Registered Nurse - OB/Delivery Registry 7pm to 7am
Renders professional nursing care to patients within an assigned unit through the process of assessment, planning, implementation and evaluation; prepares equipment and assists medical staff during treatment and examinations of patients.
ESSENTIAL JOB FUNCTIONS
1. Assesses physical, psychological and social dimensions of patients: applies knowledge of illnesses, injuries and diseases and uses available resources in assessment process; provides written assessment of patient on admission and subsequently in the nursing process; summarizes assessment data and makes a nursing diagnosis which is charted and communicated to other patient care providers.
2. Plans a formal written plan of care for patients: initiates plan based on nursing diagnosis and applies knowledge of specific illnesses, injuries, diseases, human behavior and appropriate standards of care;
documents specific nursing orders, develops short and long term goals specifying expected outcomes following intervention; utilizes all available resources in planning care and consults as necessary with clinical specialists, supervisors, physicians, etc.; updates plan of care as necessary based on continuing assessments of patient.
3. Implements plan of care: implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures. Intervenes with proper technique, procedure and safety precautions to meet individual needs of patient ;implements medical plan through passing medications and intervention with physician orders; documents nursing intervention, patient response, effectiveness, complications, etc.; communicates information to peers and physician.
4. Evaluates nursing care provided: reviews and evaluates effectiveness of intervention and implementation of plan; determines level of accomplishment of short and long term goals and expected outcomes following intervention; reviews and evaluates personal nursing practice as compared to standard of care and original plan of care as supported by peers and other resource personnel; Develops discharge plan which uses all available resources.
5. Assesses need for patient and family instruction; reviews patient and family knowledge of disease, illness and readiness to accept leaving an care for patient at home; identifies needs for care at home or alternatives, such as outpatient treatment, extended care facility, etc.
6. Establishes and maintains interpersonal relationships with patients, visitors and other hospital personnel, while assuring confidentiality of patient information.
7. Provides or sponsor inservices for the patient/family or significant other.
8. Attends high risk deliveries and applies emergency resuscitation techniques as required.
9. Performs immediate newborn observation of infants; initiates admission procedures for special care infants, transfer procedures of critically ill infants to level three hospitals; applies knowledge of illnesses, injuries and diseases and uses available resources in the assessment process.
10. Monitors intake/output measurements, oxygen percentages, cardiac-pulmonary readouts, IV site; continuous nasal gastric feedings and informs medical staff of changes in patient's condition.
11. Calculates and administers prescribed medications, orally or by injections; provides treatments using therapeutic equipment; takes and records temperature, pulse, blood pressure and other vital signs to detect deviations from normal and determine progress of patient.
12. Administers tube feedings; changes and applies dressings and compress; performs oral, nasal, and tracheal suctioning as needed.
13. Starts intravenous fluids, hangs fluid bottles, monitors and discontinues fluid and changes tubing as necessary; obtains blood glucose as ordered.
14. Accompanies physician on rounds; receives and carries out orders; interviews patients and their families to obtain medical history.
15. Implements clinical and technical aspects of care plan in accordance with established policies and procedures; intervenes with proper technique, procedure and safety precautions to meet individual needs of patient.
16. Assists mother of newborns with breast or bottle feeding of infants; provides post-partum teaching regarding proper techniques for same to ensure continuity of care after discharge.
17. Functions within limits of hospital and nursing department policies and procedures; reviews and evaluates effectiveness of intervention and implementation of plan; explains procedures and treatments ordered to gain patients' cooperation and minimize apprehension.
18. Assists in the instruction of nursing ancillary personnel by demonstrating nursing techniques and procedures.
KNOWLEDGE, SKILLS, ABILITIES REQUIRES
1. Graduate from an accredited school of nursing and current licensure by the State of Illinois Board of Nursing.
2. Work requires knowledge of caring for high risk infants and functions of all equipment used in nursery units; at least one year of previous experience working in labor and delivery or nursery unit.
3. Strong interpersonal skills necessary to communicate effectively with patients, medical staff and other hospital personnel.
4. Participates in in-service programs for self enrichment to maintain a high quality of nursing practice, and seeks further opportunities for growth through other education seminars, classes or reading material.
5. Obtains NRP and S.T.A.B.L.E. within six months of hire.