Obstetrics Assistant - Main Labor and Delivery

Job Description

The OB Care Associate delivers the technical aspects of patient care, performs surgical scrub duties that include performance of specific tasks in surgical procedures or vaginal delivery to facilitate the efficient and safe progress of the case, assists with the maintenance of surgical instruments, supplies, and equipment, and clerical duties as delegated by and under the supervision of the Registered Nurse.

The OB Care Associate effectively interacts with the patient, significant and other health team members, provides education to the patient and family in conjunction with the supervising RN and other ancillary departments to meet and exceed the needs of patients.

• Performs aspects of clinical care as assigned and instructed by the RN per Ohio Board of Nursing guidelines for delegation.
• Demonstrates knowledge of tests, procedures, treatments, and any potential complications.
• Reviews surgical preference lists to clarify surgical routine and update preference lists as needed. Utilizes resources to obtain needed supplies for the case.
• Checks table(s) for complete readiness for each procedure, including C-sections, tubal litigations, D&Cs, circumcision and emergent hysterectomies. Ensures all items needed for the case are present: obtains Physician’s special instruments and sutures prior to the start of the case.
• Demonstrates knowledge and dexterity in handling of special supplies and equipment and assures its proper functioning. Knowledgeable of the specifics of the surgical procedure and able to perform these tasks in an organized and efficient manner.
• Under the Surgeon’s supervision, assists with suctioning secretions, holding retractors, assisting with skin closure, cutting sutures and irrigating wounds. At the end of the procedure, assists with site care, cleansing the operative site, assists and/or applies sterile dressing, assists with patient transfer to bed/stretcher, replaces soiled gloves with clean exam gloves, assists with transfer with an adequate number of assistants present, responsible for knowing and using good body mechanics, disassembles table(s) contents and instruments, and places in proper receptacles for cleaning, and sends appropriate instruments to CSR and/or clean up room for terminal cleaning.
• Assists with vaginal deliveries, sets up sterile table for Physician that includes instrumentation and sharps, places legs in stirrups, scrubs perineum, drapes patient.
• Obtains sutures and any other instruments that are needed after vaginal delivery.
• Performs skills only after demonstrating competency as documented in the Clinical Performance Record (CPR).
• Performs tasks delegated by RN, including:
  • Vital Signs (temperature, pulse, respiration, & blood pressure)
  • Pulse oximetry (where applicable)
  • Capnography (where applicable)
  • Measures and reports patient intake and output
  • Makes observations as instructed by RN, reporting deviations.
  • Collects and transports specimens as directed by RN
  • Ensures appropriate processing of specimens
  • Weighs patients
  • Applies hot/cold compresses, ace bandages, non-sterile dressings
  • Applies antembolic devices including TED hose and SCD’s
  • Documents according to policy
  • Provides support with unit clerical functions as needed, including registering patients when they come in for procedure or triage, updating delivery log, creating and maintaining paper charts, entering charges for patients

• Ensures beds and side rails are in appropriate position and locked at all times and that all necessary articles, including call light, are within reach.
• Maintains safe patient handling guidelines according to policy 1.01.160.
• Applies safety devices and documents in medical record.
• Assures necessary equipment is available.
• Demonstrates safe handling of medical gases.
• Answers call and bathroom lights promptly.
• Performs purposeful patient rounding.
• Maintains organization of patient rooms and unit, identifies and addresses potential fall hazards.
• Removes any unused equipment from patient rooms.
• Implements and adheres to infection control policies.
• Safety hazards are promptly corrected and/or reported to the appropriate person.
• Maintains and…