Delivery Room Assessment Registered Nurse

Delivery Room Assessment Registered Nurse 3, 7:00AM-7:30PM

The following describes the Delivery Room Assessment Registered Nurse 3 role at GBMC Health Care.

Responsibilities

• Under general supervision, provides direct patient care to assigned patients.

Education

• Associate Degree from an accredited School of Nursing required. Bachelor’s degree required within 3 years of start date.

Experience

• 2 years of Neonatal Intensive Care Unit (NICU) experience required.

Knowledge,

Skills And Abilities

• Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.
• Excellent communication and interpersonal skills.
• Effective planning and organizational skills to manage multiple priorities simultaneously.
• Strong analytical skills.
• Effective skills in use of computer programs.
• Advanced skill in managing operational flow and unit activities for the overall benefit and smooth operation of the unit.
• Demonstrates skill in patient experience and service recovery.
• Ability to allocate nursing and support resources to provide smooth and efficient, high quality care to patients assigned to the unit.
• Able to delegate assignments and provide direction to nursing personnel.

Licensures, Certifications

• Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.
• Healthcare Provider CPR biennial
• Additional certifications (i.e. ACLS, PALS, NRP) for specialty care areas are required upon hire
• Certification in specialty preferred

Physical Requirements

• Ability to stand and walk almost constantly up to 90% of work time and lifting and positioning patients up to 50% of work time.
• Ability to concentrate and pay close attention to detail, often in stressful situations.

Working Conditions

• Normal patient care environment with possible exposure to excessive noise, dust, temperature.
• Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases.

Conditions of Employment

• Maintain current licensure and certification.

Principal Duties And Responsibilities

Utilization of Nursing Process

Assessment

• Attends all deliveries.
• Performs initial infant assessment using NRP guidelines.
• Assigns Apgar scores and completes L&D Delivery Record.
• Communicates with NICU MD, Advanced Practitioner, and charge nurse if infant needs to be transferred.
• Performs initial infant blood glucose by heel stick as per policy.
• Compiles database and formulates nursing diagnosis.
• Utilizes physical assessment and interviewing techniques.
• Anticipates need for intervention by other disciplines.
• Determines priorities for patient care needs or problems.
• Reassesses the patient as indicated by changes in condition and/or response to treatment.

Planning

• Ensures infant warmers are stocked and functioning properly in birthing rooms and operating rooms.
• Checks the Neonatal Resuscitation cart at the beginning of each shift.
• Communicates infant supply needs to the Supply and Equipment Specialist as necessary.
• Initiates and updates a written nursing plan of care.
• Coordinates information from nursing care planning conferences into the plan of care.
• Coordinates patient, family, significant other, and health team members in hospital and post-discharge planning.

Implementation

• Performs infant vital signs per policy while infant is in L&D.
• Encourages skin-to-skin contact and breastfeeding when appropriate; provides patient education and assistance.
• Performs clinical nursing skills independently.
• Administers medications, IV therapy, and treatments as prescribed.
• Initiates appropriate emergency procedures as necessary.
• Delegates and coordinates duties of ancillary personnel.
• Communicates patient status and plan of care through documentation and verbally to physicians, nurses and other health care professionals.
• Applies teaching/learning principles in patient and family education.
• Performs other duties as assigned by the charge nurse.

Patient Care Coordination

• Communicates and coordinates care with the NICU and Newborn Nursery throughout the shift.
• Manages daily patient assignment by setting priorities and delegating appropriately.
• Coordinates patient activities with other disciplines.

Teaching and Quality Improvement

• Educates the family on expected initial infant assessment findings, skin-to-skin contact, and early breastfeeding.
• Develops, documents, and implements Patient Teaching and Discharge Planning records.
• Participates in patient, family, staff and/or student education program.
• Participates in clinical monitoring at the unit level.
• Identifies unit, staff and patient care problems and takes action or refers problems as indicated.

Professional Excellence Model

• RN 3’s participate in Leadership and Professional Development and unit-based Shared Governance.

Other Leadership Options Include

• Administrative responsibilities:
  Charge RN, Productivity/Patient flow, input for performance evaluations, interview process/share time/evaluation of candidates.
• Education and Practice Responsibilities:
  Preceptor, Competency…