Registered Nurse (RN) - Obstetrics

Job Shift: Days

Job Type: Per Diem

Hours:

The Clinical Nurse assumes principal responsibility for the total nursing care, assessment, planning, implementation, evaluation of each assigned patient and completing all documentation as required. The clinical nurse initiates teaching and educates the patient and family/or significant other to attain optimal health.  RN has access to all Patient Health Information for treatment purposes only. 

The Clinical Nurse assumes the care of the antepartum, intrapartum, postpartum patients or well newborn patients and may perform the functions of circulating and recovery nurse for patients undergoing cesarean sections and other peripartum surgical procedures.

**1 year current Labor and Delivery experience required**

• Unit specific protocols and standards of care competencies
• Initiates interdisciplinary communications and incorporates recommendations.
• Consistently demonstrates the knowledge and skills necessary to provide care appropriate to the ages of the patients served on the assigned unit.
• Acts as a liaison between patient, physicians, family/significant other, and other health disciplines.
• Develops, implements and updates an individualized teaching and discharge plan.           
• Initiates and documents progressive patient and family/significant teaching. 
• Facilitates the discharge process ensuring all goals are addressed prior to discharge.
• Utilizes current theories and knowledge for accurate assessments and evaluations 
• Completes acuity evaluation on all assigned patients according to unit protocol.
• Consistently performs proficiently on nursing unit. Including but not limited to: Manages an average caseload specific to unit.  Adapts to altered work patterns, sets priorities, and modifies assignments to meet patient needs utilizing available resources and staff ability and availability.
• Administers medications prescribed by physicians according to policy, including IV’s, blood and blood products. Knows actions, indications, contraindications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to patient  
• Consistently recognizes, evaluates and intervenes appropriately in life-threatening situations.
• Consistently checks for new patient orders throughout the shift and implements them in an appropriate timeframe. Completes an end of shift review of physician orders.
• Consistently recognizes variances of diagnostic tests, vital signs and assessments.  Notifies the physician in time appropriate to the variance.
• Functions as a charge nurse as assigned.
• Supports changes in clinical practice as evidenced by the plan of care for the patient and subsequent documentation.                       
• Functions as a resource to co-workers.  Acts as preceptor, and other duties as assigned.
• Ensures compliance with Departmental policies and procedures.      Assume responsibility for knowledge and implementation of policy, procedure, practice, CPG, changes. 
• Follows appropriate chain of command for problem resolution approaching problem solving with a positive attitude and suggestions.
• Consistently demonstrates accountability for supervision and communication when assigned with LVN’s , unlicensed assistive personnel, and float personnel.
• Reports, documents, and takes appropriate action (by the end of shift) for incidents and or quality care issues that may affect the patient’s or staff well-being.
• Consistently assesses patients for risk of injury and takes appropriate action to reduce risk and promote safety.
• Uses restraints according to policy and consistently explores other options less restrictive.  Accurate documentation demonstrated in medical record.
• Serves as advocate for patient/family by providing information and assists in utilization of available resources and or alternatives for making health care decisions (i.e. advanced directives, ethics consult etc.)
• Handles and disposes hazardous waste safely and appropriately
• Consistently handles oxygen safely
• Consistently practices hand washing and use of protective wear 
• Establishes or assesses proper identification prior to delivery of care.
• Requests clarification of Physician orders as necessary

• Current CA Registered Nurse License
• Current American Heart Association BLS certification
• Current American Heart Association ACLS certification (OB ACLS preferred) within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
• Current NRP certification within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
• Current EKG certification (excluding those nurses who exclusively care for post partum patients and newborns)
• Initial Intermediate AWHONN Fetal Monitoring (excluding those nurses who exclusively care for post partum patients and newborns)
• Current Advanced AWHONN Fetal Monitoring (excluding those nurses who exclusively care for post partum patients and newborns) within six months of start date with the exception of Versant or other intern nurses who must obtain certification within six months from the end of training period
• Effective verbal and written skills to communicate with people on all levels and able to maintain positive working relationships with parents, families, and co-workers
• Possess active listening skills
• Compassionate and nonjudgmental care giver and advocate
• Able to independently manage multiple priorities
• Must comply with Annual Health Review and all other required courses/competencies/etc

**1 year current Labor and Delivery experience required**

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