Perinatal Testing RN - Maternal Fetal Medicine

Responsibilities

• Provide appropriate patient education regarding procedure, its purpose and its limitations
• Assess the results of the ultrasound
• Explain findings to the patient as indicated
• Communicate findings to the Maternal Fetal Medicine physician according to procedure
• Document ultrasound findings in the patient’s HER according to policy
• Describe fetal development and document
• Conduct a second and third trimester uterine survey, including fetal cardiac activity, fetal presentation and placenta location
• Assess for amniotic fluid volume and amniotic fluid index
• Use appropriate ultrasound techniques for evaluation of fetal well-being (BPP and modified BPP)
• Perform non-stress tests to determine fetal health
• Measure fetal heart rate in response to fetal movement
• Evaluate electronic fetal monitoring
• Identify reactivity using NST criteria
• Recognition of non-reactive strip
• Appropriate documentation of fetal response
• Prompt communication of findings to Maternal Fetal Medicine physician
• Develop and provide perinatal education for patient and family
• Ability to teach patient and family the complications of co-morbid conditions: gestational diabetes, hypertension, obesity
• Teach labor and delivery expectations
• Conduct assessment of pregnancy spacing and contraception
• Phlebotomy / IV’s
• Vascular access as ordered by MD
• Absorb and communicate with OB team to ensure appropriate care
• Evaluate effectiveness of care
• Provide emotional and psychosocial support to patient and family

Qualifications

• Limited OB ultrasounds / Biophysical Profiles
• Assessment of pelvic anatomy and landmarks
• Uterine survey, including fetal cardiac activity, fetal presentation and placenta location
• Amniotic fluid volume and amniotic fluid index assessment
• Non-stress test to determine fetal health
• Fetal heart rate measurement in response to fetal movement
• Evaluation of electronic fetal monitoring
• Identification of reactivity using NST criteria
• Documentation of fetal response
• Communication of findings to Maternal Fetal Medicine physician
• Development and provision of perinatal education
• Ability to teach patient and family about co-morbid conditions
• Teaching labor and delivery expectations
• Assessment of pregnancy spacing and contraception
• Phlebotomy / IV’s
• Vascular access as ordered by MD
• Collaboration with OB team for appropriate care
• Evaluation of care effectiveness
• Emotional and psychosocial support provision