NICU Delivery Room Assessment Nurse - Supplemental tier A 7p-7a

Under general supervision, provides direct patient care to assigned patients.

Education:

BSN from an accredited School of Nursing preferred

Experience:

At least 1 year of NICU and or L&D experience required; 2 years’ experience preferred

Skills:

Interpersonal communication (oral and written) skills required in order to educate and comfort patients and their families, maintain effective contacts with a variety of hospital personnel, and maintain appropriate documentation records

Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention

Licensures, Certifications:

Current registration with the Maryland State Board of Examiners of Nurses as a registered nurse

Completion of "Healthcare Provider" CPR course, bi-annually

NRP, bi-annually

Physical Requirements:

Ability to stand and walk almost constantly up to ninety 90% of work time and lifting and positioning patients up to fifty 50% of work time

Ability to concentrate and pay close attention to detail and often in stressful situations

Working Conditions:

Normal patient care environment with possible exposure to excessive noise, dust, temperature

Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases

Patient & Workplace Safety: 

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. 

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Patient Population: 

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. 

Principal Duties and Responsibilities:

Utilization of Nursing Process

Assessment

• Attends all deliveries
• Upon delivery, performs initial infant assessment using NRP guidelines
• Assigns Apgar scores and completes L&D Delivery Record
• Communicates with NICU MD, Advanced Practitioner, and charge nurse in the event that infant needs to be transferred
• Performs initial infant blood glucose by heel stick as per policy
• Compiles database and formulates nursing diagnosis.
• Utilizes physical assessment and interviewing techniques.
• Anticipates need for intervention by other disciplines.
• Determines priorities for patient care needs or problems.
• Reassesses the patient as indicated by changes in condition and/ or  response to treatment(s)

Planning

• Ensures that infant warmers in birthing rooms and operating rooms are stocked with the appropriate equipment and functioning properly
• Checks the Neonatal Resuscitation cart at the beginning of each shift
• Communicates infant supply needs to Supply and Equipment Specialist as necessary to ensure that supplies and equipment are readily available
• Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
• Incorporates information obtained from nursing care planning conferences into written nursing plan of care.
• Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.

Implementation

• Performs infant vital signs per policy while infant in L&D
• Encourages skin to skin with patient
• Encourages breastfeeding within the first hour of life when appropriate. Provides patient education and assistance when necessary.
• Performs clinical nursing skills independently.
• Administers medications, IV therapy and treatments appropriately and accurately.
• Initiates appropriate emergency procedures as necessary.
• Appropriately delegates and coordinates the duties of ancillary personnel.
• Communicate the patient's status and plan of care through written documentation in the patient's medical record
• Verbally communicates the patient's status to physicians, nurses and other health care professionals.
• Communicates in a therapeutic manner with the patient, family and visitors.
• Applies teaching/learning principles in education of patient and family.
• Other duties assigned by the charge nurse.

Patient Care Coordination

• Communicates and coordinates care with the NICU and Newborn Nursery throughout the shift                      
• Manages daily patient ass