Fetal Monitoring Unit, Senior Clinical Nurse I, Nights $15,000 Sign-on Bonus

Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Job Description

General Summary

The Neonatal Escalation Safety Telemetry (NEST) program is a 24/7 remote operation that is staffed with experienced labor & delivery RNs and provides remote monitoring of fetal tracings for obstetric patients across all UMMS hospitals.  Under the direction of the Nurse Manager, the RN will work in conjunction with the bedside team at all UMMS L&D units to provide additional observation of fetal tracings and early identification and escalation of concerning tracings. He/she advances evidence-based practices, and mentors others to achieve and grow in the role of the professional nurse. As a member of the NEST team, he/she serves as a leader, change agent, and coordinator of patient care services within the obstetric service line. Takes a leadership role in overall design and implementation of a patient centered care delivery system that facilitates achievement of patient outcomes, supports continuity of care and patient flow between care delivery sites, and enhances patient safety and caregiver satisfaction.  Is accountable to patients and families for the processes and outcomes of care during an episode of care.  Is accountable to peers for the advancement of group practice, and to the Nurse Manager for the totality of work performance. 

This role is designed for the nurse who has achieved expertise and leadership in the clinical and professional role, within the unit and beyond. He/she leads and evaluates evidence-based practice, actively participates and/or leads organizational initiatives, mentors and coaches nurses and other disciplines, exemplifies the role of the professional nurses and demonstrates active involvement in clinical and professional nursing beyond the walls of the unit and/or organization.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Clinical Practice/Care Delivery

1. Monitors tracing for fetal physiological parameter abnormalities. Assesses individual fetal monitoring tracings and documentation of interventions done by the care team when abnormalities are identified by the NEST nurses.
2. Notifies the primary registered nurse or charge nurse of concerning electronic fetal heart rate and uterine activity tracing findings, poor-quality signal, etc. Follows the established chain of command for escalation of concerning fetal tracings.
3. Utilizes Electronic Medical Records to validate findings from remote fetal monitoring station.
4. Serves as a clinical expert and professional resource for L&D nurses and other disciplines; mentors and coaches other nurses and disciplines to advance their development. Communicate in an efficient and effective manner with all members of the care team
5. Leads and evaluates efforts to advances evidence-based clinical practice within the NEST; consistently integrates evidence into practice and uses this as a firm foundation for the NEST.
6. Utilizes clinical expertise to teach other nurses. Role models Patient-Centered Care and mentors others in their growth.

Practice Focus Areas:

Focus on use of National Institute of Child Health and Human Development (NICHD) fetal monitoring terminology in the interpretation and communication of fetal heart tracing in a timely manner.

Professional Development

1. Actively demonstrates expertise and leadership in their clinical and professional role.  Engages in advancing own practice; role model for others. Mentors and coaches others to achieve/maintain competency required for the patient population served.
2. Serves as an expert preceptor and mentors oth