RN – Neonatal ICU (NICU)

Specialty: Neonatal ICU (NICU)
Facility: Memorial Regional Medical Ctr
State License: VA
Certs/Licenses:
Years of Experience:
Shift: Nights
Guaranteed Hours:
Description: Specialty: NICUFacility: Memorial Regional Medical CtrState License: VACerts/Licenses: Years of Experience: Shift: NightsGuaranteed Hours: Description: Job Description Position DetailsNICU RN NO LOCAL CANDIDATES (no candidates within 50-mile radius)No EKG Exam Level III NICU experience requiredRequired to attend deliveries as part of the NICU teamEPIC experience strongly preferredFloating within New Life Center or to other NICUs in Richmond possibleBLS, NRP required, STABLE preferred12-Hr NIGHTS, 7p-7a, every other weekend/major holiday requiredITO will interviewUnit DetailsMemorial Unit Size: 9 bedsPatient Population: Early and late pre-term infants, High risk low birth weight babiesAirway: Vary rarely vents. Mainly bubble CPAP, high flow and nasal cannulasLines/Drains/Devices: Peripheral IV s, Umbilical lines, NG/OG tubes, Syringe pumpsAverage Daily Census: 3-4 infantsProvider Coverage: 24/7 providers on siteScrubs: Navy blue, white or any combination of the two colorsRatio*: 1:2-3*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 – 740N3FInclude Job Code in Name Job Profile Summary Job Description The Obstetrics (OB) Registered Nurse (RN) addresses thecare provided to healthcare consumers in the context of woman-, newborn-, and family- centered care and includes thosewho do not self-identify as women, or exclusively as women, as well as all people parenting newborns. The competent andproficient OB RN provides, coordinates, plans, and evaluates nursing care, and supervises licensed and unlicensed associate’s in nursing care delivery within established nursing procedures, professional standards, and organizationalmission/policies/philosophies. This RN demonstrates the ability to care for patients in the outpatient and/or acutecare obstetrical setting as part of an interprofessional team focused on achieving the best individualmaternal/neonatal/gynecology/women’s health and population outcomes. Essential Job Functions In collaboration with theinterdisciplinary care team (Care Management in coordinating care [e.g. Children’s Protective Services], transfercenters, and pharmacies), conducts initial and ongoing patient assessment, analyzes assessment data, creates a plan ofcare, educates patient and/or family, implements nursing care/interventions, evaluates the effectiveness of the nursingcare/intervention, and advocates for the patient/family. Provides episodic (outpatient) and inpatient (at designatedunits) Obstetrical/women’s Health nursing care where applicable. Administers medications in a safe manner consistentwith the State of Practice and Bon Secours Mercy Health; coordinates care within hospital departments. Acts as apatient safety advocate by participating in ongoing quality improvement in the department. Applies knowledge ofcontemporary obstetrical/women’s health nursing practice and future innovations. Applies the nursing process in thecare of women during pregnancy, birth, postpartum, gynecological, and otherwomen’s health issues and the neonate frombirth until discharge with differing gestational ages, diagnoses, and complications. Provides care to women of all agesrequiring triage, prioritization, assessment, education, stabilization, resuscitation, and emergency management. Modelscore cultural and safety behaviors to eliminate preventable harm, ensure worker safety and a safe, high qualityexperience of care. BSMH nurses are expected to practice and deliver care in accordance with the core concepts andintention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of allresponsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may berequired to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.Licensing/Certification Current RN License in the state in which they are working or covered by compact (required) BLSBasic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care) NRP NeonatalResuscitation Program (preferred upon hire, must obtain within 6 months of hire) ACLS Advanced Cardiac Life Support -American Heart Association (preferred) Electronic Fetal Monitoring Certification – National Certification Corporation(preferred if interpreting fetal monitoring) Inpatient OB Certification – National Certification Corporation(preferred) Maternal Newborn Nursing Certification – National Certification Corporation (preferred) Neonatal IntensiveCare Certification – National Certification Corporation (required for critical care transport NICU teams within 2 yearsof hire) Low Risk Neonatal Nursing Certification – National Certification Corporation (preferred) Care of the ExtremelyLow Birth Weight Neonate Certification – National Certification Corporation (preferred) Education Bachelor of ScienceNursing (preferred) Work Experience 1 year of RN experience (required) Recent OB, ED or critical care experience(preferred) Training EPIC Electronic Health Record (EHR) (preferred) Skills Assigns patient care according to thenursing skill, knowledge, and scope of practice of staff. Orients, facilitates learning experience, and provideseducation (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others.Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with thecurrent standards of practice, policy and procedure, and BSMH mission. Performs comprehensive assessment of patient’sclinical condition and psychosocial needs of the patient and their supportive resources. Safely and efficientlydevelops, implements, and prioritizes plan of care. Application of the nursing process in patient care delivery.Assesses patient’s physical and emotional responses to treatment to evaluate effectiveness of intervention andpatient outcomes; revises plan of care accordingly. Assists patient and family in coping with patient’s illness.Collaborates with others in the delivery of coordinated patient care. Strong interpersonal and verbal/writtencommunication skills. Applies cultural diversity and inclusion principles when caring for patients and their supportresources. Recognizes own limitations and seeks assistance and acquires information to perform safely. Advancespersonal and professional growth through participation in educational programs, current literature, in-services, andworkshops. Exhibits professionalism through accountability for own and delegated actions. Integrates cost-effectivemeasures into practice and models effective stewardship of available resources. Practices self-care and cultivatesresilience in conflict and difficult circumstances. Protects the safety and privacy of all persons. Understanding andutilization of office and clinical technologies. Ability to communicate with patients in a manner they can understandconsidering their personal preferences. Compassionate, relationship-based approach to help find meaning in illness,suffering, pain, and existence. Remains calm, adaptive, and collective during an emergency. Electronic fetalmonitoring. Conducting vaginal exams. Caring for the mother/fetal dyad. Resuscitation and stabilization of mother/fetaldyad. Breastfeeding support and education Teaching self/neonate/infant care, discharge teaching, planning, and followup. Age- and department-specific emergency and lifesaving equipment. Ability to recognize, understand, and communicatefamily dynamics and parent/child relationship. Advanced care management skills in caring for the unstable, acute, orchronically ill neonate. Working Conditions Periods of high stress and fluctuating workloads may occur May be exposedto physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noiselevels and bright lights May be exposed to limited hazardous substances or body fluids* May be exposed to human bloodand other potentially infectious materials* May have periods of constant interruptions * Individuals in this positionare required to exercise universal precautions, use personal protective equipment and devices, and learn the policiesconcerning infection control. Physical Requirements Lifting/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/HazardsManual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone Reachabove shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near Depth perceptionUse of Latex products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure todust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitchednoises Gaseous risk exposure Patient Population Demonstrates the knowledge and skills necessary to provide careappropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles ofgrowth and development of the life span and possesses the ability to assess data reflective of the patient’s statusand interprets the appropriate information needed to identify each patient’s requirements relative to his or her age,specific needs and to provide the 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 andolder) Notes 3/19 Market Approval Primary Skills: BLS, NRP, STABLEpref Job certifications: NRP, Raise the Bar Attestation Job credentials for Professional: BLS