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Registered Nurse (RN)- Maternity

Company: Mid Michigan Health
Location: Midland
Posted on: January 16, 2022

Job Description:

Summary

Registered Nurse (RN) Position Summary:

This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Position requires travel among MidMichigan Health subsidiaries.

* This position is part of our Resource Pool, including incentive pay

A day in the life as a Registered Nurse (RN) at MidMichigan Health with our Maternity team:

* (40%)* Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. * (20%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. * (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. * (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. * (10%)* Follows up regarding medication changes and order clarifications as requested.

Other Duties and Responsibilities:

* Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. * Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. * Provide education to meet the individual needs and ability to learn. * Participates in care conferences as assigned. * Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. * Coordinates care provided by patient care technicians. * Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. * Demonstrates a general ability to manage assignments and perform routine duties on the unit. * Instructs other team members when appropriate, explaining goals and rationale for individualized care. * Implements clinical and technical aspects of care in accordance with established policies and procedures. * Demonstrates understanding of clinical pathways and utilizes appropriately. * Remains calm and efficient when working in stressful situations. * Documents in an accurate, clear, and concise way and includes pertinent clinical data. * Shares information and reports significant changes and/or abnormal findings to appropriate team members. * Participates in regulatory surveys. * Participates in the performance improvement activities. * Assists with orientation and ongoing competencies. * Provides a safe and secure environment for patient care. * Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. * Remain current on new developments by reading professional journals, and attending seminars. * Demonstrates understanding of role in emergency preparedness procedures. * Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. * Performs physical assessment. * Performs Loepold's maneuvers for fetal position. * Assesses fetal heart rate and identifies maternal-fetal risk factors. * Palpates uterus to assess frequency, length and quality of contractions. * Distinguishes, reports and records normal and abnormal conditions. * Identifies life-threatening/emergency situations. * Formulates conclusions, making a diagnosis. * Decides when to do or not to do a vaginal examination on the laboring patient. * Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. * Graphs labor process based on Friedman labor curve. * Distinguishes true labor from false labor. * Assesses and evaluates suspected rupture of membranes. * Visualizes pooling of amniotic fluid. * Uses nitrazine paper to prepare slide for fern test. * Performs and/or assists with sterile speculum examinations. * Assesses and documents family interaction/support system. * Identifies support person and desired birthing plan. * Assesses effectiveness of patient's/family's current coping mechanisms. * Evaluates level of childbirth preparation. * Explains diet and activity orders during labor. * Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. * Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. * Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. * Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. * Continuously updates nursing care plan. * Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. * Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. * Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician's request. * Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. * Positions patient in desired delivery position, utilizing physiologic positioning. * Performs perineum or abdominal scrub using sterile technique. * Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. * Notes and documents time of birth. * Assesses Apgar scores at one and five minutes after birth. * Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. * Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. * Correctly identifies newborn and mother, applying identification bracelets to both. * Obtains necessary cord blood samples and sends them to the laboratory. * Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. * Assists in initial infant-parent-family bonding. * Encourages immediate touch and eye contact as soon as possible after delivery. * Answers patient-family questions about newborn. * Assists with initial breastfeeding. * Notes and records delivery time of placenta. * Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. * Obtains cultures or specimen for laboratory analysis if indicated. * Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient's condition warrants, and until stable per Medical Center protocol. * Institutes uterine massage and/or applies perineal ice pack if indicated. * Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. * Encourages and promotes the bonding process. * Explains post-delivery procedures and postpartum routine to patient and family. * Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. * If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. * Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. * Develops a nursing plan of care based on appropriate data and rationale. * Monitors status of patient and fetus if antepartum. * Monitors status of infant.

Required Education, Experience, Training, and Skills:

* Associates Degree in Nursing Required; Bachelors Degree in Nursing preferred * Registered Nurse in the State of Michigan required * BLS- Basic Life Support certification required within 90 days of hire/transfer date * NRP- Neonatal Resuscitation required within 12 monthsof hire/transfer date * Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. * MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MidMichigan Health.

Keywords: Mid Michigan Health, Midland , Registered Nurse (RN)- Maternity, Healthcare , Midland, Michigan

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