RN OB

## Description

**Job Description Summary**

Provides age and developmentally appropriate direct patient clinical care, encompassing both physical and psychological needs of the preemie, neonate, infant, adolescent and adult patient populations. Provides care with a focus on patient safety; initiates, implements and updates plan of care and patient/family education appropriately. Delivers high quality patient care through training and experience in Obstetrics and Level One Nursery, according to the Obstetrics Scope of Service. Able to scrub and/or circulate in the event of an emergency cesarean section. Adheres to and practices the St. John's Health Corporate Compliance Program and participates in Performance Improvement activities.

**Essential Functions**

**Quality Patient Care**

• Obtain and review patient data using; observational, interviewing, interpretation and critical thinking skills in an age specific population and developmentally appropriate manner.
• Identifies risk factors and provides for patient safety. Implements measures to prevent injury from environmental hazards.
• Practices autonomously and consistently with professional nursing standards.
• Identifies changes in patient status, exercises critical thinking and independent judgment within the context of a multidisciplinary approach to patient care.
• Develops a plan of care that is unique to each patient's needs, evaluates patient response to plan of care and reflects measurable goals that are mutually set with the patient.
• Evaluates patient response to pain management interventions. Offers alternative pain management therapies.
• Demonstrates knowledge and awareness of medication action, side effects and protocols for use. Using 2 patient identifiers, gives medication safely and accurately according to policy and procedure.
• Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely and efficient manner, as well as with a positive attitude.
• Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at the patient's bedside.
• Addresses patient and family's spiritual and emotional needs utilizing a holistic approach.
• Uses supplies and equipment within safe parameters. Ensures equipment is functioning properly before use. Reports equipment malfunction following the appropriate reporting.

**Patient and Family Education**

• Assesses age and population specific and developmentally appropriate patient and family education needs.
• Assesses readiness to learn based on patient perception, education level and expectation of care.
• Initiates and incorporates patient and family education onto the plan of care.
• Provides clear information to assist the patient to make informed decisions.
• Encourages patients' active involvement in their care.
• Communicates updated status report and clear information to patient/family as appropriate, to make informed decisions.

**Unit Specific Performance**

• Ability to assess neonate at delivery and perform neonatal resuscitation.
• Ability to conduct postpartum assessments.
• Demonstrates the ability to be flexible, organized and function under stressful situations.
• Keeps the department clean, orderly and stocked daily.
• Completes all documentation, utilizing appropriate forms and systems.
• Demonstrates the ability to assess and assist with emergency situations.
• Functions in the charge nurse role as assigned.
• Completed and signs daily charge nurse form.
• Initiates and completes computerized Event Reports for unusual events consistently. Reports near misses.

**Job Requirements**

**Minimum Education**

**Required**ASN

**Preferred** BSN

**Minimum Work Experience**

**Required:**Must be able to function independently.

**Preferred** Recent high risk obstetric experience preferred. Minimum of two (2) years nursing experience in L&D preferred.

**Required Licenses:**Current RN license with the authority to practice in the State of Wyoming, BLS, NRP and documentation of completion of a AWHONN Fetal Heart Monitoring class required. ACLS and STABLE preferred.

**Functional Demands**

**Working Conditions**

Six bed LDRP with five swing rooms. Level one nursery. Rapidly changing census and patient acuity. Frequent stressful situations. Twelve hour shifts; rotation to days/nights and weekends. Call hours and holidays required. Emergency situations may require staying after completion of scheduled shift. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

**Physical Requirements**

80% of shift spent walking and standing. Irregular meals/breaks. Must possess the ability to lift, push, pull and move patients, equipment, supplies. Must possess sight/hearing senses to meet job requirements. Ability to lift up to 50 pounds.

**Direct Reports:** None

**Reportsto:** Manager of Obstetrics

**Internal and External Contacts:**All hospital personnel, physicians, patients, family, vendors and visitors.

**Leadership Capabilities**

**1. Patient Focus**

• Is dedicated to meeting the expectations and requirements of patients
• Gets firsthand patient feedback and uses it for improvements
• Establishes and maintains effective relationships with patients and gains their trust and respect

**2. Attention to Detail**

• Completes tasks in a way that ensures there are not errors
• Methodically and patiently reviews work to identify any mistakes or discrepancies
• Creates and stores documentation in a way that is thorough and easy to access

**3. Quality Decision Making**

• Considers many factors and sources when making decisions
• Is correct and accurate with most of his/her solutions and suggestions when judged over time
• Is sought out by others for advice and solutions
• Spends his/her time and the time of others on what's important
• Quickly zeros in on the critical and few and puts the trivial many aside
• Handles risks and uncertainty with composure

**4. Interpersonal Skills (Nursing)**

• Steps up to conflicts, seeing them as opportunities
• Builds appropriate rapport
• Finds common ground and gains cooperation
• Taking responsibility for the consequences of one's own actions and decisions