This position is responsible for participating in the direct care of patients in Labor and Delivery; Performing nursing assessments of patients by observation and interaction with patient/significant others for educational, physiological, psychosocial, comfort, and safety needs; Planning and coordinating care, and follow-up with other associates, departments, physicians and management as necessary; Evaluating and documenting each patients response to interventions. May serve as Charge Nurse; be responsible for caregiver assignments according to patient need, individual nurse workload, and available staff. Acts as a resource person to assess overall situations of the department, is capable of making independent decisions, and reports pertinent information to the Physician, Charge Nurse, Clinical Team Leader, Manager, Director or House Supervisor.
The Labor and Delivery RN provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. The tasks and responsibilities include:
Assesses, plans and evaluates patient care needs including obtaining patient history and assessing for labor risk factors.
Carries out physician orders.
Cares for patients requiring fetal assessment/fetal monitoring.
Manages the patient's pain including epidural and patient controlled analgesia administration management.
Administers prescribed medications and monitors vital signs.
Assists physician during delivery, treatment, examination and surgical procedures.
Serves as the primary coordinator of all disciplines for well coordinated patient care.
Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems.
Instructs and educates patients and families.
Provides age and culturally appropriate care.
Orients and mentors new staff members.
Follows Standard Precautions using personal protective equipment as required.
Responsible for performing age specific nursing assessment applying the Nursing Process as it relates to Maternal/Newborn and other types of patients on unit. This includes observation and interaction with patient/significant others to identify physical and psychosocial needs and age specific requirements. The RN will utilize data obtained by assessment to identify and document nursing diagnoses, which serve as a basis for the plan of nursing care.
The patients in this unit are usually adult and adolescent women of childbearing age. Patients who are in this unit may have medical problems or trauma complicated by pregnancy and/or complications of pregnancy. Equipment is used to monitor well being of mother and fetus. Surgical procedures as well as post-op recovery is also performed in the department. Immediate post delivery care is given to newborn infants. Some patients will require intensive monitoring, care and observation.
Requires completion from accredited school of nursing.
Must maintain current State of Idaho Registered Nurse license.
Current AHA CPR for Healthcare Providers card.
A nurse in Labor and Delivery either within the first year of hire and every two years thereafter must maintain the following competencies:
STABLE (recertify every two years)
Neonatal Resuscitation Certification (recertify every two years).
Advance Cardiac Life Support (recertify every two years).
Complete skills checklists and
Complete and maintain hospital/unit specific mandatory requirements in a timely manner. Individuals will be enrolled in courses based on previous experience and unit needs.
AWHONN Intermediate Fetal Monitoring Program (within a year of working in LD).
Complete Basic Fetal Heart Monitoring course within the first 6 months of hire.
In addition to these qualifications, a RN in Labor and Delivery must within one year of hire successfully:
Individuals will be enrolled in courses based on previous experience and unit needs.
AWHONN’s Fetal Heart Monitoring Principles and Practices course (Intermediate Level).
Other coarse work assigned.
Complete skills checklists.
HCA Inc - 19 months ago
HCA dispenses TLC for a profit. HCA Holdings, through HCA, Inc. (Hospital Corporation of America) operates more than 160 acute care,...