Registered Nurse RN Maternity

Summary

This position requires basic knowledge of neonatal care and the ability to assess, plan, implement, and evaluate care for maternity patients.

• Regularly assess patient’s/client’s needs and provide skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of nursing practice (40%).
• Provide direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%).
• Evaluate effectiveness of treatment plan and make suggestions or participate in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care (20%).
• Process physician/provider orders and perform physician ordered care accurately, completely, and in a timely manner. Follow up regarding medication changes and order clarifications as requested (10%).

• Demonstrate ability to interpret information and report pertinent data to the physician, including pertinent clinical information.
• Assess learning needs considering readiness, ability, preferences, and cultural/spiritual variables.
• Provide education to meet individual needs and ability to learn.
• Participate in care conferences as assigned.
• Develop and maintain good working rapport with interdisciplinary personnel to meet the needs of each patient.
• Coordinate care provided by patient care technicians.
• Demonstrate ability to organize and prioritize the needs of groups of patients or an individual patient.
• Demonstrate general ability to manage assignments and perform routine duties on the unit.
• Instruct other team members when appropriate, explaining goals and rationale for individualized care.
• Implement clinical and technical aspects of care in accordance with established policies and procedures.
• Demonstrate understanding of clinical pathways and utilize appropriately.
• Remain calm and efficient when working in stressful situations.
• Document in an accurate, clear, and concise way and include pertinent clinical data.
• Share information and report significant changes and/or abnormal findings to appropriate team members.
• Participate in regulatory surveys.
• Participate in performance improvement activities.
• Assist with orientation and ongoing competencies.
• Provide a safe and secure environment for patient care.
• Attend and participate in professional association activities and programs to stay current on regulations, guidelines, and professional standards.
• Remain current on new developments by reading professional journals and attending seminars.
• Demonstrate understanding of role in emergency preparedness procedures.
• Obtain prenatal history (prenatal Labor and Delivery records) and antenatal care, gathering data and identifying risk factors.
• Perform physical assessment.
• Perform Leopold’s maneuvers for fetal position.
• Assess fetal heart rate and identify maternal-fetal risk factors.
• Palpate uterus to assess frequency, length, and quality of contractions.
• Distinguish, report, and record normal and abnormal conditions.
• Identify life‑threatening/emergency situations.
• Formulate conclusions, making a diagnosis.
• Decide when to do or not to do a vaginal examination on the laboring patient.
• Assess and evaluate dilation and effacement of the cervix and station of presenting part via sterile vaginal examination.
• Graph labor process based on Friedman labor curve.
• Distinguish true labor from false labor.
• Assess and evaluate suspected rupture of membranes.
• Visualize pooling of amniotic fluid.
• Use nitrazine paper to prepare slide for fern test.
• Perform and/or assist with sterile speculum examinations.
• Assess and document family interaction/support system.
• Identify support person and desired birthing plan.
• Assess effectiveness of patient’s/family’s current coping mechanisms.
• Evaluate level of childbirth preparation.
• Explain diet and activity orders during labor.
• Communicate and document admission data with physician, nursing staff, family, and appropriate personnel.
• Prioritize and deliver care based on information obtained from maternal‑fetal labor assessment of status and initial exam.
• Identify patients with high‑risk…