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Duties &
Responsibilities:
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Job Summary
The Registered Nurse working in the OB Department is responsible for assisting the patients under his/her care to reach an optimum level of wellness and comfort. The RN is responsible for planning, organizing, implementing, and evaluating direct patient care. The RN provides nursing care to all obstetrical/gynecological patients, newborns and clinic patients of all ages in the department, participates in patient and family teaching, delegate’s assignments and provides leadership for the support staff in accordance with their level of training and patient’s acuity. This is done in conjunction with the patient, the patient’s family, physician and other members of the health care team. The RN in the Obstetrical Department ensures that there is safe nursing care for all patients.
This job may require the employee to be responsible for the assessment, treatment, or care of patients of all ages including neonate, child, adolescent, and geriatric. Consequently, the employee must be competent in the interpretation of a patient’s self -report or behavior and this information must be interpreted with an understanding of the cognitive, physical, emotional, and chronological maturation process. The treatment of patients should be individualized and should reflect an understanding of the developmental needs and range of treatment needs for each patient.
Duties
- Conducts an initial and ongoing assessment designed to gather data relevant to the patient individual needs, including age specific needs
- Performs subjective and objective assessment of all obstetrical patients
- Performs primary assessment on ABC’s, LOC and skin signs
- Performs a secondary assessment on all body systems
- Determines patient’s response to the environment
- Identifies patient’s support system
- Determines patient’s response to pain and labor
- Assess need for Post- Partum education on self/infant care
- In Collaboration with the patient families, implements a plan of care
- Identifies nursing diagnoses or problems based on patients assessments
- Formulates an etiology for each nursing diagnosis
- Develops a plan of care for Obstetrical Patients< >Identifies desired outcomes for each nursing diagnosis/problem specific to the patient’s problems and establishes NormsDetermines nursing intervention to reach outcomes, specific and measurablePrioritizes patient care activities with active involvement of patient and familyDelegate patient care activities to other licensed personnel
- Implements the plan of care
- Follows established protocol in the Obstetrical Department
- Demonstrates knowledge and ability to prioritize care for the following:
- Normal Labor patients
- Induction
- Scalp, lead and IUPC
- Epidural anesthesia
- 02 Therapy
- C-Section
- Normal Post Partum Care
- Drainage devices
- IV Therapy
- Normal Post Partum Care
- Discharge referrals/ Discharge planning
- Discharge teaching
- Bonding
- Administers medications
- Properly uses selected unit equipment and monitors patient environment
- Evaluates patient’s response to interventions/reassesses and documents on patient’s record. Includes patient’s evaluation of achievement of desired outcomes
- Establishes priorities for patient care activities
- Demonstrates knowledge of role to provide care for assigned patient area
- Labor and delivery
- Antepartum testing
- Nursery
- Special Care Nursery
- Post- partum
- Reports changes in patient’s status to charge nurse or physician
- Documents nursing care consistent with hospital and department charting standards
- Complies with hospital policy for receiving doctor’s orders, including verbal and phone
- Orients patients and family to obstetrical care environment as able
- Complies with hospital policies procedures for selected precautions i.e. seizure, suicide, restraints
- Uses principles of body mechanics in mobilizing patient or objects. Asks for help when lifting heavy patients
- Demonstrates skills related to the management of emergency situations
- Assists and participates in Performance Improvement activities
Organizational Expectations
- Provides a positive and professional representation of the organization
- Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention
- Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience
- Adheres to infection-control policies and protocols
- Participates in ongoing quality improvement activities
- Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards
- Complies with organizational and regulatory policies for handling confidential patient information
- Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization
- Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements
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Other Info:
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Functional Demands
While performing the duties of this job, the employee is regularly required to stand, use hands to handle or feel objects. The employee is frequently required to walk or stand for extended periods, occasionally required to sit, balance; stoop, kneel or crouch.
Generally lifting objects not more than 25 lbs. and/or carrying objects weighing 10 lbs.
The employee may occasionally lift and/or move up to 100 pounds with help.
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