RN - OB​/MedSurg

RN – OB / Med Surg

Employer:

My Michigan Health |

Location:

Sault Ste. Marie, MI |

Employment Type:

Full‑time | Job Function:
Health Care Provider

Sign‑on bonus may be available for qualified candidates, competitive wages, benefit package for eligible employees.

• Regularly assess patient’s needs and provide skilled nursing services as prescribed by the physician authorized plan of care and accepted standards of evidence‑based nursing practice (40%).
• Provide direct patient care including medication administration, treatments, education, call lights, assisting with transfers, responding to alarms, and other duties as appropriate (30%).
• Evaluate effectiveness of treatment plan and make suggestions or participate in updating/revising the plan in collaboration with other team members (20%).
• Ensure knowledge and compliance with all local, state, federal regulations, guidelines, and hospital‑specific policies and procedures (10%).
• Demonstrate My Michigan Health mission, vision, and values and behave courteously and professionally at all times with patients, visitors, and co‑workers.
• Interpret information and reports and communicate pertinent data to the physician.
• May be assigned educator or quality data abstraction duties as needed.
• Educate patient/family based on assessed learning needs, readiness, ability, preferences, and cultural/spiritual variables.
• Organize and prioritize the needs of groups of patients or an individual patient.
• Manage assignments and perform routine duties on the unit.
• Instruct other team members when appropriate, explaining goals and rationale for individualized care.
• Understand and utilize clinical pathways appropriately (unit specific).
• Maintain a professional demeanor in all situations.
• Document accurately, clearly, and concisely, including pertinent clinical data.
• Share information and report significant changes or abnormal findings to appropriate team members in a timely manner.
• Participate in regulatory surveys.
• Participate in performance improvement activities.
• Assist with orientation and ongoing competencies.
• Provide a safe and secure environment for patient care.
• Maintain knowledge of current trends and professional standards within a specialty.
• Understand role in emergency preparedness procedures.
• Obtain prenatal history, perform physical assessment, and perform Leopold’s maneuvers for fetal position.
• Assess fetal heart rate and identify maternal‑fetal risk factors.
• Palpate uterus to assess contraction frequency, length, and quality.
• Report and record normal and abnormal findings and formulate diagnoses.
• Decide when to perform vaginal examination and assess dilatation, effacement, and station of the cervix (sterile).
• Identify true labor, rupture of membranes, and perform nitrazine paper and amniotic fluid testing.
• Assist with sterile speculum examinations.
• Assess and document family interaction/support system and desired birthing plan.
• Explain diet, activity orders, and admission data with physician, nursing staff, family, and appropriate personnel.
• Prioritize and deliver care based on maternal‑fetal assessment of status.
• Identify high‑risk patients who may require consultation or transfer to a tertiary center.
• Obtain vital signs, fetal heart rate, and amniotic fluid characteristics during all labor stages and update nursing care plan.
• Identify and initiate appropriate nursing interventions for medication or complication side effects.
• Set up sterile delivery table and ensure emergency equipment is functioning.
• Position patient physiologically, clean perineum or abdomen sterily, and instruct family on hand‑washing and attire.
• Document birth time, assess Apgar scores, assist with newborn stabilization, CPR if indicated, and perform preliminary physical assessment.
• Recognize and notify of any neonatal abnormalities.
• Transfer newborns safely, identify mother and infant with identification bracelets, and send cord blood samples for laboratory analysis.
• Initiate newborn eye prophylaxis following protocol and enable early bonding.
• Document placental conditions, vessel count, and obtain cultures if indicated.
• Monitor maternal vital signs hourly for the first hour, then as needed with uterine…