate patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
    • Demonstrate accountability for nursing research and quality improvement activities.
    • Provide evidence-based nursing care.
    • Communicate patient information effectively across the continuum of care.
    • Educate and train others on the operations, ethics, and regulations within the industry.
    • Knowledge of federal, state, and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
    Technical Competencies
    • Clinical Policies and Standards
      • Follow a specific set of standards and associated clinical procedures.
      • Analyze policy and standards documentation and ensure organizational compliance.
      • Provide feedback for improvement of procedures.
      • Assist in the development and implementation of specific procedures.
      • Work with control and monitoring mechanisms, tools, and techniques.
    • Health Information Documentation
      • Share experiences with maintaining paper and electronic patient documentation.
      • Walk through the steps and procedures for receiving, validating, and updating patient records.
      • Describe the flow of information between various stations or units.
      • Discuss the functions, features, and document flow of electronic documentation.
      • Transcribe verbal orders; explain techniques for ensuring their accuracy.
      • Explain health information documentation best practices and their rationale across healthcare practices.
    • Medical Equipment
      • Describe experience with basic medical equipment used in your unit or facility.
      • Use standard diagnostic tools and techniques to resolve common equipment problems.
      • Educate patients about the appropriate use of home medical equipment.
      • Ensure that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
      • Inspect, troubleshoot, and evaluate incoming equipment.
    • Medical Order Processing
      • Share experiences with processing medical orders for one or more groups of patients or conditions.
      • Describe functions and features of the system used to enter, validate, update, and forward medical orders.
      • Discuss common errors, their sources, and procedures for correcting.
      • Explain considerations for entering and following standing orders.
      • Differentiate between standing orders and preprinted orders and considerations for each.
    • Patient Chart Reading and Interpretation
      • Describe experiences in reading and interpreting patient charts for patients on your unit and under your care.
      • Review patients' charts for completion and accuracy; identify and alert to mistakes or omissions.
      • Recognize unexpected readings and alert nursing or medical staff.
      • Relate examples of mis-readings or misinterpretations and lessons learned.
      • Review, discuss, and validate your interpretation with others.
    • Patient Safety
      • Share experiences with ensuring safety for one or more patient groups or settings.
      • Explain key features of safety guidelines and procedures for those groups and settings.
      • Listen and respond to safety inquiries from patients and family members.
      • Recognize and address physiological and psychological signs of problems.
      • Describe considerations for patients who can cause harm to self, versus harm to others.
      • Utilize appropriate systems to document misses and near misses, participate in immediate investigating, analysis, and reporting in real-time.
    Requirements
    • Experience:
      • 1 year of experience in the related nursing specialty preferred.
      • Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred.
    • Education:
      • Bachelor of Science Degree in Nursing, preferred.
      • All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
      • New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Department-specific competency validation.
      • Completion of all annual competency verification requirements.
    • Licenses/Certifications/Registrations:
      • RN License in state of employment or compact.
      • BLS required.
      • Current certification from NCC Electronic Fetal Monitoring (C-EFM) or one of the following AWHONN courses: Intermediate FHM, Intermediate FHM Instructor, Advanced FHM Instructor, or Instructor Trainer at time of hire or prior to the end of orientation for experienced nurses; within 90 days of hire for new graduates and experienced nurses new to the specialty then required to maintain course certification thereafter.