• Registered Nurse (RN) - OB

    Job Locations US-IA-Mount Pleasant
    Job ID
    2017-1039
    Category
    Nursing
    Type
    PRN
  • Overview

    Current Iowa RN license. Prior acute care or OB experience preferred. Certification in ACLS, BLS, NRP, and Fetal Monitoring within the first 6 months of hire.

     


    Job Summary

      • The Obstetrics RN has primary responsibility for providing care for patients in labor delivery, nursery and postpartum.
      • The OB Department RN will be scheduled in the OB Department after s/he has received experience in labor, deliver, nursery and postpartum nursing care as evidenced in the orientation checklist and documentation.

    Essential Duties and Responsibilities:

    • Assesses physical, psychological, social, spiritual and educational needs of the patient and family specifically related to age.
    • Acts as a role model to all staff, displaying exemplary behavior and attitude at all times while at work or at HCHC functions.
    • Set the example of professionalism of HCHC and nursing on and off the unit.
    • Serves as a professional role model in appearance, communication, and ethical behavior.
    • Assists and supports unit budget.
    • Assists and supports effective communication on the unit.
    • Assists and supports unit and organizational quality initiatives.
    • Keeps Nursing Leadership informed of: Unusual patient or staff occurrences, changes in staffing requirements relating to patient activity/acuity, commendable performance and/or disciplinary issues, operational issues within patient care department
    • Serves as a patient advocate at all times
    • Identifies and performs service recovery as needed.
    • Complies with all relevant nursing policies and procedures.
    • Complies with all relevant HCHC policies and standards.
    • Supports the philosophy, goals, and objectives of the Nursing Division.
    • Acts as a resource person regarding patient care, specialty area, orientation, and teaching of the staff.
    • Strives for quality in patient care and, as necessary, challenges and/or corrects errors of peers to ensure patient safety and well-being.
    • Participates in and supports research programs and activities and performance improvement activities. Also, participates in nursing councils and other activities, which promote the growth and development of nursing and/or patient care.
    • Attends all mandatory inservices / education within HCHC.
    • Assists with maintenance of equipment assigned to patient care and reports problems and orders service as needed.
    • 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 mothers for elective or emergency Cesarean Section by following written C-Section protocol. Provide emotional support to mother and coach, obtain proper consents and pre-op diagnostic studies and coordinate smooth transfer to surgery.
    • Assist physician with initiation of pitocin inductions and monitor progress of labor: hang IV pitocin drips, adjust flow rate or pump according to physician's orders, be alert for abnormalities or problems.
    • Document nursing care properly within the EHR.
    • Assist physician in administering care during labor: artificial rupture of membranes, initiation of internal fetal monitoring or intrauterine pressure catheter, initiation of pitocin drip or other IV medications, sterile vaginal exams or other procedures. Assist anesthesia with the administration of spinal or epidural anesthetic.
    • Perform immediate post-delivery care of mother and infant: determine Apgar score, apply ID bands, weigh and measure infant, administer medications to mother and infant as ordered, assist physician with resuscitation, perform fundal message and monitor vital signs and lochia as needed, promote infant/parent bonding and obtain newborn identification per policy.
    • Perform post-partum care and provide patient education to mother: check lochia, episiotomy and fundus, provide instruction in child care, breast feedings and self-care to mother, monitor vital signs per policy, report problems to physician.
    • Perform nursery care on infant: operate OB equipment (warmers, isolettes, newborn monitor, phototherapy light), assess infants and vital signs, assist with circumcision, coordinate stabilization and transfer of unstable infants, perform or assist with all feedings (breast feeding, nipple feeding or gavage feeding) perform cord care initiate isolation if indicated, draw blood from umbilical cords. Assess gestational age, give bath, take pictures, and perform hearing screening and any other treatments.
    • Administer medications, solutions and treatments per physician's order: Display knowledge of administration and effects of medications used and operate IV/PCA pumps correctly.
    • Initiate and maintain IV and oxygen therapy on infants under the direction of a physician.
    • Admit and care for post-surgical patients. Monitor and assess per post-anesthesia protocol.
    • Perform discharge teaching for all patients.
    • Provide required care for OB/OBS patients.
    • Display knowledge of specialized resuscitation protocol for infants: NRP, CPR, ACLS, drug dosages, fluid requirements, thermoregulation, stabilization and transport.
    • Participate in in-services and continuing education specialized for OB/Nursery.
    • Successful completion of skills checklist with 45 days of hire.
    • Depending on census, may float to other departments.
    • OTher duties as individually assigned.

     

    Responsibilities

    Job Qualification Requirements: Education:

    • Graduate of an accredited school of nursing with current Iowa licensure as a Registered Nurse. Prefer Bachelor of Science in Nursing.

    Licensure/Certification:

    • Currently licensed by Iowa State Board of Nursing Registration
    • NRP
    • ACLS
    • BLS
    • Mandatory Reporter
    • Electronic Fetal Monitoring
    • STABLE

     

    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.

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