Registered Nurse
The Obstetrics RN has primary responsibility for providing care for patients in labor, delivery, nursery and postpartum.
Th e O B D e p a r t m e n t R N w il l b e s c h e du l e d i n t he O B D e p a r tm e n t a f t e r s / he h a s r e ce i v e d : a ) e x p e r i e n c e i n l a b o r , d e li v e ry , n u r s e r y, a n d pos t p ar t u m nu r s i n g c a r e ( d o c u m e n t e d i n r e f e r e n ce s fr o m e m p l oy m e n t ) p l u s s up e r v i s e d c li n i c a l p e r f o r m a n c e i n O B c o m p l e ti o n of p r e ce p t o r e d u c a ti o n c ou r se i n O B c a r e w it h sup e r v i s e d o r i e n t a ti o n t o a l l a sp e c t s o f d e p a r tm e n t -by-Department Director a n d e xp e r i e n c e d R N 's .
Essential Duties and Responsibilities :
- 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.
- Ass i s t phys i c i a n w it h i n i t i a ti o n of i nd u c ti o n of labor a n d m on it o r p r o g r e ss o f l a bo r : d r i ps , a d j us t f l o w r a te or pu m p a c c o r d i n g t o p hys i c i a n' s o r d e r s , be a l e r t f or a bno r m a liti e s or p r ob l e m s.
- Do c u m e n t n u r s i n g c a r e p r op e r l y o n c h a r t f o r m s , a n d c o m p u t e r .
- Ass i s t phys i c i a n i n a d m i n i s t e r i n g c a r e du r i n g l a b o r : a r ti f i c i a l r up t u r e of m e m b r a n e s , i n iti a ti o n o f i n t e r n a l f e t a l m on it o r i n g or i n t r a u t e r i ne p r e ss u r e c a t h e t e r , i n iti a ti o n of p it o c i n d r i p or o t h e r I V m e d i ca ti o n s , s t e r il e v a g i n a l e x a m s, or o t h e r p r o c e d u r e s. Ass i s t a n e s t h e s i a w it h t he a d mi n i s t r a ti o n o f s p i n a l o r e p i d u r a l a n e s t h e ti c .
- P e rf o r m im m e d i a te pos t - d e li v e r y c a r e o f m o t h e r a n d i n f a n t : d e t e r mi n e Ap g a r s c o r e s , D e L e e s u c ti o n a n d bu l b su c ti o n i n f a n t s , a p p l y I D b a nds , w e i g h, a n d m ea s u r e i n f a n t , a d mi n i s t e r m e d i c a ti on s t o m o t h e r a n d i n f a n t a s o r d e r e d , a ss i s t p hys i c i a n w it h r e sus c i t a ti o n , p e r f o r m f un d a l m a s s a ge a n d m on it or v it a l s i gn s a n d l o c h i a a s n e e d e d, p r o m o t e i n f a n t / p a r e n t bond i n g, a nd ob t a i n n e wbo r n i d e n ti f i ca ti o n p e r po l i c y .
- P e rf o r m pos t - p a r t u m c a r e a n d p r ov i d e p a ti e n t e d u c a ti o n t o m o t h e rs : c h ec k l o c h i a , e p i s i o t o m y, a n d f un dus , p r ov i de i ns t r u c ti o n i n c h i l d care , b r e a s t f e e d i ng a n d s e l f - c a r e t o m o t h e r , m on it o r v it a l s i gn s p e r p o li c y , r e p o r t p r ob l e m s t o ph y s i c i a n .
- P e rf o r m n u r s e r y c a r e on i n f a n t : o p e r a te O B e qu i p m e n t ( h ea t e r s , n e wbo r n m on it o r , pho t o t h e r a py li gh t ) , a s s e s s i n f a n t s a n d v it a l s i gn s, a ss i s t w it h c i r c u m c i s i o n , c oo r d i n a te s t a b ili z a ti on a nd t r a n s f e r o f uns t a b l e i n f a n t s , p e r f o r m or a ss i s t w it h a l l f e e d i ng s ( b r e a s t f e e d i ng , n i pp l e f e e d i n g o r g a v a g e f e e d i n g ) p e rf o r m umbilical c o r d c a r e , monitor blood sugar, i n i t i a t e i so l a ti o n i f i n d i c a t e d, d r a w b l oo d fr o m u m b i l i ca l ca t h e t e r s ( bu t no t p e r c u t a n e o u s a r t e r i a l pu n c t u re s ) . Ass e s s g e s t a ti o n a l a g e , g i ve b a t h , pulse oximetry screening, and perform h e a r i ng s c r e e n i ng a n d a n y o t h e r t r ea t m e n t s .
- Ad mi n i s t e r m e d i ca ti o n s , so l u ti on s, a n d t r e a tm e n t s p e r p h ys i c i a n' s o r d e r : D i s p l a y k n ow l e d ge o f a d mi n i s t r a ti o n a n d e f f e c t s o f m e d i c a ti on s u s e d a n d op e r a t e I V / PC A pu m p s c o r r ec tl y .
- I n iti a te a nd m a i n t a i n I V a n d oxy g e n t h e r a p y on i n f a n t s un d e r t h e d i r ec ti o n of a phys i c i a n .
- Ad mi t a n d c a r e f o r p os t - s u r g i c a l p a ti e n t s. Mon it or a n d a ss e ss p e r pos t - a n e s t h e s i a p r o t o c o l .
- P e rf o r m d i s c h a r ge t ea c h i n g f or a l l p a t i e n t s .
- P r ov i d e r e qu i r e d c a r e f or O B / O B S p a t i e n t s .
- D i sp l a y k now l e dg e o f s p ec i a li z e d r e su s c it a ti o n p r o t o c o l f o r i n f a n t s : N RP , CP R
t ec hn i q u e , d r u g do s a g e s, f l u i d r e qu i r e m e n t s , t h e r m o r e g u l a ti on , s t a b il i za ti on, a n d t r a ns p o r t .
P a r ti c i p a t e i n i n- s e r v i ce s a n d c on ti n u e e d u ca ti on s p e c i a l i ze d f or O B / N u r s e r y .Depending on census, may f l o a t t o o t h e r d e p a r t m e n t s .Demonstrates clear ownership of workplace and patient safety.Reports mistakes, near misses, adverse events and quality and safety concerns.Participates in the development and implementation of safety and quality improvement activities.Protects patient privacy and confidentiality.Other duties may be assigned.Job Qualification Requirements :
Education : G r a d u a t e o f a n a c c r e d i t e d s c h o o l o f nu r s i ng w it h c u r re n t Indiana li c e ns u r e a s a R e g i s t e r e d N u r s e . P r e f e r B a c h e l or of S c i e n c e i n Nu r s i n g.
Licensure / Certification : Currently licensed by Indiana State Board of Nursing Registration and Nursing Education. Within 6 months candidate with obtain certification in NRP (Neonatal resuscitation). Prior to the end of the second year of employment, candidate will have taken the STABLE course, Intermediate Fetal Monitoring course and ACLS (Advanced Cardiac Life Support). All certifications must remain in good standing.
Experience : Experience in obstetric care. Knowledge of labor, delivery, postpartum and nursery care essential. Must know principles and practice of sterile technique and infection control. Must be skilled in technical aspects of mother / infant care. Able to perform effectively in highly stressful situations. Must be able to interact effectively with a wide variety of people. Excellent communication skills.
Physical Requirements : Ex t e ns i ve s t a nd i ng , s i tti ng , w a l k i ng , h e a v y li f t i ng . Frequently lift 50 lbs. or more.
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