Delivery Room Assessment Registered Nurse 3, 7:00AM-7:30PM

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

Education

Associate Degree from an accredited School of Nursing required. Bachelor’s degree required within 3 years of start date.

Experience

2 year of Neonatal Intensive Care Unit (NICU) experience required.

Knowledge, Skills and Abilities

• Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.
• Excellent communication and interpersonal skills.
• Effective planning and organizational skills in order to effectively manage multiple priorities simultaneously
• Strong analytical skills
• Effective skills in use of computer programs
• Advanced skill in managing operational flow and unit activities for the overall benefit and smooth operation of the unit
• Demonstrates skill in patient experience and service recovery
• Skill in allocating nursing and support resources to provide smooth and efficient, high quality care to patients assigned to unit
• Able to delegate assignments and provide direction to nursing personnel

Licensures, Certifications

• Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.
• Healthcare Provider CPR biennial
• Additional certifications (i.e. ACLS, PALS, NRP) for specialty care areas are required upon hire
• Certification in specialty preferred

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

Conditions of Employment

Maintain current licensure and certification

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 ch