What are the responsibilities and job description for the RN OB Intern position at ST JOHNS HEALTH?
Job Summary
Provides age and developmentally appropriate direct patient clinical care, encompassing both physical and psychological needs of the preemie, neonate, infant, adolescent, and adult patient populations during the ante partum, intra partum, and post-partum. Provides care with a focus on patient safety; initiates, implements, and updates plan of care and patient/family education appropriately. Delivers high quality patient care through training and experience in Obstetrics and Level One Nursery, according to the Obstetrics Scope of Service. Able to scrub and/or circulate in the event of an emergency cesarean section. Adheres to and practices the SHJ Corporate Compliance Program and participates in Performance Improvement activities.
Essential Functions
Quality Patient Care
- Obtain and review all patient data using; observational, interviewing, interpretation, and critical thinking skills in an age specific population and developmentally appropriate manner.
- Identifies risk factors and provides for patient safety. Implements measures to prevent injury from environmental hazards.
- Practices autonomously and consistently with professional nursing standards.
- Identifies changes in patient status, exercises critical thinking and independent judgement within the context of a multidisciplinary approach to patient care.
- develops a plan of care that is unique to ech patient's needs, evaluates patient response to plan of care and reflects measurable goals that are mutually set with the patient.
- Evaluates patient response to pain management interventions. Offers alternative pain management therapies.
- Demonstrates knowledge and awareness of medication action, side effects and protocols for use. Using 2 patient identifiers, gives medication safely and accurately according to policy and procedure.
- Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely and efficient manner, as well as with a positive attitude.
- Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at the patients' bedside.
- Addresses patient and family's spiritual and emotional needs utilizing a holistic approach.
- Uses supplies and equipment within safe parameters. Ensures equipment is functioning properly before use.
- Reports equipment malfunction following the appropriate reporting procedures.
- Demonstrates knowledge and proper use of fetal monitoring system, IV pumps, Epidural pump and bili lights. Demonstrates a solid knowledge base on location and use of emergent supplies in the management of Code Blue and Neonatal resuscitation.
- Ability to assess neonate at delivery, perform neonatal resuscitation, perform "head to toe" assessment of infants and adult females, reassess as per policy.
- Ability to perform non-stress test, set-up radiant warmer and assist with fetal fibronectin test.
- Ability to assess/assist with post-partum hemorrhage, set-up for C-section, prep for twin delivery and stat C-sections.
- Identifies continuity of care needs for discharge and follow-up using appropriate resources.
Patient and Family Education
- Assesses age and population specific and developmentally appropriate patient and family education needs.
- Assesses readiness to learn based on patient perception, education level and expectation of care.
- Initiates and incorporates patient and family education into the plan of care.
- Provides clear information to assist the patient to make informed decisions.
- Encourages patients' active involvement in their care.
- Communicates up-dated status report and clear information to patient/family as appropriate, to make informed decisions.
Unit Specific Performance
- Ability to conduct post-partum assessments.
- Demonstrates the ability to be flexible, organized and function under stressful situations.
- Keeps the department clean, orderly and stocked daily.
- Completes all documentation, utilizing appropriate forms and systems.
- Demonstrates the ability to assess and assist with emergency situations.
- Completes and signs daily charge nurse form.
- Initiates and completes computerized Event Reports for unusual events consistently. Reports near misses.
Job Requirements
Minimum Education
Required: ASN
Preferred: BSN
Minimum Work Experience
Required: Must be able to function independently.
Preferred: Recent high risk obstetric experience. Minimum of two (2) years nursing experience in L&D.
Required Licenses: Current RN license with the authority to practice in the State of Wyoming and BLS required at the time of hire. NRP and documentation of completion of a Fetal Heart Monitoring class required within 6 months of hire. STABLE preferred.
Functional Demands
Working Conditions
Six bed LDRP with five swing rooms. Level one nursery. Rapidly changing census and patient acuity. Frequent stressful situations. Twelve-hour shifts; rotation to days/nights and weekends. Call hours and holidays required. Emergency situations may require staying after completion of scheduled shift. Must be on site at the SJH campus or other facilities to fulfill the responsibilities of this role.
Physical Requirements
80% of shift spent walking and standing. Irregular meals/breaks. Must possess the ability to lift, push, pull and move patients, equipment, supplies. Must possess sight/hearing senses to meet the job requirements. Ability to lift up to 50 pounds.
Direct Reports: None
Reports to: Manager of Obstetrics
Internal and External Contacts: All hospital personnel, physicians, patients, families, vendors and visitors.
Leadership Capabilities:
Patient Focus
- Is dedicated to meeting the expectations and requirements of patients
- Gets firsthand patient feedback and uses it for improvements
- Establishes and maintains effective relationships with patients and gains their trust and respect
Attention to Detail
- Completes tasks in a way that ensures there are no errors
- Methodically and patiently reviews work to identify any mistakes or discrepancies
- Creates and stores documentation in a way that is thorough and easy to access
Quality Decision Making
- Considers many factors and sources when making decisions
- Is correct and accurate with most of his/her solutions and suggestions when judged over time
- Is sought out by others for advice and solutions
- Spends his/her time and the time of others on what's important
- Quickly zeros in on the critical and few and puts the trivial many aside
- Handles risks and uncertainty with composure
Interpersonal Skills
- Steps up to conflicts, seeing them as opportunities
- Builds appropriate rapport
- Finds common ground and gains cooperation
- Taking responsibility for the consequences of one's own actions and decisions
Salary : $37 - $57