Registered Nurse, Labor N Delivery.9 FTE (DAy) $10,000 Sign on Bonus

Job Type

Full-time

Description

The Obstetrical Nurse is responsible for the care of the obstetrical patient through all areas of patient care in the hospital setting, including inpatient and outpatient care. She / he must organize, implement and evaluate the patient's activities. She / he facilitates the operation of the Obstetrical Department through participation, contribution, and cooperation with peers, supervisors, and the Director of Patient Care Services.

Labor and Delivery Nurses are dedicated to OB. Mid Valley Hospital is a Critical Access Hospital therefore OB Nurses are also support staff to the Acute Care Unit and will regularly have a patient assignment in AC.

Other responsibilities may be assigned or delegated by the Department Manager or Director of Patient Care Services.

POSITION ACCOUNTABILITIES AND PERFORMANCE CRITERIA

• Psychosocial needs and perceptions of patient and / or family expectations of present hospitalization are identified and documented.
• Alertness and skill in recognizing and identifying symptoms. Symptoms are recognized and appropriate action taken (e.g. notify delivering physician, offer prn medication, etc.).
• Set priorities and give care based on problem solving needs. Ability to complete work within scheduled time.
• Understands the consequences of nursing action. Activities are carried out safely, correctly, and economically
• Administer medications.
• Perform blood transfusions.
• Special treatments.
• Provide bedside nursing care.
• Serve meal trays.
• Answer lights and telephones.
• Admit, transfer, and discharge patients.
• Provide and document patient teaching concerning routine hospital procedures and special procedures regarding their condition.
• Be familiar with and having on hand all emergency drugs and supplies. Checks crash carts per p&p.
• Maintain a clean and safe environment for all patients.
• Communicates pertinent information to family or significant other when appropriate.
• Mobilizes additional personnel when appropriate.
• Perform the initial assessment of the patient by palpating the abdomen, performing a vaginal examination, and determining fetal position and descent within the first hour of admission. Notify the delivering practitioner.
• Possessing knowledge and skill necessary to administer and monitor IV fluids including Pitocin, MgSO4, and medication to stop labor.
• Explain the fetal monitor to patients, operate the monitor efficiently, document appropriately, and identify signs of fetal distress.
• Obtains vaginal cultures per proper protocol.
• Assist the delivering physician with :

1. Vaginal examination

2. Rupture of membranes

3. Obtaining vaginal cultures

4. External versions

5. Amniocenteses

6. Epidurals

1. Prepping patient as indicated

2. Circulating for delivery

3. Cleaning instruments and unit

1. Checking fundus

2. Monitor vital signs

3. Checking lochia

4. Helping mother bond with and breastfeed newborn

1. Apgar scoring and immediate newborn care and vitals

2. Foot printing

3. ID band application

4. Applying eye ointment

5. Vitamin K injection

6. Monitoring vitals

7. Bonding with parents

8. Initiate breastfeeding within first hour after birth for stable infants of mothers desiring to breastfeed

9. All care necessary to monitor and care for newborn - including resuscitation

GENERAL RESPONSIBILITIES

1. Reports for scheduled shift on time and prepared to assume responsibilities.

2. Attends and participates in meetings and is responsible for information communicated at meetings and in email.

3. Responds to all training / recertification notices timely and completes required training and / or recertification prior to deadline or expiration.

4. Exercise a commitment to practicing behaviors that are in agreement with the spirit of cooperation and reflect the values described in the Code of Mutual Respect and Professionalism.

5. Assists all patients, family members, physicians, visitors, and employees in a professional and courteous manner.

6. Follows Infection Control procedures at all times.

7. Adheres to the following environmental care standards.

8. Be familiar with and comply with the Mid-Valley Hospital & Clinic Personnel Handbook and Policies.

9. Be familiar with the collective bargaining agreement (Union Contract) of the UFCW21 and Mid-Valley Hospital.

10. Demonstrates the ability to adapt to varied age-specific patient populations.

Requirements

POSITION QUALIFICATIONS

EDUCATION : Graduated from an accredited School of Nursing.

EXPERIENCE : 1 - 3 years acute care nursing experience, with 1 - 3 years Labor and Delivery experience. The Obstetrics Department will employ only registered nurses who meet the requirements of a staff nurse at Mid-Valley Hospital plus the special qualifications necessary to render quality Labor and Delivery care. She / he must demonstrate professional behavior.

REQUIRED CERTIFICATION / LICENSURE / REGISTRATION : Current state nursing licensure. ACLS is required upon hire with biannual renewal, CPR annually, Neonatal resuscitation certification.

OTHER QUALIFICATIONS : Ability to communicate clearly and effectively : delegate and coordinate through leadership skills. She / he must demonstrate professional behavior. She / he must participate in continuing education and demonstrate motivation for continued self-improvement. Ability to communicate with people of diverse backgrounds and educational levels; i.e. patients, families, employees, physicians, etc.

PERSONAL PROTECTIVE EQUIPMENT : Standard precautions.

PHYSICAL REQUIREMENTS

May be required to work any shift in emergencies.

May be required to work any day of the week.

Exerting up to 50 pounds of force occasionally, and / or up to 25 pounds of force frequently, and / or up to 10 pounds of force constantly to move objects.

WORKING CONDITIONS

Works in the Obstetrics' Department and Acute Care as assigned, which encompasses a variety of kinds of patients. Occasional stress during emergency situations. Majority of work is performed indoors. High risk for biohazards.

This person spends 95% of their time in temperature controlled space. The potential for exposure to bio-hazardous agents or exposure to blood-borne pathogens and other potential infectious agents is high. This position requires contact with patients and staff under a wide variety of circumstances. This person is subject to varying and unpredictable situations, many interruptions, long irregular hours, multiple calls and inquiries.

WAGE AND COMPENSATION

Wage range $36.92 hr. - $ 66.86. - DOE

Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and / or a 457 deferred compensation plan.