RN- Obstetrics (FT Nights)

Key Responsibilities

• Provide safe and effective care to laboring patients, including continuous monitoring of maternal and fetal status, labor progression, and assisting with vaginal and cesarean deliveries.
• Administer medications, including pain management (epidurals, IV analgesia), and respond to maternal or fetal emergencies.
• Absorb neonatal care, including resuscitation and transition to the postpartum unit.
• Document labor progress, interventions, and outcomes in compliance with hospital protocols.
• Administer and monitor magnesium sulfate for patients with preeclampsia or eclampsia, ensuring proper dosing, infusion rates, and monitoring for side effects.
• Assess for signs of magnesium toxicity and take appropriate action.
• Coordinate care with the medical team to manage blood pressure and prevent seizures in patients with hypertensive disorders during pregnancy.
• Administer insulin drips to patients with gestational diabetes or those with high blood glucose levels during labor.
• Monitor blood glucose levels frequently and adjust insulin infusion rates as necessary, collaborating with the medical team to achieve optimal glucose control during labor.
• Provide patient education on blood glucose management and post-labor care.
• Manage the recovery process for mothers, ensuring the monitoring of vital signs, uterine tone, bleeding (including management of postpartum hemorrhage), and promoting early mobility.
• Provide newborn care, including assessments, feeding support, and monitoring of complications.
• Educate new mothers on breastfeeding, newborn care, and self-care during the postpartum period.
• Recognize signs of postpartum hemorrhage (PPH), including excessive bleeding, low blood pressure, and altered maternal condition. Implement interventions such as fundal massage, administration of uterotonic medications, and preparations for emergency procedures if necessary.
• Collaborate with OB/GYN providers and the clinical team to manage blood loss and prevent severe complications.
• Accurately assess and document quantitative blood loss (QBL) during labor, delivery, and postpartum. Use QBL data to monitor hemorrhagic complications, communicate findings to the care team, and initiate appropriate clinical responses.
• Recognize and monitor hypertensive disorders during pregnancy, including preeclampsia and eclampsia, following established protocols for blood pressure management.
• Administer prescribed antihypertensive medications and monitor any adverse reactions.
• Provide education on hypertension management to expectant mothers, especially in cases of chronic hypertension or preeclampsia.
• Assist in preparation and support for emergent procedures such as D&C and hysterectomy for obstetric or gynecologic emergencies, such as retained placenta, uterine rupture, or massive hemorrhage.
• Provide preoperative and postoperative care, ensuring patient safety, comfort, and education on recovery.
• Triage and assess obstetric patients with urgent issues, including complications of pregnancy, labor, and postpartum concerns.
• Collaborate with the OB/GYN team to stabilize patients and initiate appropriate interventions.
• Provide perioperative and postoperative care for women undergoing urologic, gynecologic, bariatric, and other minor surgical procedures.
• Monitor surgical complications, manage pain control, and ensure optimal recovery from anesthesia.
• Educate patients about recovery processes, including activity restrictions, signs of infection, and pain management.
• Work closely with multidisciplinary teams, including OB/GYN physicians, anesthesiologists, pediatricians, and surgical teams.
• Participate in ongoing training, case reviews, and quality improvement initiatives to improve patient outcomes and care delivery.

Requirements

• BLS (Basic Life Support)
• NRP (Neonatal Resuscitation Program)