Registered Nurse; Flex - Labor and Delivery

Overview

Under the supervision of the Nurse Manager, the staff nurse is responsible for the application of the nursing process and evidence-based knowledge, judgment and technical nursing skills in the delivery of nursing care to a patient, or a group of patients with medical and surgical conditions on an assigned shift.

• Provide age-appropriate, culturally competent care and family-centered care.
• Able to prioritize and assist in the care of Triage patients.
• Performs a thorough patient assessment and reassessment of the maternity patient and neonate.
• Establishes a plan of care based on patient diagnosis.
• Demonstrates a thorough knowledge of equipment utilized in patient care (infant warmers, fetal monitors, birthing bed, infant warmers, cardiac monitoring).
• Able to care for antepartum (low and high risk), intrapartum and postpartum (NSVD and C/S) patients.
• Able to open and set up a delivery table.
• Pain assessment and reassessment.
• Assists with Epidural placement and administration.
• Able to interpret fetal monitoring and contraction patterns (internal and external)
• Recognizes deviations from normal maternal, fetal and neonatal status, alert providers and initiate interventions.
• Able to scrub in the operating room
• Able to circulate in the operating room
• Recovers post-operative patients
• Initiates and assists with breastfeeding, unless medically contraindicated
• Assigns APGAR scores
• Can initiate and assist with neonatal resuscitative measures
• Aware of and assists with policy and procedure review and development
• Participation in unit-based performance improvement and quality measures
• Participation in unit and multidisciplinary rounds.
• IV insertion, phlebotomy and assisting with obtaining vaginal cultures.
• Involved in discharge planning.
• Ensuring regulatory requirements are met and maintained.
• Following OR processes for safety, verification and time-out.
• Aware of Code Pink infant safety policies and procedures.
• Provides support for the mother during labor.
• Measures the strength and timing of contractions
• Monitors patient’s vital signs according to hospital policy.
• Administers medications and performs diagnostic tests.
• Consulting with physicians/providers and other team members.
• Assists with inducing labor.
• Provides labor support and coaching mother during labor and delivery.
• Identifies and assists with complications
• Assist with various procedures, including Cesarean sections
• Monitors and performs essential tests on newborns
• Provides education and support to mothers and family throughout the delivery process
• Performs duties of transitional nurse: assisting with skin to skin initiation and newborn care after vaginal and cesarean delivery.
• Provides newborn care including newborn assessment and heel sticks (glucose monitoring)
• Participates in clinically appropriate continuing education activities.
• Maintains current nursing knowledge to assure a safe working environment.
• Maintains competency and updates knowledge of standards of practice in scope of practice as per AWHON.
• Participates in assigned departmental or organizational committees, meetings and/or conferences.
• Participates in the department’s performance improvement initiatives to continuously improve the quality of patient care.
• Participates in the formulation, review and or revision of departmental policies
• Delegates responsibilities to NA/PCT to ensure tasks are completed; provide assistance as needed
• Performs other duties as assigned within the RN scope of practice.

Education:

Internal & 1199 SEIU

• Graduate of accredited nursing program(s).
• Bachelor's degree in Nursing preferred.

Non 1199 SEIU Candidates

• Bachelor’s degree in Nursing or equivalent to BSN program.
• Master's degree in Nursing, preferred.

Experience

• Minimum one (1) year neonatal or pediatric experience.

Knowledge And Skills

• Critical thinking, math, and computer skills;
  Works as a team player.
• Demonstrates respect and professionalism in all interactions.
• Excellent oral and communication skills.
• Decision making and problem solving.
• Able to read, write, see and hear English.

Licenses, Certifications

• Current NY State RN License required.
• Basic Life Support (BLS) from the American Heart Association, required.
• Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required.
• Neonatal Resuscitation Program Certification (NRP) required.
• WHO 20 hour Breastfeeding Course (Women and Children Division) or equivalent training, required.
• Certified Lactation Counselor preferred
• International Board Certified Lactation Consultant preferred
• Inpatient Obstetric Nursing Certification preferred.
• AWHON:
  Fetal Monitoring Certificate Intermediate and/or Basic preferred.

Physical Requirements

• Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
• Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
• An individual in this position may be exposed to:
  Adverse indoor environmental…