Registered Nurse, Obstetrics, Per Diem, All shifts

Heywood Healthcare
Gardner, MA, US
Full-time

Overview

You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off.

Come work where you will matter!

Hours : Per Diem, All shifts

Responsibilities

Essential Functions

Assesses (and reassesses), plans, implements, and evaluates nursing interventions / plans of care / patient goals.

  • Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures.
  • Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard.
  • Provides patient / family teaching based on identified learning needs, readiness to learn, and barriers to learning.
  • Collaboratively plans and prepares patient / family for discharge incorporating support systems / resources as necessary.
  • Appropriately delegates and supervises nursing interventions performed by others.
  • Appropriately prioritizes patient care (. seeks assistance as needed from appropriate resources, reassigns personnel as necessary, recognizes need for emergency intervention, .
  • Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards.
  • Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care.
  • Promotes learning for colleagues and self (. functions as preceptor, instructor, trainer, attends professional development programs, .
  • Proactively identifies risk to patient safety and identifies opportunities to reduce medical / health care errors (. appropriate reporting of errors / incidents).
  • Identifies ethical issues in care and develops plan to address.
  • Safely administers medications and intravenous therapy in accordance with physician’s orders, protocols, policies and procedures.
  • Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale.
  • Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment and patient’s response to medication.
  • Provides appropriate care to the postpartum and gynecological patient.
  • Safely cares for surgical and postpartum patients, recognizes complications and initiates appropriate nursing interventions in collaboration with physicians.
  • Provides appropriate information and education to patients and families based upon individual needs so they may effectively care for themselves during hospitalization and following discharge.
  • Ensures new mothers and families have the basic understanding of newborn care and resources available after discharge.
  • Demonstrates knowledge of medications and the correct administration based on age of patient and their clinical condition.
  • Demonstrates proper technique for assessing fundal height, and fundal massage.
  • Demonstrates ability to assess lochia, perineum, breast, bowel, bladder and emotional status.
  • Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD.
  • Provides assessment and planning for individualized patient care in collaboration with physicians and other disciplines.
  • Assesses the normal stages of labor, delivery and recovery, as well as, identifies any deviation of the normal pattern and progress and takes appropriate action.
  • Utilizes fetal monitoring equipment, external and internal (FSE and IUPC), and correctly interprets FHR patterns and initiates appropriate nursing interventions as needed.
  • Assists in the stabilizing of high-risk patients and accompanies them during transfer to a level two or tertiary care center as appropriate.
  • Communicates with physicians about changes in patients’ clinical condition.
  • Safely administers and demonstrates knowledge of medications used in labor and delivery.
  • Implements appropriate procedure for labor checks, inductions, augmentations, NSTs, external cephalic versions and epidurals.
  • Able to articulate care for patients with fetal demise based on perinatal loss protocol and appropriately provides care when applicable.

Performs a systematic and thorough newborn assessment based upon knowledge of expected adaptation to

extrauterine life so that deviation can be recognized.

  • Communicates appropriately and clearly with physicians concerning any changes in newborn condition and / or abnormal diagnostic test results.
  • Performs neonatal resuscitation, assisting physician as necessary.

Identifies newborn problems, initiates appropriate nursing interventions, and assists in the stabilization of a critical

newborn.

  • Provides care and support to mother in her chosen method of infant feeding so that learning is enhanced.
  • Demonstrates to new mothers appropriate feeding techniques using literature and teaching videos as appropriate (frequency and symptoms of adequate intake).
  • Provides teaching to new mother on newborn care based upon individual patient / family needs so that new mother is able to care for newborn upon discharge.
  • Utilizes informative discussions, videos, handouts, one on ones, teaching class to individualize newborn teaching.
  • Utilizes appropriate nursing interventions for infants experiencing difficulty adjusting to extrauterine life.
  • Sets up phototherapy, monitors vital signs, including pulse oximetry, according to policy and procedure; demonstrates proper technique for administering CPAP via mask or RAM cannula
  • Demonstrates knowledge of medications and their correct administration based on age of newborn and his / her clinical condition.

Statement of Other Duties

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions.

It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.

Qualifications

Job Requirements

Minimum Education

Graduate of an accredited school of nursing

Minimum Work Experience

  • Minimum one year med / surg experience required
  • Maternity experience preferred

Minimum Licenses and Certifications

  • Current MA license
  • IV competent,
  • CPR required
  • NRP certified or ability to obtain NRP certification within 90 days of hire.
  • AHA-ACLS required for L&D
  • For nurses working L&D, must have / complete AWHONN’s Introduction to Fetal Monitoring and also must have / attend AWHONN’s Intermediate Fetal Heart Monitoring within 1 year

Required Skills

  • Demonstrates mature professional behaviors, (. tact, empathy and diplomacy). Promotes a positive working environment.
  • 17 days ago
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