Delivery Room Assessment Registered Nurse

Education

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

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

• 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 in order to effectively 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
• Skill in allocating nursing and support resources to provide smooth and efficient, high quality care to patients assigned to unit
• Able to delegate assignments and provide direction to nursing personnel

• 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

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

• 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

Maintain current licensure and certification

• Attends all deliveries
• Upon delivery, 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 in the event that 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(s)

• Ensures that infant warmers in birthing rooms and operating rooms are stocked with the appropriate equipment and functioning properly
• Checks the Neonatal Resuscitation cart at the beginning of each shift
• Communicates infant supply needs to Supply and Equipment Specialist as necessary to ensure that supplies and equipment are readily available
• Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
• Incorporates information obtained from nursing care planning conferences into written nursing plan of care.
• Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.

• Performs infant vital signs per policy while infant in L&D
• Encourages skin to skin with patient
• Encourages breastfeeding within the first hour of life when appropriate. Provides patient education and assistance when necessary.
• Performs clinical nursing skills independently.
• Administers medications, IV therapy and treatments appropriately and accurately.
• Initiates appropriate emergency procedures as necessary.
• Appropriately delegates and coordinates the duties of ancillary personnel.
• Communicate the patient's status and plan of care through written documentation in the patient's medical record
• Verbally communicates the patient's status to physicians, nurses and other health care professionals.
• Communicates in a therapeutic manner with the patient, family and visitors.
• Applies teaching/learning principles in education of patient and family.
• Other duties assigned by the charge nurse.

• Communicates and coordinates care with the NICU and Newborn Nursery throughout the shift
• Manages daily patient assignment by appropriately setting priorities.
• Delegates responsibility appropriately and monitors the nursing care
• Delivered to patients by ancillary personnel.
• Coordinates patient activities with other disciplines.

• Educates the family on the following:
• Expected initial infant assessment findings after delivery
• Importance of skin to skin contact
• Importance of early and exclusive breastfeeding
• Develops, documents and implements Patient Teaching and Discharge Planning Record.
• Participates in established patient, family, staff and/or student education program.
• Participates in clinical monitoring at the unit level.
• Identifies unit, staff and patient care problems. Takes…