RN - NICU Registered Nurse

Description

RN, Weekend Package NICU Status: .9/FT (36 hours a week) Shift: Nights Hours: 6pm-6:30am

Position Purpose

Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team.

Minimum Qualifications

• Associate degree in nursing required
• Bachelor of Science in Nursing (BSN) preferred
• Current Iowa RN license, (current Illinois (IL) license if working in IL) required
• American Heart Association Basic Life Support (BLS) required
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire
• High language, intermediate to high math, high critical thinking ability
• Basic computer skills required

Essential Functions

• Conducts an initial assessment to gather data
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit
• Completes all areas of the admission assessment database within 24 hours of admission
• Identifies patient problems and develops them into an outcome/goal-based plan of care
• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care
• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child
• Determines nursing interventions to achieve those outcomes/goals
• Prioritizes care needs for both mother and infant
• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care)
• Implements the outcome/goal-based plan of care
• Sets priorities for patient care based on acuity and team member competencies
• Assigns and coordinates patient care based on acuity and team member competencies
• Delegates tasks appropriately to other team members
• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications
• Captures and documents patient progress and revises the plan as needed
• Evaluates patient response(s) to interventions
• Updates the problem list and outcomes/goals as conditions change
• Evaluates patient response(s) to interventions
• Reviews/modifies/revises the outcome-based plan of care based on ongoing reassessments
• Updates the problem list and outcomes/goals
• Communicates relevant clinical information to optimize outcomes
• Communicates maternal and pediatric status to physicians and team members
• Reports progress toward outcomes/goals and changes in condition promptly
• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers
• Documents completely and accurately per policy
• Demonstrates clinical competence
• Utilizes Women & Children-specific policies and procedures to guide practice
• Ensures medication safety following the “5 Rights”
• Demonstrates competency in electronic health record systems
• Processes and implements physician orders accurately
• Maintains communication with leadership regarding admissions, acuity, and significant events
• Manages fetal and neonatal monitoring when applicable
• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs
• Responds appropriately to changes in maternal or neonatal condition
• Provides interventions for obstetric or neonatal emergencies
• Serves as a resource for other hospital services and participates in quality improvement initiatives
• Provides age-appropriate care based on principles of growth and development
• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents
• Performs tasks and uses equipment in an age-appropriate manner
• Communicates effectively with patients and families at their developmental level
• Adheres to safety and infection control standards
• Attends required safety programs
• Uses appropriate PPE consistently
• Demonstrates emergency procedures for obstetric and pediatric emergencies
• Maintains a safe environment for mothers, infants, and staff
• Maintains compliance with laws, regulations, and organizational standards
• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner

Physical And Mental Requirements And Working Conditions

• Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of narcotics
• In patient care areas, may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease, or possibility of injury from irrational or confused patients and visitors or from instruments or equipment
• Lift/Carry; Push/Pull 76-100% of the time, avg 50-100 lbs
• Stand; Walk/Move About 76-100% of the time