RN Obstetric Scheduling & Clinical Coordinator

DEPARTMENT: 26190 - Labor and Delivery North Naples LOCATION: 11190 Health Park Blvd, Naples, FL, 34110 WORK TYPE: Full Time WORK

8 Hour Day ABOUT NCH NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care. NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.

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The Registered Nurse Obstetric Scheduling & Clinical Coordinator independently plans, implements, coordinates, and evaluates nursing care within the Women's & Children's Pavilion. This position provides clinical coordination of scheduled obstetric services, including inductions of labor, scheduled cesarean deliveries, and outpatient obstetric procedures, while maintaining competency to provide direct patient care within Labor & Delivery and the Obstetric Emergency Department (OBED).

The RN serves as a clinical liaison among patients, obstetric providers, Maternal-Fetal Medicine, nursing leadership, and interdisciplinary departments to promote safe, efficient, evidence-based coordination of obstetric services. The RN maintains clinical competency and may be assigned direct patient care responsibilities based on patient care needs, unit acuity, staffing needs, and operational priorities. Participates in unit committee and quality improvement activities and assumes teaching and leadership responsibilities.

Needs minimal supervision.

• AND RESPONSIBILITIES – Other duties may be assigned.
• Looks for opportunities and solutions for process improvement and seeks to improve job skills.
• Maintains the principles of confidentiality. Understands legal and regulatory requirements related to release of information and uses information systems pertinent to the job.
• Participates in data collection, unit-based quality activities, and performance improvement initiatives.
• Locates and documents medical and nursing patient-care information accurately in the electronic or paper medical record.
• Reviews laboratory results, provider orders, and pertinent clinical documentation using approved information systems.
• Recognizes that the medical record is the principal source of patient-related information and performs complete chart review as required for the assigned role.
• Performs thorough nursing assessments and reassessments within established policy and based on patient condition.
• Assesses age-specific needs, barriers to learning, and individualized patient/family education needs.
• Identifies and prioritizes patient needs, develops and updates the plan of care, and evaluates outcomes of care.
• Implements nursing care in an organized and efficient manner using sound clinical judgment and critical-thinking skills.
• Delegates patient care to other team members within their scope of practice.
• Diligently checks emergency equipment and supplies when assigned.
• Delivers patient care and treatment using problem-solving skills and administers medications safely within scope and policy.
• Initiates and coordinates patient/family teaching using individualized, effective teaching methods.
• Follows hospital and unit policies, clinical pathways, and chain-of-command processes and participates in patient-care conferences as applicable.
• Addresses unresolved discharge-planning needs and documents clearly and consistently in the electronic medical record.
• Demonstrates positive and effective verbal and nonverbal communication with patients, peers, supervisors, providers, and interdisciplinary team members.
• Provides constructive feedback regarding problems and complaints and uses chain of command for problem-solving and conflict resolution.
• Prioritizes patient treatment to best meet patient needs and completes assigned care efficiently.
• Reports patient-care progress and unresolved needs to the Charge Nurse or appropriate leader and knows when to request assistance.
• Uses supplies and departmental resources responsibly and supports activities that promote operational efficiency.
• Accepts responsibility for ongoing learning, required education, current policies, competencies, and certifications. OBSTETRIC SCHEDULING & CLINICAL COORDINATION
• Coordinates scheduling of inductions of labor, scheduled cesarean deliveries, and outpatient obstetric procedures in collaboration with obstetric providers, nursing leadership, Maternal-Fetal Medicine, and other applicable departments.
• Reviews scheduling requests for completeness, including provider orders, indication, gestational age, requested timing, and other required clinical information.
• Reviews scheduled induction and delivery requests for consistency with established hospital policy, provider orders, gestational-age requirements, documented medical indications, and applicable current professional guidance, including ACOG recommendations.
• Identifies scheduling requests that fall outside established criteria, contain incomplete information, or require clinical clarification and escalates concerns to the appropriate provider and/or nursing leadership before finalizing the schedule.
• Facilitates appropriate scheduling of medically indicated deliveries occurring before 39 weeks in accordance with established hospital policy, provider documentation, and applicable professional guidance.
• Supports organizational processes intended to avoid nonmedically indicated delivery before 39 0/7 weeks, consistent with hospital policy and applicable professional recommendations.
• Coordinates outpatient obstetric procedures, testing, and other assigned services, ensuring required orders and pertinent clinical information are available before the scheduled encounter.
• Communicates scheduling information and approved pre-procedure or pre-arrival instructions to patients in accordance with departmental processes.
• Maintains accurate scheduling records and communicates additions, cancellations, changes, and potential scheduling conflicts to appropriate team members.
• Collaborates with providers, Charge Nurses, nursing leadership, and other departments to coordinate scheduled services with unit capacity, staffing, acuity, and patient-safety needs.
• Assists with schedule changes resulting from urgent or emergent patient-care needs and communicates revised plans to appropriate stakeholders.
• Uses established escalation pathways when clinical or operational concerns cannot be resolved at the scheduling level.
• Participates in quality-improvement initiatives related to obstetric scheduling, patient flow, induction management, outpatient services, OBED operations, and utilization of departmental resources.
• Identifies opportunities to improve scheduling efficiency, communication, patient throughput, and coordination across Women's & Children's services. LABOR AND DELIVERY / OBED
• Maintains competency in Labor & Delivery nursing and obstetric triage/OBED.
• Utilizes approved fetal monitoring systems and demonstrates competency in fetal heart-rate monitoring, including application, patient education, interpretation, appropriate interventions, and escalation.
• Demonstrates competency in common obstetric and neonatal nursing diagnoses and collaborates with appropriate disciplines to plan effective treatment and interventions.
• Demonstrates competency in antepartum assessment, induction of labor, care of the laboring patient, and other assigned Labor & Delivery responsibilities.
• Demonstrates competency in the initial nursing assessment, prioritization, monitoring, documentation, communication, and escalation of patients presenting to OBED in accordance with hospital policy and RN scope of practice.
• Recognizes urgent or emergent maternal and fetal conditions and initiates appropriate nursing interventions, provider notification, and escalation according to established policy and protocol.
• Maintains competence in the safe and effective use of medications and treatments commonly used in the Labor & Delivery and OBED setting.
• Maintains competence to circulate cesarean sections and gynecologic cases and to recover patients following cesarean sections and gynecologic procedures, as required by department standards.
• Provides direct patient care in Labor & Delivery, OBED, and other appropriate Women's & Children's areas within demonstrated competency when warranted by census, acuity, staffing, emergencies, or other departmental needs.
• Works collaboratively and communicates effectively with obstetric providers, anesthesia, Maternal-Fetal Medicine, neonatal/pediatric services, and other members of the interdisciplinary team. EDUCATION, EXPERIENCE AND QUALIFICATIONS
• 2 years of experience in Labor & Delivery OBED (Obstetric Emergency) required.
• Licensed as a Registered Nurse (RN) or Advanced Practice Registered Nurse (APRN), as applicable, in the State of Florida.
• Maintains certifications and education required for Labor & Delivery: o NRP certification required within 90 days of hire and maintains. o Basic Life Support (BLS) certification required from the American Red Cross or American Heart Association. o Advanced Life Support (ALS) certification required from the American Red Cross or American Heart Association within 6mos of hire and maintains o STABLE certification required within one year of hire. o Attains basic cardiology certification within 60 days of hire and updates annually. o Attends Intermediate Fetal Monitoring Course within 6mos of hire and maintains fetal monitoring update every 2yrs.
• Intermediate Fetal Monitoring Course required and fetal monitoring education maintained at required intervals.
• Demonstrated current competency and recent clinical experience in the Obstetric Emergency Department (OBED)/obstetric triage is required at the time of appointment to this position. Candidate must also demonstrate current competency in fetal monitoring, antepartum assessment, induction of labor, and care of the laboring patient. This OBED competency is an entry requirement and is not intended to be obtained after placement into the position.
• Demonstrates clinical judgment, organization, prioritization, communication, and conflict-resolution skills necessary to coordinate obstetric scheduling and respond to changing unit needs.
• Intermediate computer knowledge and ability to use the electronic medical record, scheduling systems, Microsoft Word, Excel, Outlook, and other departmental applications.
• Maintains knowledge of current hospital policies and applicable professional standards and guidelines relevant to obstetric scheduling and clinical practice.