IP REGISTERED NURSE - OB

Location / Department : Hospital - OB / New Beginnings

PRN Nightshift (24 hrs per month)

Job Summary :

Provide family-centered nursing care & education to the antepartum, laboring, postpartum, maternal newborn couplets & special care nursery patients / families.

Provide perinatal & follow-up testing & visits. Directly supervises nursing assistants & unit secretary. Requires interpretation of fetal monitoring.

Provides basic resuscitative care for newborns in the delivery room. Technical responsibilities (i.e. computer, Mobilab, hearing screen).

Supervisory Responsibilities : None

Duties / Responsibilities :

• Uses only approved abbreviations.
• Understands patient safety goals & actions taken.
• Uses 2 patient identifiers before giving treatments, demonstrates process.
• Understands read back of verbal orders / critical lab values & can state process.
• Understands procedure to clarify physician orders.
• Uses standing orders when indicated.
• Accurately calls report to MD as warranted by condition; reports to other providers as needed.
• Reports sentinel events or adverse drug reactions or incidents as warranted.
• Uses final verification before invasive procedures & can verbalize correct process & documents in EHR.
• Reassesses patient in response to changes in condition after intervention as needed & documents in EHR.
• Communicates with & provides education to patients, caregivers, & family members in a timely manner (using respect & dignity when dealing with death & dying) & documents in EHR.
• Documentation of fetal heart interpretation is accurate & timely.
• Provides & documents patient & family teaching from time of admission throughout stay & documents every shift.
• Provides family centered, couplet care. Includes family in care & teaching. Does not separate mother & baby unless medically necessary.
• Assessments are complete & timely.
• Communication is variance / problem focused & appropriate interventions taken.
• Care plans are initiated, individualized, & updated.
• Participates in follow-up calls, follow-up NB visits & preadmission phone calls.
• Participates in outpatient visits, NST, OB checks, & injections.
• If identified as triage nurse for the shift, will be the unit lead & manage unexpected influx of patients & the assignment per nurse.

Will communicate with MMH SPV, & lead resuscitations.

• Follows protocol for Pitocin drip administration.
• Follows standard of practice for pain management.
• Appropriately documents administration of meds on eMAR using BMV.
• Clarify orders with MD as needed.
• Administers medications in a timely manner.
• Performs 3-minute hand scrub prior to beginning each shift.
• Enforces visitation guidelines per policy.
• Performs responsibilities during Code Pink drills.
• Fills out critiques for emergency c-sections, resuscitations, & transfers.
• Knowledgeable in use of equipment. Maintains equipment (cares for cables, etc.) & reports problems with equipment.
• Attends monthly unit meetings & reads minutes of meetings. Attends mandatory inservices & meetings.
• Up-to-date with fetal monitoring seminars as required
• Completes monthly competency articles / tests.
• Takes the initiative to increase knowledge & skills by reading, practicing with equipment. Looks up diagnosis, treatments, & medications that you are not knowledgeable about.
• Up-to-date on Neonatal Resuscitation certification.
• Up-to-date on mock codes.
• Completes projects & assignments accurately & timely. Is productive during "downtime".
• Verifies, acknowledges, & signs off on orders timely & accurately.
• Documentation is done "real time" at point of contact in patient room.
• Physicians are notified of non-reassuring fetal heart tracing, variances, change in status; accurately & timely.
• Verbal / telephone orders are "written, read back" & clarified.
• Communicates pertinent information with manager in a timely manner.
• Functions as part of a multidisciplinary team.
• Can navigate efficiently through EHR to find necessary patient information.

Required Skills / Abilities :

• Strong customer service skills
• Effectively communicates both verbal & written
• Able to multi-task, prioritize,interpret & be assertive when necessary.
• Able to perform basic nursing skills
• Able to use medical equipment, i.e. vital signs machine (temp, pulse, respiration, blood pressure), fetal monitors, & radiant warmers.
• Able to operate basic office equipment.

Education and Experience :

• Minimum Associates degree in nursing, Bachelor's degree preferred.
• No work experience required.
• Must be licensed as a Registered Nurse in the state of Indiana.

Physical Requirements :

Constant walking, standing, talking & use of hands; frequent reaching.

May need to lift up to 25 lbs; occasionally up to 50 lbs