Registered Nurse - Perinatology - 24 Hours/Week - Days

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Functions

1. Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Practices age specific criteria as outlined.
• Uses language telephone for communication barriers.
• Communicates patient's knowledge level to next care giver.

2. Performs an initial and ongoing assessment to determine the patient's needs.

• Includes data from the patient/significant other(s) in the assessment as appropriate.
• Prioritizes data collection according to patient's immediate needs.
• Reviews records, opens pregnancy and initiates initial OB clinic visit.
• Completes high risk factors and plan at initial appointment.
• Completes PowerChart Maternity meaning of care charting.

3. Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)

• Collaborates with providers and other clinical disciplines as appropriate.
• Provides teaching specific to the patient.
• Care plan reflects continuing care needs and/or referrals.
• Updates high risk factors with each additional appointment as needed.
• Provides teaching specific to patient health care problems.
• Utilizes evidence based practice.
• Collaborates with Chaplain, social worker, diabetes center, Labor and Delivery (L&D), home health and high risk.

4. Implements interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).

• Is familiar with, and follows, nursing protocols and standards of care.
• Uses current knowledge in nursing practice based on standards and research literature.
• Proposes medication Recipe to Take (Rx) to physician (MD).
• Initiates testing, e.g., Germ Cell Tumors (GCT), Non-Stress Test (NST), Group B strep (GBS) according to gestational age.
• Performs phone triage, providing emotional support, and teaching and has patients come in as needed for appointments.
• Teaching performed, evaluated and documented according to patient needs.
• Utilizes Electronic Medical Records (EMR) message center.

5. Performs technical skills competently and independently to assure patient safety (autonomy).

• Able to competently perform technical skills independently.
• Is accountable to learn new skills and equipment within areas' specifications and time frame.
• Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
• Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
• Reports any equipment problems immediately and communicates these with Perinatology (PNATE) staff.

6. Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)

• Communicates effectively to solve problems at the personal and unit level.
• Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
• Takes pride in the unit by active participation in restocking and maintaining a clean environment.
• Maintains a professional appearance, behavior, and work environment.
• Maintains competence in area of experience.
• Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.

7. Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or staff/employees. (Quality of Care)

• Completes appropriate report form for a risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicates to appropriate personnel regarding unresolved issues.
• Works within the scope of practice as defined by Nurse Practice Act.

8. Fiscally accountable.

• Acts professionally responsible for human and other resources.
• Charges accurately for use of supplies and equipment according to policy.

9. Evaluates patient care to determine response to care/interventions for optimal patient outcome.

• Gives a complete verbal report to physician (MD) before he enters exam room for appointment.
• Works with sonographer to maintain patient flow.
• Communicates patient's special needs in chart for next care provider.
• Monitors outcomes and documents patient response to interventions, at scheduled appointment or via follow-up telephone call.

Schedule:

Monday, Thursday, Friday - 8am-4:30pm

Job Description:

Job Requirements

Education

• Bachelors of Science in Nursing (BSN) from an accredited school of nursing required OR an equivalent combination of nursing education and relevant experience.
• Successful completion of annual mandatory education requirements.

Experience

• OB experience preferred.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multi-state license, or a temporary permit while awaiting licensure required for work state.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Certification(s) in area of specialty preferred.

Skills/Knowledge/Abilities

• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
• Ability to multi-task and prioritize work assignments.
• Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
• Ability to think critically and problem solve.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
  • Climbing
  • Crawling
  • Kneeling
  • Sitting
• Frequently Performed (34%-66%):
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Keyboarding/typing
  • Lifting
  • Pulling/Pushing
  • Repetitive Motions
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%):
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Standing
  • Walking

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Rare (1-33%):
  • Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
  • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
• Occasionally (34%-66%):
  • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Hazardous Drugs (exposure risks, personal protective equipment required)
• Frequent (67%-100%):
  • Chemical agents (Toxic, Corrosive, Flammable, Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.