What are the responsibilities and job description for the Women's Care/Obstetrics Unit RN position at the Chickasaw Nation?
We are currently looking for a Full-Time Women's Care/Obstetrics Unit RN to join our OB Team located at the Chickasaw Nation Medical Center.
Summary:
Performs comprehensive assessments and develops patient-centered care plans in collaboration with patients, families, and the healthcare team. Provides professional nursing care, education, and administers intravenous therapy including medications, fluids, and nutrition per physician orders.
Responsibilities:
- Promotes the mission, vision, and values of the Chickasaw Nation Department of Health
- Coordinates the transportation of patients to other healthcare facilities and/or a higher level of care at CNMC when necessary
- Adheres to departmental and hospital safety practices, policies and procedures, and unit practices based upon industry standards/requirements
- Supports the Baby Friendly Initiative 10 steps and Infant Feeding policy and procedure
- Demonstrates good telephone etiquette skills
- Documents nursing care accurately, completely, and legibly
- Collaborates effectively with other disciplines as appropriate
- Transfers care as appropriate utilizing the SBAR system
- Delegates tasks as appropriate according to the Oklahoma Nurse Practice Act
- Plans and provides comprehensive patient care by utilizing and documenting the nursing process: including teaching patients and their families formulating and evaluating the nursing care plan, and discharge planning
- Provides the patient and/or significant other(s) with education including the safe and effective use of medications, diet and nutrition, safe and effective use of medical equipment, pain management, and knowledge and skills required to meet the patient’s ongoing healthcare needs
- Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of female adult and female adolescent patient populations experiencing pregnancy related conditions, acute medical conditions, post-partum conditions, and labor and delivery conditions
- Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of the neonate in both stable condition and those experiencing acute medical condition
- Administers prescribed medications, IV fluids, and blood products according to facility policies and procedures
- Administers special medications for OB according to facility policies and procedures including Magnesium Sulfate, Cytotec, and Pitocin
- Plans and provides holistic patient care in a manner that ensures it is appropriate to patient’s needs, age, culture, and condition in conjunction with the plan of care
- Participates in hospital, departmental, and unit performance improvement activities to measure, assess, and improve the quality of nursing care delivered to patients
- Assesses the patient upon admission to OB Triage and reassesses as indicated, including pain assessments
- Delivers quality patient care in accordance with the OB/GYN/NURSERY Standards of Care
- Documents assessment, interventions, all aspects of patient care, and patient’s response to interventions according to protocol
- Provides a conducive learning atmosphere and clinical experience for students
- Executes the appropriate line of support when faced with decisions
- Implements emergency procedures and/or interventions related to the age and size of the patient
- Provides individualized, goal directed nursing care to well and sick neonates through use of assessment, planning, implementation, and evaluation from admission to discharge
- Monitors hemodynamic status of the patients and initiates emergency protocols appropriate for the age and condition of the patient
- Monitors fetal heart tones and communicates to provider appropriate findings utilizing National Institute of Child and Human Development (NICHD)criteria
- Identifies problems competently and provides interventions according to established protocols
- Provides independent and dependent interventions to achieve and maintain optimal patient responses, restore stability, and prevent complications of the newborn
- Competent to assess for the need for restraint initiation, provide alternatives to restraints, monitor for physical psychological signs of distress related to restraint, document use of restraints, and discontinue restraints as appropriate
- Provides a safe environment for patients, staff, and visitors by the reduction and control of environmental hazards and risks and the prevention of accidents and injuries
- Completes appropriate Universal Protocol for patients undergoing procedures and initiates the “Time Out”
- Ensures complete documentation and that the surgical consent and H&P are signed, witnessed, and on the chart
- Ensures that all ordered diagnostic tests are performed and the results are posted in the medical record
- When functioning as a circulating nurse is responsible for the following:
- Aseptic techniques in preparing for and assisting with surgical procedures. Is expected to call breaks and/or omissions in technique to the attention of the operating staff and take measures to correct the situation
- Ensures the patient position to assure access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
- Prepares the operative area by cleansing skin
- Assists in maintaining surgical record including procedure, time, participants, time-out, blood loss, medications, positioning, etc.
- Prepares and labels specimens for pathological examination and monitoring of sponge, needle, and instrument counts
- Ensures the proper working order of special/surgical equipment
- Observes the need for supplies during operation and replacing them as necessary
- Performs recovery room nursing duties for the immediate post-surgical patient by monitoring airways, circulation, vital signs, and wound/pain management
- Is courteous to patients, staff, and visitors
- Acts as a patient advocate and maintains confidentiality, security, and integrity of data and information
- Maintains and promotes professionalism
- Pursues, maintains, and promotes professional growth by maintaining competencies, sharing knowledge, attending scholarly presentations and/or being involved in professional organizations
- Utilizes any opportunity to meet educational needs and participates in all required educational requirements and in-services. Maintains certifications (BLS, ALS, NRP, PCEP)
- May serve as OB charge nurse as assigned by leadership
- Charge Nurse duties include but are not limited to the following:
- Makes appropriate and safe patient assignments while facilitating the flow of admissions, discharges and transfers, oversees OB triage and provides assistance as needed, and communicates with House Supervisor and staff nurses about patient status changes
- Supplements staff in a clinical role as needed to ensure the continuum of care in the provision of nursing services within the OB department staffing model as included in the OB Registered Nurse job description
- Ensures that staff provide safe and effective patient-centered care throughout the care areas by assimilating evidence-based standards into decisions
- Utilizes problem-solving skills and provides direction, support, and constructive feedback to the OB Nursing Team members throughout each shift
- Assists OB leadership with the oversight of staff participation in focused quality and performance improvement projects
- Acts as a clinical resource for OB Nursing personnel using current literature and guidelines, organizational policies and procedures, and regulatory and accreditation standards and ensures that all OB Nursing staff function according to these same requirements
- Documents nursing care, incidents, accidents/injuries, and other issues in an accurate, complete, and legible manner
- Reviews the induction schedule as well as staffing for the current and upcoming shifts and notifies OB Nurse Manager and House Supervisor regarding concerns or special needs as necessary
- Shares responsibility for and verifies the general upkeep of the OB department to maintain a safe environment, including the availability of appropriate equipment and supplies and notifies the OB Nurse Manager of any unmet needs
- Demonstrates effective communication, collaboration, and conflict resolution skills/techniques with members of the OB nursing team, as well as other departments and disciplines and promotes cohesiveness among the interdisciplinary team
- Is a positive promoter of change and growth within the OB department, while serving as a role model of professional behavior
- Performs all other duties as assigned
Competencies:
Essential:
Essential:
- Ability to demonstrate impeccable sterile technique
- Ability to function in a fast-paced area
- Resolves conflicts among personnel, projects and schedules
- Must be proficient in the use of electronic health record keeping systems
- Ability to multitask
Skills:
Essential:
Essential:
- Excellent interpersonal communication and customer service skills, including the ability to interface with and influence associates at diverse levels with different backgrounds and perspectives
- Basic Computer skills
- Accurate typing and/or data entry skills
Experience:
Nonessential:
Nonessential:
- 1 year directly related experience
Education:
Essential:
Nonessential:
Essential:
- Graduate from an accredited school of nursing required
Nonessential:
- Bachelor's of Nursing
Credentials:
Essential:
Essential:
Essential:
- Pass general background check
- Unrestricted Oklahoma Registered Nurse License
- Basic Life Support (BLS)
- Advanced Life Support (ALS)
- Neonatal Resuscitation Program (NRP)
- S.T.A.B.L.E Certification
- Fetal Monitoring Program
Essential:
- Current and unrestricted Oklahoma RN licensure is required. In good standing with the Oklahoma Board of Nursing (OBN)
- Obtain BLS within one (1) month of hire, if not current
- Obtain ALS within three (3) months of hire, if not current
- Obtain Neonatal Resuscitation Program (NRP) Certification within three (3) months of hire, if not current
- Obtain S.T.A.B.L.E Certification within three (3) months of hire, if not current
- Must complete a basic or equivalent Fetal Monitoring class within 1 year of hire date in OB if not current and additional Fetal Monitoring courses will be assigned as determined by OB leadership
Working Conditions:
Essential:
Nonessential:
Essential:
- Works in a hospital or clinic environment
- Stressful environment due to any or a combination of deadlines, pressures, multiple tasks, lines of communication, risks, speed of operations, etc.
- May be required to assist individuals with unmanaged emotions
- Potential exposure to contagious diseases
- Potential exposure to biohazards
- May work irregular hours
- May be required to be available for Call-Back
- Must be flexible with work schedule
- Constantly lift and or carry over 50 lbs
- Manual dexterity
- Frequently assist with lifting patients
- Hand-eye coordination, reach and grasp
- Standing up to 100% of shift
- Walking up to 75% of shift
- Frequently bend, kneel, stoop, push, reach
- May be required to assist individuals who are hostile, agitated or under the influence
- Potential exposure to radiation
- Repetitive motions
- Visual acuity for detail, distance, color, depth perception
- Listening and hearing ability
- Fast-paced environment
- Pass pre-employment drug test
Nonessential:
- Potential exposure to chemicals
Training
- It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training.
Mission, Vision & Core Values
Mission:
Mission:
- To enhance the overall quality of life of the Chickasaw people.
- To be a nation of successful and united people with a strong cultural identity.
- The Chickasaw People
- Cultural Identity
- Servant Leadership
- Selflessness
- Can Do Attitude
- Perseverance
- Stewardship
- Trust and Respect
- Loyalty
- Honesty and Integrity
- Teamwork