Registered Nurse (Flex) - Labor and Delivery

Under the supervision of the Nurse Manager, the staff nurse is responsible for the application of the nursing process and evidence-based knowledge, judgment, and technical nursing skills in the delivery of nursing care to patients with medical and surgical conditions on an assigned shift.

Responsibilities

• Provide age-appropriate, culturally competent care and family-centered care.
• Able to prioritize and assist in the care of Triage patients.
• Performs a thorough patient assessment and reassessment of the maternity patient and neonate.
• Establishes a plan of care based on patient diagnosis.
• Demonstrates a thorough knowledge of equipment utilized in patient care (infant warmers, fetal monitors, birthing bed, infant warmers, cardiac monitoring).
• Able to care for antepartum (low and high risk), intrapartum, and postpartum (NSVD and C/S) patients.
• Able to open and set up a delivery table.
• Pain assessment and reassessment.
• Assists with Epidural placement and administration.
• Able to interpret fetal monitoring and contraction patterns (internal and external).
• Recognizes deviations from normal maternal, fetal, and neonatal status, alert providers, and initiate interventions.
• Able to scrub in the operating room.
• Able to circulate in the operating room.
• Recovers post-operative patients.
• Initiates and assists with breastfeeding, unless medically contraindicated.
• Assigns APGAR scores.
• Can initiate and assist with neonatal resuscitative measures.
• Aware of and assists with policy and procedure review and development.
• Participation in unit-based performance improvement and quality measures.
• Participation in unit and multidisciplinary rounds.
• IV insertion, phlebotomy, and assisting with obtaining vaginal cultures.
• Involved in discharge planning.
• Ensuring regulatory requirements are met and maintained.
• Following OR processes for safety, verification, and time-out.
• Aware of Code Pink infant safety policies and procedures.
• Provides support for the mother during labor.
• Measures the strength and timing of contractions.
• Monitors patient’s vital signs according to hospital policy.
• Administers medications and performs diagnostic tests.
• Consulting with physicians/providers and other team members.
• Assists with inducing labor.
• Provides labor support and coaching mother during labor and delivery.
• Identifies and assists with complications.
• Assist with various procedures, including Cesarean sections.
• Monitors and performs essential tests on newborns.
• Provides education and support to mothers and family throughout the delivery process.
• Performs duties of transitional nurse: assisting with skin to skin initiation and newborn care after vaginal and cesarean delivery.
• Provides newborn care including newborn assessment and heel sticks (glucose monitoring).
• Participates in clinically appropriate continuing education activities.
• Maintains current nursing knowledge to assure a safe working environment.
• Maintains competency and updates knowledge of standards of practice in scope of practice as per AWHON.
• Participates in assigned departmental or organizational committees, meetings, and/or conferences.
• Participates in the department’s performance improvement initiatives to continuously improve the quality of patient care.
• Participates in the formulation, review, and/or revision of departmental policies.
• Delegates responsibilities to NA/PCT to ensure tasks are completed; provide assistance as needed.
• Performs other duties as assigned within the RN scope of practice.

Requirements

Education:

• Internal & 1199 SEIU: Graduate of accredited nursing program(s). Bachelor's degree in Nursing preferred.
• Non 1199 SEIU Candidates: Bachelor’s degree in Nursing or equivalent to BSN program. Master's degree in Nursing preferred.

Experience: Minimum one (1) year neonatal or pediatric experience.

Skills

• Critical thinking, math, and computer skills; works as a team player.
• Demonstrates respect and professionalism in all interactions.
• Excellent oral and communication skills.
• Decision making and problem solving.
• Able to read, write, see, and hear English.

Qualifications

• Current NY State RN License required.
• Basic Life Support (BLS) from the American Heart Association, required.
• Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required.
• Neonatal Resuscitation Program Certification (NRP) required.
• WHO 20-hour Breastfeeding Course (Women and Children Division) or equivalent training, required.
• Certified Lactation Counselor preferred.
• International Board Certified Lactation Consultant preferred.
• Inpatient Obstetric Nursing Certification preferred.
• AWHON: Fetal Monitoring Certificate Intermediate and/or Basic preferred.

Physical Requirements

• Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
• Position will be required to stoop, bend, lift, carry items weighing up to 35 pounds for routine performance of essential functions.
• An individual in this position may be exposed to: adverse indoor environmental conditions, bloodborne pathogens, blood and body fluids, physical hazards (e.g., needle pricks), communicable diseases, chemical hazards, radiation, and repetitive motions.
• Full range of body motion, able to lift up to 100 pounds if necessary to assist lifting and moving patients.
• Manual and finger dexterity, as well as hand and eye coordination.
• Corrected vision and hearing to within normal range.
• Frequently sitting at desk working on computer.
• Ability to flex working hours.