RN – Labor & Delivery

Specialty: Labor & Delivery
Facility: St Mary’s Hospital – Richmond
State License: VA
Certs/Licenses:
Years of Experience:
Shift: Days
Guaranteed Hours:
Description: Specialty: L&DFacility: St Mary’s Hospital – RichmondState License: VACerts/Licenses: Years of Experience: Shift: DaysGuaranteed Hours: Description: Job Description Position Specific DetailsLDRP RN – $95 rate if starting in DecemberNO LOCAL CANDIDATES (no candidates within 50-mile radius)EKG Exam NOT RequiredScrub experience preferred, circulating experience requiredMinimum 2 years of L&D experience – higher acuity strongly preferredFetal monitoring experience needed but certification isn’t necessaryBLS & NRP required, ACLS preferred Floating within Women’s Health likely36-Hr GTE, 12-Hr Days, required to work every other weekend/major holidayOn call 1-2 shifts every 6 weeks ITO interviewsUnit Specific Details11 Labor Rooms, 2 OBs, 2 OR’s, 3 OB ED (Triage), 12 Antepartum/Women’s OBGYN unitAverage 200 deliveries per month. Equipment: warmer, GE monitor, pulse ox, blood glucoseSkill Sets: fetal monitoring or cardiac monitoringPatient Population: deliveries (vaginal/c-section), version, cerclages.3 RNs and one tech for most shiftsRatio*: 1:1 during active labor, 1:3 for antepartum*Ratios are never guaranteed but what the unit attempts to achieve with normal staffing. Ratios are subject to change based on staffing.General Category Description: RN Obstetrics Job Code – 740N3F Include Job Code in Name Job Profile Summary Job DescriptionThe Obstetrics (OB) Registered Nurse (RN) addresses the care provided to healthcare consumers in the context of woman-,newborn-, and family- centered care and includes those who do not self-identify as women, or exclusively as women, aswell as all people parenting newborns. The competent and proficient OB RN provides, coordinates, plans, and evaluatesnursing care, and supervises licensed and unlicensed associates in nursing care delivery within established nursingprocedures, professional standards, and organizational mission/policies/philosophies. This RN demonstrates the abilityto care for patients in the outpatient and/or acute care obstetrical setting as part of an interprofessional teamfocused on achieving the best individual maternal/neonatal/gynecology/women’s health and population outcomes.Essential Job Functions In collaboration with the interdisciplinary care team (Care Management in coordinating care[e.g. Children’s Protective Services], transfer centers, and pharmacies), conducts initial and ongoing patientassessment, analyzes assessment data, creates a plan of care, educates patient and/or family, implements nursingcare/interventions, evaluates the effectiveness of the nursing care/intervention, and advocates for the patient/family.Provides episodic (outpatient) and inpatient (at designated units) Obstetrical/women’s Health nursing care whereapplicable. Administers medications in a safe manner consistent with the State of Practice and Bon Secours MercyHealth; coordinates care within hospital departments. Acts as a patient safety advocate by participating in ongoingquality improvement in the department. Applies knowledge of contemporary obstetrical/women’s health nursing practiceand future innovations. Applies the nursing process in the care of women during pregnancy, birth, postpartum,gynecological, and otherwomen’s health issues and the neonate from birth until discharge with differing gestationalages, diagnoses, and complications. Provides care to women of all ages requiring triage, prioritization, assessment,education, stabilization, resuscitation, and emergency management. Models core cultural and safety behaviors toeliminate preventable harm, ensure worker safety and a safe, high quality experience of care. BSMH nurses are expectedto practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing ProfessionalPractice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, orworking conditions associated with the job. Employees may be required to perform other job-related duties as requiredby their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN License in the state inwhich they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtain fromapproved source prior to direct patient care) NRP Neonatal Resuscitation Program (preferred upon hire, must obtainwithin 6 months of hire) ACLS Advanced Cardiac Life Support – American Heart Association (preferred) Electronic FetalMonitoring Certification – National Certification Corporation (preferred if interpreting fetal monitoring) Inpatient OBCertification – National Certification Corporation (preferred) Maternal Newborn Nursing Certification – NationalCertification Corporation (preferred) Neonatal Intensive Care Certification – National Certification Corporation(required for critical care transport NICU teams within 2 years of hire) Low Risk Neonatal Nursing Certification -National Certification Corporation (preferred) Care of the Extremely Low Birth Weight Neonate Certification – NationalCertification Corporation (preferred) Education Bachelor of Science Nursing (preferred) Work Experience 1 year of RNexperience (required) Recent OB, ED or critical care experience (preferred) Training EPIC Electronic Health Record(EHR) (preferred) Skills Assigns patient care according to the nursing skill, knowledge, and scope of practice ofstaff. Orients, facilitates learning experience, and provides education (based upon quality improvement indicators,outcomes, and implementation) to nursing staff and others. Possesses clinical knowledge, skills, and competency toprovide evidence-based patient care in accordance with the current standards of practice, policy and procedure, andBSMH mission. Performs comprehensive assessment of patient’s clinical condition and psychosocial needs of the patientand their supportive resources. Safely and efficiently develops, implements, and prioritizes plan of care. Applicationof the nursing process in patient care delivery. Assesses patient’s physical and emotional responses to treatment toevaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. Assists patient andfamily in coping with patient’s illness. Collaborates with others in the delivery of coordinated patient care. Stronginterpersonal and verbal/written communication skills. Applies cultural diversity and inclusion principles when caringfor patients and their support resources. Recognizes own limitations and seeks assistance and acquires information toperform safely. Advances personal and professional growth through participation in educational programs, currentliterature, in-services, and workshops. Exhibits professionalism through accountability for own and delegated actions.Integrates cost-effective measures into practice and models effective stewardship of available resources. Practicesself-care and cultivates resilience in conflict and difficult circumstances. Protects the safety and privacy of allpersons. Understanding and utilization of office and clinical technologies. Ability to communicate with patients in amanner they can understand considering their personal preferences. Compassionate, relationship-based approach to helpfind meaning in illness, suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency.Electronic fetal monitoring. Conducting vaginal exams. Caring for the mother/fetal dyad. Resuscitation andstabilization of mother/fetal dyad. Breastfeeding support and education Teaching self/neonate/infant care, dischargeteaching, planning, and follow up. Age- and department-specific emergency and lifesaving equipment. Ability torecognize, understand, and communicate family dynamics and parent/child relationship. Advanced care management skillsin caring for the unstable, acute, or chronically ill neonate. Working Conditions Periods of high stress andfluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to usephysical restraints May be exposed to high noise levels and bright lights May be exposed to limited hazardoussubstances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periodsof constant interruptions * Individuals in this position are required to exercise universal precautions, use personalprotective equipment and devices, and learn the policies concerning infection control. Physical RequirementsLifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull(50-100 lbs.) 34-66% Stoop/Kneel 1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66%Walking 34-66% Standing 34-66% Additional Physical Requirements/Hazards Manual dexterity (eye/hand coordination)Perform shift work Maneuver weight of patients Hear alarms/telephone Reach above shoulder Repetitive arm/hand movementsFinger Dexterity Color Vision Acuity – far Acuity – near Depth perception Use of Latex products Exposure totoxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potentialelectrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure PatientPopulation Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patientsserved on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life spanand possesses the ability to assess data reflective of the patient’s status and interprets the appropriateinformation needed to identify each patient’s requirements relative to his or her age, specific needs and to providethe care needed as described in departmental Policies and procedures. Neonates (0-4 weeks) Infant (1-12 months)Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Notes Replacing S Hill (resigned) Primary Skills: BLS, NRP, ACLSpref Job certifications: NRP, Raise the Bar Attestation Job credentials for Professional: BLS