RN -L&D​/NICU

JOB TITLE:
RN-Women’s Health & Newborn Care-Labor & Delivery (L&D)/Neonatal Intensive Care Unit (NICU)

JOB CODE: 5545 / 5540

JOB

HOURS:

Various Shifts, Call as Assigned

STANDARDS OF BEHAVIOR:

It is expected that all of the duties and responsibilities of this position will be performed in a manner that reflects the Four Key Values of Bothwell Regional Health Center, which are:
Community, Purpose, Integrity, and Joy.

JOB SUMMARY:

The RN –L&D/NICU, provides routine to high-acuity obstetric, intrapartum, operative, and neonatal care, requiring advanced clinical competencies, rapid clinical judgment, and specialty certifications. This role functions with a higher level of autonomy and responsibility due to increased patient acuity, regulatory oversight, and safety risk.

The RN reports to the team lead/Charge Nurse, Manager, and Director, following the established chain of command.

QUALIFICATIONS:

• Education:
• RN graduate of Accredited School of Nursing
• Licensure/Certification:
• Must have a valid, current license by the Missouri State Board of Nursing.

b.)Current Basic Life Support (BLS) certification required

c.)Upon hire or within first year of employment

1.Advanced Cardiac Life Support (ACLS)

2.Sugar, Temperature, Airway, Blood Pressure, Lab work, Emotional

Support (STABLE)

3.BASIC Fetal Monitoring

5.Intermediate and Advanced Fetal Monitoring

• Work Experience:

a) Successful completion of hospital and department orientation.

L&D / NICU Eligibility Criteria:

1. To be eligible for assignment to Labor & Delivery and/or NICU, staff must meet

at least one of the following criteria and complete all required onboarding steps:

1. A minimum of twelve (12) months of mother/baby experience post-orientation,

OR

2. A minimum of twelve (12) months of Labor & Delivery and/or NICU

experience post-orientation

Special Circumstances (Exception Pathway):

1. Exceptions to the above experience requirements may be granted only under

special circumstances and must receive prior approval from the Director of

Women’s Health & Newborn Care

2. Approval will be based on one or more of the following:

• Demonstrated clinical competency
• Departmental staffing needs
• Operational necessity

Additional Requirements (All Pathways)

• Completion of:
• Formal application
• Structured interview
• Objective competency assessment

RESPONSIBILITIES/

JOB DUTIES:

Clinical Care:

1. Labor management, inductions, augmentation, and obstetric triage

2. Delivery attendance and immediate newborn stabilization

3. Operating Room (OR) circulation and Post-Anesthesia Care Unit (PACU)

recovery for Cesarean sections

4. NICU care as applicable (Level II)

5. Routine newborn care within first hours of life and/or stabilization for transfer to

higher level facility, admission to BRHC NICU, or to Women’s health & newborn

Care (WHNC) for routine care

6. Obstetric (OB) emergency response (hemorrhage, shoulder dystocia, eclampsia,

7. Pain management including epidural and post-operative care

8. Fetal heart rate and contraction monitoring per AWHONN standards

9.Initiation of intrauterine resuscitation and escalation per protocol

10.Perform other duties as assigned

Regulatory, Safety and Unit-Based Accountability:

• Room readiness
• Emergency cart verification

2. Participate in monthly cleaning logs
, instrument checks, and supply audits

3. Maintain compliance with:

• Hand hygiene audits
• Documentation standards
• Infection prevention practices

4. Ensure accurate, timely, and complete documentation in the Electronic Medical Record (EMR)

5. Participate in chart reviews and quality audits as assigned

Professional Expectations:

1. Attend required staff meetings

2. Complete annual competencies, independent education, and skills validation

3. Serve as a clinical resource and mentor to Mother/Baby staff and new hires

• Scheduled to L&D and NICU
• Receives…