JOB
The RN renders collaborative nursing care via the defined department Method of Practice, to a caseload of patients for an assigned shift in accordance to the medical staff practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics. The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process. Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow employees.
JOB RELATIONSHIPS : Reports directly to Perinatal Nurse Manager. Reports indirectly to the Director of Inpatient Services and other management covering the department. Collaborates with all members of the Health Care Team in the coordination of patient care.
Delegates and directs assigned caseload team which may be comprised of LVN/Department Clerk. OCCUPATIONAL HAZARDS : This position includes tasks that involve exposure to blood, body fluids or tissues. Samples of Duties: The information listed below is meant to serve as samples of job duties and responsibilities for positions in this classification.
This list is neither inclusive nor exclusive, but indicative of several types of duties performed. Performs direct patient care in accordance to performance standards listed on Skills checklist according to the defined patient populations for Perinatal patients Perform admission, discharge, and transfer procedures Communicate to provide continuity of care and to deliver safe care. Uses SBAR.
Administers medications and has knowledge of actions, route of administration, dosage, and side effects Demonstrates appropriate patient safety practices Meets the standards of care for Antepartum Testing/Triage patient including, MSE: Medical Screening Exam, Non Stress Tests, Sterile Vag Exam, Testing for Rupture of Membranes, and IV Therapy Meets the standards of care for Labor, Delivery and Recovery of patients including, accurately interpreting fetal heart monitor tracings, Pain Management, assist with Epidural placement and monitoring, assist with Rupture of Membranes, Foley Catheter Insertion, FSE, IUPC, assist with Vag Delivery, follows current standards regarding postpartum hemorrhage and hypertensive crisis, Emergency Delivery and Safe recovery of mom and baby Meets the standards of care for postpartum patients including, pain management, lochia assessment, fundal massage, ambulation, post op care, postpartum complications: blood transfusions, DVT assessment and follows current standards regarding postpartum hemorrhage and hypertensive crisis Meets the standards of care for the breastfeeding couplet including, provides appropriate lactation education, breastfeeding assistance and support: latch and position, appropriate referrals: lactation consultant Meets the standards of care for the newborn patient including, newborn assessment, newborn medications, blood glucose monitoring protocol, hearing screen, newborn screen, jaundice screening and CCHD Meets the standards of care for the Peds-Neo patient including, infant stabilization/NRP, phototherapy, newborn IV starts/IV administration, IV antibiotics, newborn medications, infant transfers to higher level of care Meets the standards of care for Documentation: Communications with other health care professionals regarding the patient Communication with and education of the patient and support person For shift worked, coordinates case load of patients as assigned Delegates and directs care delivery appropriately Coordinates care effectively Signs off coordination of the LVN, orientee, floated RN, patient load at the end of the shift.
Contributes to the case management discharge plan of care Serves as a preceptor to students, volunteers, and staff as assigned Participates in the development and achievement of department annual goals and objectives (action plans) in accordance with Nursing Services / NIHD goals and overall plan for patient care. Supports the implementation of action plans Adapts to changes Performs other duties as assigned Oversees and provides feedback on work performance of the shift staff and other members of the health care team and provides feedback to the Nurse Manager, DON, and/or House Supervisor Functions as the RN caseload primary nurse on assigned patient load Demonstrates leadership skills and completes cross training to: Cross trains to other positions and/or departments listed Complies with departmental staffing practices.
Understands the need to verify final schedule on a regular basis in the scheduling software Able to use scheduling software for requesting time off, swapping shifts, picking up open shifts etc. Active on selected committees for the purpose of exchanging information and participating in problem solving methods. Attends monthly staff meetings and/or signs off minutes as read Participates on standing committees (Professional Practice Committee, OCC, CCOC, SIAC, Patient Safe Handling, Resuscitation Committee) Arranges own knowledge base and development by attending formal and informal educational activities.
Completes NIHD mandatory competency. Completes annual role specific on-going competency plan. Attends NIHD in-services and/or programs Completes job skills BLS, NRP, Lactation educator Assists in identifying patient care problems for investigation, collecting data and applying current concepts to patient care.
Has knowledge of Problem Resolution Methods (FOCUS-PDSA, 5S, Six Sigma, Rapid Improvement Cycle, Project Management) and actively participates in QA/PI activities. Identified opportunities for improvement. Participates in QA/PI project or team Collects data as assigned Participates in survey or data completion as requested Reviews literature and shares information with peers Participates in the development of and/or revision of process standards such as policies and procedures, standards of care and practice etc.
Sends requests for updates evidence based practice ideas to CSE. Develops, reviews, and/or critiques process standards as assigned. Complies with department process for updates of Policy and Procedures/Protocols, etc.
Demonstrates knowledge of annual feedback. Complies with
performance standards. Completes self-review and personal plan for development. Provides feedback into the performance of others.
Knowledge, Skills and Abilities: Knowledge of: The Mission, Vision, and Values of Northern Inyo Healthcare District; NIHD policies and procedures, including Compliance Program, Code of Conduct, and Confidentiality standards; Understands and models the NIHD Nursing Mission: To be the patient advocate To promote evidence based care To know our patient’s story To protect our patient from harm To educate our patients To actively involve the patient and family in the care Knowledge of best practice and industry standard patient safety practices Skills/Abilities to: Communicate effectively both verbally and in writing with NIHD staff and the public; Establish and maintain professional working relationships with NIHD staff at all levels as well as the public; Develop and maintain a high degree of maturity, integrity, and good judgement.
One-year labor experience required or completed extended orientation period, up to a year, meeting all expectations for no labor experience. A nurse with no labor experience can be hired by the Perinatal nurse manager based on current preceptor/orientation availability.
Graduate of School of Nursing Certification: Current California State License as a Registered Nurse required BLS upon hire and on-going NRP prior to completion of orientation period. Intermediate or Advanced Fetal monitoring certification within 6 months of hire and ongoing. Gnosis annual assessment of EFM principles within 3 months of hire and on-going BFHI (Baby-Friendly) Lactation Education required or within 6 months of hire Preferred:
BSN/BA preferred Certification: STABLE preferred Part-time non-benefited 24 hours a week Part-time non-benefited