Registered Nurse I - Labor and Delivery, full time nights

Greenwich, CT
Feb 27, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Hours: 7:00pm-7:30am

Summary:
Labor
and Delivery is comprised of 9 LDRs, 6 Maternal Fetal Medicine beds, 1 observation
room, 2 OR suites and a 2 bed recovery room. Our patient population
includes the care of patients within childbearing years from adolescence to
mature adulthood. We provide diagnostic evaluation and treatment of
pregnancy related conditions as well as a multitude of medical conditions for
our high risk antepartum patients and our intrapartum patients starting at 15
weeks to full term. We also provide pre-term and treatment of underlying
maternal medical disease. In addition to our inpatients we also care for a
considerable number of outpatients who require NSTs or extended observational
care. Our nurse patient ratio is 1:2 until second stage which is 1:1, for
antepartum patient ratios are 1:3 dependent on acuity. Our shifts are
7:00am-7:30 pm and 7:00pm-7:30am. Our care team consists of Nurse Clinicians,
Physicians, Surgical Techs, Obstetrical Resource Assistants, Unit Secretary and
a dedicated housekeeping staff as well as Neonatology and Perinatology support
and a dedicated Patient Safety Nurse covering L&D and NICU. We
perform approximately 240 births per month. All of our physicians are private
practice and we have an in house Hospitalist coverage 24/7. We are
dedicated to providing high quality family-centered care working
collaboratively with all of our Women\u2019s and Children\u2019s Services.

Labor and Delivery Unit Highlights:

  • Self-scheduling
  • Work 3-4 weekends out of the 12 for day shift, 4-5 for night shift
  • No mandatory call

    Responsibilities:
  • 1. Nursing Practice/Nursing Process
  • 1.1 Delivers and coordinates safe, competent, and effective patient focused care demonstrating knowledge and clinical proficiency within their practicing specialty area.
  • 1.2 Performs individualized, age specific, population specific and culturally sensitive patient focused care through the use of the nursing process.
  • 1.3 Communicates patient''s condition and the initial and revised plan of care with nurses and other members of the multidisciplinary team using SBAR techniques and bedside shift reporting assuring continuity of care.
  • 1.4 Develops plan of care upon admission and reviews/updates daily based on multidisciplinary findings and physician orders.
  • 1.5 Manages decision making situations by recognizing the acuity and complexity of patient condition and their environment.
  • 1.6 Evaluates and directs care during hospitalization, and assists in designing a comprehensive discharge plan for patients with the multidisciplinary team.
  • 1.7 Documents nursing care in the electronic medical record according to professional standards of documentation and Greenwich Hospital policy.
  • 1.8 Respects and preserves patient/designated surrogate rights based on a code of ethics or ethical framework (e.g., safe, compassionate, competent care; informed decision making regarding daily/end-of-life care; dignity; privacy, confidentiality; and accountability).
  • 1.9 Identifies needs of patient/family for support systems/resources and make appropriate referrals.
  • 1.10 Demonstrates responsibility and accountability for ensuring best practices and delivery of nursing care according to ANA standards.
  • 1.11 Administer medications, calculate doses when appropriate and maintain current knowledge of medications and IV therapy.
  • 1.12 Assess and reassess pain, intervening with appropriate pain management therapies.
  • 1.13 Initiate and maintain oxygen therapy per physician orders, non-invasive blood pressure and oximetry.
  • 1.14 Provides patient and family education specific to their needs and appropriate to the care, treatment, and services provided.
  • 1.15 Assess and reassess patient''s risk for falls, initiating approprate fall prevention monitoring.
  • 1.16 Performs staging of wounds and treatments for patients with acute and chronic wounds.
  • 1.17 Completes annual skills competency validation.
  • 1.18 Completes mandatory hospital education and training.
  • 2. Professional Integration
  • 2.1 Serves as a positive professional role model demonstrating accountability and responsibility through professional behavior.
  • 2.2 Demonstrates respect of others beliefs and values in a diverse workplace.
  • 2.3 Acknowledges each individual''s dignity and value to the unit/organization.
  • 2.4 Demonstrates commitment to offering nursing services of superior quality and value.
  • 2.5 Continues to update knowledge on current national trends and evidenced-based practice.
  • 2.6 Effectively and efficiently allocate resources, including cost management activities.
  • 2.7 Understands the role of nursing within Greenwich Hospital
  • 2.8 Provides mentoring of new staff member to promote effective team relationships.
  • 2.9 Projects a professional demeanor.
  • 2.10 Maintains 8 hours of continuing education each year (not including mandatory education).
  • 2.11 Maintains a consistent record of punctuality.
  • 2.12 Maintains an acceptable record of attendance for a professional nurse.
  • 3. Leadership
  • 3.1 Uses effective communication, time management and prioritization skills.
  • 3.2 Accountable for decision making related to patient and staff safety.
  • 3.3 Acts as a charge nurse in the absence of nurse manager/clinical coordinator.
  • 3.4 Delegates work assignments to nursing staff and allied healthcare workers appropriately.
  • 3.5 Provides feedback to nursing staff and allied healthcare workers when appropriate.
  • 3.6 Uses problem-solving skills within the work environment.
  • 3.7 Supports nurse manager''s leadership and management style.
  • 4. Communication/Collaboration
  • 4.1 Demonstrates a commitment to honor and respect the dignity of each person within their department/unit
  • 4.2 Uses effective communication skills when working with others to create an atmosphere of collaboration.
  • 4.3 Promotes teamwork and cooperation through open communication skills and problem-solving techniques.
  • 4.4 Expresses self clearly, courteously, concisely and intelligently.
  • 4.5 Accepts suggestions and feedback from others.
  • 4.6 Seeks opportunities for continuous professional development.
  • 4.7 Attends 75% of staff/department meetings per year.
  • 4.8 Remains informed about Staff/department communication and events through meeting minutes and posted communications.
  • 5. Quality/Performance Management
  • 5.1 Contributes to department effectiveness by offering suggestions and ideas that improve performance.
  • 5.2 Collaborates with co-workers to improve department efficiency.
  • 5.3 Uses creativity and originality to create an environment of service excellence.
  • 5.4 Recognized as a model of excellence as described in the Seven Standards of Exceptional Service.

    Other information:

    EDUCATION:

    Graduate from an accredited school
    of nursing; BSN strongly recommended.

    EXPERIENCE:

    Labor and delivery experience preferred.

    LICENSURE:

    RN in State of Connecticut or Permit; Basic Life Support (BLS), NRP

    SPECIAL_SKILLS:

    ACCOUNTABILITY:

    Participates in the coordination of patient care services.
    Demonstrates ability to plan, organize and evaluate using good judgement. Is dependable and accountable.
    COMPLEXITY:

    Approachable, objective, collaborative relationships with all levels of staff and clients.
    PHYSICAL_DEMAND:

    May be exposure to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care.
    Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds.

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    Job Info

    Job: 6023

    Department: Labor and Delivery
    Category: Nursing-staff
    Sub Category: OB/MATERNITY
    Status: Full Time
    Shift: 12 HOUR PM-AM
    Hours: 36.00