RN- Family Birth Center-PRN

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Department: Family Birth Center

Position Description: Registered Nurse (RN)

Status: PRN - As Needed -Variable Hours and Days

Shift: Day and Night - As Needed - Variable

Shift Time Schedule: Day 7:00 a.m. to 7:00 p.m., Night 7:00 p.m. to 7:00 a.m. - As Needed

Salary Range: $ 38.02 - 48.48 (scale includes a 20% PRN premium)

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Position Summary:

The position is responsible for care for families antepartum to postpartum and newborn cares. In this position it is the expectation of these professionals to be responsible for all aspects of care in the Family Birth Center. Responsibilities include care of the antepartum, intrapartum, and postpartum, mother and stabilization and routine care of the neonate. Provides direct patient care in listed setting and/or any nursing capacity, as needed. To complete other duties including, but not limited to secretarial, housekeeping, etc. to keep the department running efficiently and maintain excellent patient care.

ESSENTIAL FUNCTIONS:

The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in the classification. Shown are duties intended to provide a representative summary of the major duties and responsibilities. Staff may not be required to perform all duties listed and may be required to perform additional, position-specific duties.

Patient Care and Assessment:

Assessment: Conduct initial and ongoing assessments of patients' physical, psychosocial, environmental, and self-care needs, incorporating data from the patient, family, and the healthcare team.

Care Planning: Develop, implement, and evaluate individualized patient care plans based on assessments, medical diagnoses, and incorporating the multidisciplinary plan of care.

Direct Patient Care: Provide direct nursing care, including administering medications, performing treatments, monitoring vital signs, and assisting with activities of daily living.

Patient Education: Assess learning needs and educate patients and families on health conditions, treatment plans, post-discharge care, medication management, and preventative health maintenance.

Discharge Planning: Establish goals and strategies for meeting the discharge needs of the patient and family, coordinating care with other healthcare providers.

Communication and Collaboration:

Interdisciplinary Teamwork: Collaborate with physicians, therapists, social workers, and other healthcare professionals to develop and revise comprehensive patient care plans.

Communication: Communicate effectively with patients, families, physicians, and other healthcare team members, ensuring a clear understanding of patient status, concerns, and treatment plans.

Shift Reports: Provide organized and concise shift reports to ensure seamless continuity of care.

Documentation and Quality Improvement:

Documentation: Maintain accurate and timely patient records, documenting all aspects of the nursing process and ensuring compliance with health care regulations and standards.

Quality Assurance: Participate in quality improvement initiatives, contributing to the enhancement of clinical protocols and patient outcomes.

Adherence to Standards: Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and hospital or regulatory standards.

Professional Development and Leadership

Professional Development: Continuously enhance nursing knowledge and skills through ongoing education and professional development activities.

Mentorship and Supervision: May assist in the orientation and mentorship of new staff and students, and supervise the care provided by other nursing personnel.

Responsibilities:

Attends, participates and completes all required in-services, mandatory meetings, and education. Meets/Maintains all licensure/certification requirements for the position.

Meets all employee health requirements as required by OSHA, State, and Boone County Hospital policies.

Accepts and performs FBC RN responsibilities, following orientation to the role and completion of the skills checklist, as delegated by the unit director or designee .

Accepts other duties as assigned to promote the accomplishment of organizational goals.

Demonstrate and maintain skill proficiency, including improvement or updates to skills where deemed necessary including equipment necessary to perform cares

Demonstrate critical thinking skills and prioritize care appropriately for individualized situations

Recognize, intervene, and communicate assessments that are concerning or emergent

Maintain competence in and communicate findings in electronic fetal monitoring and sterile vaginal exams

To administer and appropriately manage high alert medications utilized in this setting

Basic Qualifications:

EDUCATION:

Graduate from an accredited school of nursing required.

Bachelor’s degree in nursing preferred.

EXPERIENCE:

Minimum 2 years of experience in labor and delivery is required.

Knowledge, Skills and Abilities:

Demonstrated leadership, verbal, written and interpersonal communication skills

Additional certification preferred, as appropriate, for chosen area(s) of nursing practice (i.e., CEN, CCRN, RNC-OB, C-EFM)

Knowledge of professional nursing principles and practice.

Knowledge of nursing ethics.

COMMUNICATION/TEAMWORK:

Excellent communication and customer service skills.

Works well within a team.

CERTIFICATES, LICENSES, REGISTRATIONS:

Current licensure as RN in State of Iowa

Basic life support certification (BLS)

Advanced cardiac life support (ACLS)

Mandatory Reporter adult and child within 3 months of hire

Neonatal Resuscitation Provider Course (NRP)

Electronic Fetal Monitoring Education Yearly

Stabilization and Transport of the Neonate (STABLE)

PHYSICAL ACTIVITY REQUIREMENTS:

Function

Activity

Performing necessary duties for direct patient care

Performing physical duties for direct patient care

Body Positions

How often: % of the day

Low lift 0 to 20 lbs. floor to waist of various equipment, materials and supplies and when moving patients from 4 in. to 36 in.

Low lift 21-50 lbs. floor to waist of various equipment, materials and supplies and when moving patients from 4 in. to 20 in.

High lift 0 to 10 lbs. waist to crown of various equipment, materials and supplies and when moving patients from 18 in. to 36 in.

Mid-range lift 0 to 20 lbs. horizontal lift of various equipment, materials and supplies and when moving patients from 18 in. to 36 in.

Mid-range lift 21 to 50 lbs. horizontal lift of various equipment, materials and supplies and when moving patients from 18 in. to 36in.

Carry with both hands 0 to 20 lbs. floor to waist lift of various equipment, materials and supplies over a distance of 20 ft. on a level indoor surface

Push/pull horizontally generating up to 50 lbs. of force performing various work-related duties ( ie . Moving patients, bed roll) self-selected heights

Reach occurring in all planes, able to alternate hand(s) at or below shoulder level to complete various work related activities

Reach occurring in all planes, able to alternate hand(s) above shoulder at a reach height of 73 in. to complete various work-related activities

Forward bending-standing on a level, indoor surface self-selected height; stooping: sustained forward flexion of trunk to retrieve various equipment, materials, and to position oneself to perform various work-related duties, sustained up to 2.5 min.

Forward bending-standing on a level, indoor surface self-selected height, repetitive forward flexion of trunk up to 60deg. required to retrieve various equipment, materials, supplies and to position oneself for various work-related duties

Rotation-standing- both direction repetitive rotation of trunk and neck to perform and position oneself for various work-related duties

Squatting on a level, indoor surface repetitive full flexion of hips and knees required to perform job duties

Low work preferred method on an indoor, level surface repetitive/sustained kneeling required to perform various work duties for a total duration of 60sec.

Frequently 34-66%

Occasionally 6-33%

Occasionally 6-33%

Frequently 34-66%

Frequently 34-66%

Occasionally 6-33%

Occasionally 6-33%

Frequently 34-66%

Rarely 1-5%

Occasionally 6-33%

Frequently 34-66%

Frequently 34-66%

Occasionally 6-33%

Rarely 1-5%

Function

Activity

Performing necessary duties for direct patient care

Other duties/office work

Body Position

How often: % of the day

Coordination- able to alternate hand(s), reach/grab and manipulate variety of objects to perform job duties with medical supplies, IV supplies, computer/accessories.

Frequently 34-66%

WORKING CONDITIONS:

Clean, well lit, heated and air-conditioned area. Exposure to unpleasant sights, smells and infectious diseases, blood, and body fluids, and occasionally to radiation.

Work schedule is 12 hours shifts 7 am to 7:30 pm and 7 pm to 7:30 am. Hours may vary depending on departmental staffing needs.

Vision must be correctable to view computer screens and read printed information. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.

Hearing must be in the normal range for telephone contacts and other conversations.

Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.

ETHICS AND COMPLIANCE:

Employee performs within the prescribed limits of the hospitals/departments Ethics and Compliance Program.

Is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance officer or hospital hotline.

CULTURE/RELIGIOUS ASPECTS:

Ability to interact with customers of diverse cultural and/or religious backgrounds.

The above is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.

Salary : $38 - $48