RN - L&D - Full Time (Nights)

Job: RN-L&D  
Classification: Hourly/Non-Exempt  
Job Category: 2 Professionals  

  
Position Summary  
The Labor and Delivery RN knows and conforms to the Texas Nursing Practice Act and the Board's rules and regulations as well as all federal, state, and local laws, rules or regulations. The RN provides, without discrimination, nursing services regardless of age disability, economic status, gender, national origin, and race, religion, or health problems of the patient. The RN is responsible and accountable for providing, delegating, and coordinating patient care, ensures that patient care needs, standards of safety, standards of care and patient rights are met, and coordinates plan of care and collaborates with team members to achieve goals of the unit for patient education and discharge planning.  

Essential Functions  
-Provides age-appropriate care.  
-Demonstrates knowledge and skill in the assessment and care of antepartum, intrapartum, newly delivered, and postpartum women.  
-Accurately evaluates labor progress.  
-Accurately assesses and documents fetal heart rate tracings and contraction patterns.  
-Accurately assesses quantitative blood loss during and after delivery.  
-Administers appropriate medications and treatments to patients.  
-Assesses and documents vital signs according to unit guidelines.  
-Updates Care Plan according to patient status and unit guidelines.  
-Educates the patient and her family on all aspects of her care.  
-Assesses and intervenes appropriately based on patient's coping abilities.  
-Provides clear information to providers regarding status of the patient.  
-Participates in unit Process Improvement projects.  
-Actively participates in chart audits.  
-Provides bedside hand-off whenever transfer of care occurs.  
-Adheres to and follows all patient experience initiatives.  
-Reports to and departs from work on time and as scheduled.  
-Performs other duties as assigned.  
-Must be able to deal with stress while maintaining composure.  
- Participates in unit specific quarterly education.  
- Provides appropriate care/care planning to unit guidelines, designation and national mandates.  
-Provides mother-baby care as appropriate for census and staffing.  
- Acts a surgical circulator in cesarean section, tubal ligations and emergency procedures.  
-Demonstrates knowledge and competence in pre-operative and post anesthesia care. 
- Demonstrates knowledge and competence in obstetric triage. 
-Must be able to deal with stress while maintaining composure. 
- Demonstrates knowledge and competence in care and transfers of high-risk obstetrical patients.  
- Willingness to take unit call as needed assigned by Director.  
-Advocate of family-centered care. 
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS). 
  
Work Experience  
-L&D, Antepartum, or Postpartum experience preferred.  
  
Education  
-Registered Nurse currently licensed to practice in the State of Texas required.  
-BLS (Basic Life Support) upon hire date.  
-ACLS (Advanced Cardiovascular Life Support) within 90 days of hire  
-NRP (Neonatal Resuscitation Program) 90 days of hire date.  
- AWHONN Fetal Monitoring preferred. 
 
Physical Demands and Work Environment  
Lifting/Carrying    Pushing/Pulling              
Lbs.      % Time     Lbs.      % Time  
1-10     34-66      1-10      34-66  
11-20     0-33     11-20      0-33  
21-50     0-33     21-50      0-33  
51-75     0-33     51-75      0-33  
76-100    0-33     76-100    0-33  
   
Movement            % Time  
Bend/Stoop/Twist          0-33  
Crouch/Squat                0-33  
Kneel/Crawl                  0-33  
Reach Above Shoulder   0-33     
Reach Below Shoulder   0-33  
Repetitive Arm              None  
Repetitive Hand            0-33  
Grasping                      0-33  
Squeezing                    0-33  
Climb Stairs                  None  
Walking Uneven            0-33  
Walking Even                34-66  
   
Environment         % Time  
Indoors               67-100  
Outdoors             0-33  
Extreme Heat      None  
Dusty                  None     
Excessive Noise    0-33  
   
Equipment        % Time  
Motor Vehicles     None  
Foot Pedals          None  
Extreme Heat       None  
Dusty                  None     
Excessive Noise    0-33  
   
Work Near          % Time  
Machinery           None  
Electricity           None  
Sharps              0-33  
Chemicals           0-33  
Fumes                0-33  
Heights              None  
   
Vision         
Depth Perception     Required  
< 20"                     Required  
Color                      Not Required  
Peripheral               Required  
   
Endurance       Hours at Once      Total in 12HR  
Sit                                  1                        3  
Stand                              4                       4.5  
Walk                               4                       4.5