Labor and Delivery Registered Nurse, night shift

About the role

This is a full-time, night shift position with the Special Delivery Unit (SDU), a vital resource for women and families facing complicated pregnancies due to fetal anomalies.

Responsibilities

• Fulfills the nursing process to deliver safe, compassionate, and culturally effective care.
• Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated.
• Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate.
• Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care.
• Develops, implements and/or revises the patient’s plan of care on admission and during the course of the hospitalization.
• Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team.
• Care is coordinated across the continuum – understands and utilizes case management resources.
• Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.
• Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families.
• Evaluates and documents the care provided on each assigned shift.
• Accountable for the rapid adoption and implementation of clinical practice changes into own practice.
• Documents the evaluation of nursing interventions and outcomes of nursing care utilizing hospital standards, policies and procedures.
• Utilizes and exemplifies safety behaviors for error prevention. Identifies potential safety concerns and communicates with unit leadership as appropriate.
• Effective verbal and nonverbal communication techniques and good listening skills are used to empathically communicate with patients/ families, and colleagues.
• Encourages patient/family self-advocacy.
• Demonstrates effective teamwork as a member of the interdisciplinary care team, fostering and exemplifying a culture of respect.
• Participates and/or leads in interdisciplinary patient care rounds and/or meetings and makes recommendations to the plan of care that reflect nursing goals, interventions, and expected outcomes.
• Revises the plan of care according to the patient care decisions made on rounds.
• Incorporates evidence based practice into direct clinical care in collaboration with other members of the multidisciplinary team.
• Develops and implements effective partnerships with members of the ancillary staff; delegates tasks effectively to assure comprehensive nursing care is provided.
• Develops and sustains professional, well-boundary, therapeutic relationships with patients and families in which all actions are in the best interest of the patient and family and there is no personal gain at the patient/families expense.
• Models appearance and behaviors that promote a positive image of professional nursing.
• Expands clinical judgment and critical thinking skills with increased experience.
• Demonstrates mastery of the principles of Family Centered Care, including dignity and respect, information sharing, participation, and collaboration.
• Understands optimal patient/family experiences and incorporates into care delivery.
• Participates and/or leads in initiatives to improve satisfaction scores.
• Practices within a shared decision making environment.
• Familiar with and participates in Shared Governance council activities at the unit and/or department level.
• Progresses to leading council activities at the unit and/or department levels.
• Familiar with Magnet designation and the Magnet Model of transformational leadership, structural empowerment, exemplary professional practice, new knowledge and innovations, and empirical outcomes.
• Participates in ongoing designation activities such as serving as a unit based Magnet champion.
• Demonstrates fiscal stewardship:
• Manages own time to accomplish direct/indirect care in a cost-effective manner.
• Conserves unit and organizational resources; assures supplies are not wasted or misused.
• Does not incur incidental overtime.
• Understands the implications of the cost of staffing decisions.
• Identifies observed opportunities for cost savings.
• Well informed about the Professional Advancement Program (PEAK) and considers the opportunity to participate.
• Demonstrates healthcare informatics competency to manage patient care, outcome data, and current and emerging healthcare technology.
• Understands nursing sensitive outcomes and knows how to navigate the nursing scorecard.
• Participates and/or leads improvement initiatives to improve outcomes.
• Identifies own learning needs and actively assures learning needs are met.
• Sets up and maintains CEU’s for nursing licensure.
• Maintains compliance with mandatory education and annual nursing competencies.
• Recognizes individual preferences regarding an environment of constant change and understands change management.
• Develops effective methods to cope with and incorporate learning from a fast-paced, ever changing environment.
• Understands the principles and methodology of quality improvement; progresses to participating in and/or leading QI initiatives at the unit or organizational level.
• Participates in activities that contribute to improving the health of the community.

Qualifications

• Technical Diploma Nursing Required
• Bachelor's Degree Nursing Preferred
• At least one (1) year Labor and Delivery RN experience.
• At least two (2) years Prior experience in Labor and Delivery Nursing Preferred

Skills and Abilities

• Computer Competency: Basic use of a computer (mouse, keyboard, printer, USB ports).
• Web browsing, intranet search, document access.
• Use of shared network file space.
• Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors).
• Navigation and use of clinical communication systems.
• Information Literacy: Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
• Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
• Evaluates outcomes of the use of information.