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.

Responsibilities:

* 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.

Qualifications:

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 conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
* Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
* Manual and finger dexterity, as well as hand and eye coordination.
* Corrected vision and hearing to within normal range
* Frequently sitting at desk working on computer
* Ability to flex working hours.
			

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The Brookdale Hospital Medical Center