Womens Health Labor and Delivery Registered Nurse - Full Time
divh2Labor and Delivery Registered Nurse/h2pThe RN working in L/D is responsible for promoting and maintaining quality patient care on all patients presenting to the L/D area. They will function with minimal supervision and exercise sound judgment when conducting medical screens on patients presenting to L/D for monitoring/observation. The RN has knowledge of the admission, discharge, transfer and fetal monitoring of all patients presenting to L/D. Assures Hourly Rounding with Intention is done on all labor patients Q 30 minutes-1 hour for safety of the patient utilizing Aidet. RN will conduct herself in a professional manner at all times and will adhere to unit specific/JSMC policies/procedures and function within the scope of her practice. The RN in L/D area is responsible for admitting and caring for a patient in labor throughout her delivery and recovery. This includes taking vital signs, starting IV and drawing blood, vaginal exams, pain management and obtaining pertinent information and able to document in McKesson/OB Trace Vue. RN is knowledgeable about EFM which includes interpretation and treating strips, notification of physician in a timely manner and providing them with needed information such as dilation, effacement, station, presentation and reactivity of the baby. Has understanding of all policies and protocols related to labor and delivery such as: Cytotec, Pitocin, Magnesium Sulfate, Fetal Distress, Prolapsed Cord, Shoulder Dystocia, Uterine Rupture, Abruption, Preparation for Emergency C/Section/Delivery and Fetal Demise. The RN in L/D is aware of the chain of command process, Emtala regulations, transfer process, and notification of on-call anesthesia/physician. RN will provide the on-coming shift with report utilizing hand-off communication at bedside. The RN will adhere to AWHONN/AGOG standards with much emphasis on EED/Healthy Babies 39 weeks or greater./ppIdentifying patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements./ppEstablishing a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families./ppPromoting patients independence by establishing patient care goals by teaching patient, friends, and family to understand condition, medications, and self-care skills; answering questions./ppAssuring quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing divisions philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations./ppResolving patient problems and needs by utilizing multidisciplinary team strategies./ppMaintaining safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel./ppProtecting patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations./ppDocumenting patient care services by charting in patient and department records./ppMaintaining continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs./ppMaintaining patient confidence and protecting operations by keeping information confidential./ppEnsuring operation of equipment by completing preventive maintenance requirements; following manufacturers instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques./ppMaintaining professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies./ppCompletes Nursing History and Assessment accurately within the 24 hours of admission/ppDetermines and delivers age appropriate care/ppDelegates duties based on complexity of patient needs/ppUtilization of critical thinking skills in prioritization of care/ppDevelops, prioritizes, updates and maintains individualized plan of care/ppCoordinates and collaborates Plan of Care with health care team/ppIncorporates Discharge planning needs on the Plan of Care/ppDocuments interventions that are accurate, pertinent, timely and legible/ppAdministers medications observing the 6 rights/ppMaintains Barcode Override ratelt;10%/ppIncluded patient, caregivers and disciplines in care and health teaching./ppAbility to supervise staff member who provide direct patient care./ppPractices within the scope of license/ppAware of the Emtala regulations and follows/ppAs a Studer Group partner Registered Nurses must have the ability to develop a full understanding of the Studer Group practices and tools and communicate them effectively. Registered Nurses must embrace the Studer Philosophies and Principals by conducting him/herself in a professional manner. Registered Nurses will be held accountable to the following Studer Philosophies and Principals: HCAHPS Patient Perception Hourly Rounding with Intention Bedside Shift Report AIDET Daily Huddles/p/div