RN Labor and Delivery (Overnights)

At Mahaska Health the primary role of a Labor and Delivery Registered Nurse is to be responsible for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Coordinates patient education and activities of interdisciplinary personnel while maintaining standards of professional nursing in accordance with the established methods and procedures of Mahaska Health.

Essential Job Functions include but are not limited to:

• Ability to correctly recognize abnormal labor situations and take proper action per departmental protocol.
• possess ability to perform accurate vaginal exams, call physician for delivery at appropriate time and interpret fetal monitor tracings.
• Gives skilled nursing care to assigned patients.
• Assess and document physical, psychological, spiritual and social dimensions of patients on admission.
• Establish treatment priorities based on medical and nursing diagnosis.
• Initiate, implement, and modify an interdisciplinary plan of care individualized to each patients assessed needs including family.
• Utilize all available resources in planning care and consults as necessary with physicians, supervisors, and interdisciplinary services.
• Provide ongoing reassessment and documentation of patient's status.
• Perceive patient problems and/or complications through assessment skills and implements appropriate action.
• Document nursing intervention and patient response.
• Safely prepare, administer, and document medications and IV therapy.
• Assess for and provide patient and family education at their level of understanding regarding disease process and treatment plan.
• Organize workload effectively to accomplish care in a timely manner.
• Utilize documentation methods as approved by the Mahaska Health Partnership.
• Accurately transcribe and communicate oral and written physician orders.
• Communicate pertinent information regarding patient’s status to appropriate interdisciplinary team members in a timely manner.
• Implement clinical and technical aspects of care and nursing orders in accordance with established standards.
• Assess possible discharge needs at time of admission, throughout hospitalization, and finalize discharge planning with input from the interdisciplinary team, the patient, patient’s family, and other available resources.
• Assist in the mentoring and orientation of new personnel to unit.

Job Responsibilities include but are not limited to:

• A graduate from an accredited school of nursing and currently licensed as a Registered Nurse in the state of Iowa (or) a graduate from an accredited school of nursing and currently licensed as a Registered Nurse able to work in the state of Iowa.
• Required to be certified in NRP (Neonatal Resuscitation Program) within one year of hire.
• Under supervision of preceptor, must have Birthing Center orientation entailing vaginal labor/delivery cases, cesarean section cases, post-partum and newborn care. The exact time will be based upon each R.N.’s necessary learning needs.
• Required to be current in BLS (Basic Life Support) by the standards of the American Heart Association.

The work environment includes, but is not limited to:

• Routine work inside an active hospital environment, requiring frequent walking, standing, lifting, and direct patient care while supporting women, newborns, and families throughout labor, delivery, recovery, and postpartum care.
• Occasional exposure to moderate noise levels, bodily fluids, infectious diseases, cleaning agents, medical equipment, and emergency situations consistent with an acute-care maternal and newborn services setting.
• Work across varying levels of patient acuity, including labor and delivery, postpartum, newborn care, and obstetric emergencies, requiring adaptability, critical thinking, and strong clinical judgment.
• Participation in a fast-paced environment where patient conditions may change rapidly, requiring timely intervention, collaboration with multidisciplinary teams, and the ability to remain calm under pressure.
• Emotional resilience and compassionate care while supporting patients and families during significant life events, including routine deliveries, high-risk pregnancies, unexpected outcomes, and emergent situations.
• Availability to work rotating shifts, weekends, holidays, and on-call assignments as required to support continuous patient care operations.

Equal Opportunity Employer
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