Labor and Delivery RN On Site in Yokosuka, Japan

Arcetyp LLC•San Diego, CA

1d•Onsite

About The Position

Arcetyp LLC is looking for a Labor and Delivery RN to support the Government in Japan. This will be an on-site, in-office position with one position located in Yokosuka, Japan. POSITION DUTIES: The Registered Nurse (Labor and Delivery) will provide nursing care to routine and high-risk Obstetrical patients including newborns during the transition period within assigned inpatient unit based on relevant specialty care standards. Work Schedule: Perform approximately 14–17 shifts per month, each lasting 12–16 hours. Rotating day and night shifts on a quarterly basis. Required to notify supervisor and charge nurse promptly in case of illness or emergency. May be required to cover additional shifts due to staffing needs. Maximum of 16 hours per shift or 84 hours within a two-week period. Required participation in on-call duties, including: 24-hour call every other week. Must be able to arrive within 30 minutes if called in. On-call compensation applies. Required to work federal holidays and non-duty days as scheduled. ESSENTIAL JOB FUNCTIONS Establish priorities of patient care based on triage, nursing diagnosis, essential patient needs and outcomes. Collaborate with multi-disciplinary team in assessing the effectiveness of existing therapies and interventions for patients with illnesses, their families and significant others. Apply understanding and operation of specialty equipment. Maintain a safe patient care environment. Monitor and troubleshoot equipment assuring appropriate patient response. Provide intervention when indicated. Ensure upkeep, perform checks and maintain appropriate logs of medical equipment. Administer medications and IV therapy employing knowledge of pharmacological agents and blood/blood components, their indications, routes of administration, expected actions and potential side effects, as related to specific patient population served. Manage complex central and peripheral intravenous lines/infusions. Provide recovery care for post-anesthesia patients following C-Sections, cerclage, tubal ligations, and spontaneous pregnancy loss. Serve as a patient advocate and maintain patient’s right to confidentiality. Assist patients, families, and significant others in identifying limitations. Provide telephone advice based on clinical knowledge and accepted standards. Assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries. Consult and work collaboratively with social work and other ancillary services at the medical center and in the community to aid patients in maintaining independence, dignity, and quality of life. Evaluate effectiveness of own performance and clinically direct and evaluate the clinical care provided by health team members. Contribute to health care system and support clinical environment resulting in quality services and positive patient outcomes. Assist management and staff to develop and implement standards of care in keeping with unit and command’s strategic patient care goals. Demonstrate clinical expertise and independent practice necessary to function as a resource for medical and nursing personnel and mentor to staff. Provide clinical consultation and participate in problem-solving efforts of nursing staff, medical staff and other disciplines. Conduct and participate in patient bedside rounds with care team, patient care conferences and discharge planning. Assess and address the learning needs of patients and families, as well as, cultural and spiritual needs, individualizing each plan of care to meet patients’ specific needs. Participate in formal patient education and development of patient education materials. Monitor patient responses to medications/procedures/treatments and provide timely, accurate, and concise documentation, manually and/or by use of computer. Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Assist in the development, application and monitoring of clinical pathways as directed by government supervisor. Assist with the development of programs that comply with all regulatory agencies and Joint Commission requirements with a focus on CI, professional practice, and patient care/teaching. Coordinates patient care through a continuum and facilitates the achievement of high quality, safe and cost effective care. Ensures compliance with standards of care and practice in accordance with all established Unit Operating Instructions (which follow national guidance from AWHONN, American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP), Medical Group Instructions, and Air Force Instructions used in the medical treatment facility. Provides care within ethical and legal boundaries. Provides appropriate patient assessment skills. Accountable for making patient care assignments based on the scope of practice and skill level utilizing the nursing process as a basis for professional practice. Sets up, operates, and monitors specialized medical equipment such as IV infusion pumps, PCA pumps, vital sign machines, electronic fetal monitoring, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, ultrasound, emergency transport and other unit-specific equipment. Recognizes adverse signs and symptoms and reacts quickly in emergency situations. Makes referral appointments and arranges specialty care, as applicable. Completes orientation and competency verification programs in accordance with unit guidelines. Serves and participates in committees, functions and other meetings as directed. Provides relevant and timely information to these groups and assists with decision making and process improvement. Participates in customer service initiatives and medical readiness activities designed to enhance health services. Performs sterile vaginal examinations, speculum examinations, and diagnostic procedures via electronic fetal monitoring and tocometer. Prepares patients for surgery, ultrasound, amniocentesis, or other prescribed medical procedures. Provides critical care and evaluation of patients. Develops nursing care plans, performs care as outlined in clinical pathways, and standing order sets. Provides and documents individual and family education. Prepares sterile supplies, non-sterile supplies, and ensures required equipment is present and ready for use. Adjusts equipment as required. Reports all problems to the Non-Commissioned Officer In Charge (NCOIC) and works with maintenance service technicians to address problems. Checks the operating parameters of the equipment each time before the equipment is used. Develops and monitors quality improvement programs with peer reviews, staff education, chart reviews, and statistics. Performs telephone consults, triage, and other necessary administrative tasks as required Maintain knowledge of how to provide nursing care from a multi-disciplinary continuum, from normal physiological changes to a wide variety of disease processes that may complicate the ante-partum, intra-partum or postpartum stages of pregnancy, the immediate care of the newborn and have a varied knowledge in women’s health issues and the physiological changes in the normal life cycle. Maintain knowledge of the variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. Maintain knowledge of the administrative requirements for proper documentation of patient’s condition including disease progress, acknowledgement of teaching, and follow up care. Maintain knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records. Maintain knowledge of effective communication and collaboration with the health care team, both in oral and written form. Maintain knowledge of synthesizing data from a variety of sources to make appropriate clinical decisions. Patient Care. The general scope of work under this contract includes performing services in the following patient care areas: Antepartum Labor & Delivery Postpartum Neonatal via Rooming-In or Nursery Obstetric Triage The provider shall prepare all medical documentation to meet or exceed the standards required under AFI 46-101 Nursing Services and Operations, Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), applicable Air Force Instructions and the Joint Commission guidelines. Only approved abbreviations shall be used for documentation of care in the health care record. The Department of Defense’s electronic medical record systems, AHLTA (outpatient), Composite Health Care System (CHCS) and Essentris (inpatient), shall be used for all patient encounters. Maintain a level of productivity comparable with that of other individuals performing similar services. Adhere to and comply with the Department of the Air Force, Bureau of Medicine and Surgery, and local instructions and notices in effect during the term of the contract. Practice aseptic techniques as necessary; comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection. Function with an awareness and application of safety procedures. Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner. Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF. Maintain an awareness of responsibility and accountability for own professional practice. Maintain DoD email account as directed by government supervisor. Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities. Each HCW providing service under this contract or resultant task orders shall undergo an orientation and shall complete mandatory Air Force, and DoD on-line training as required.

Requirements

Minimum two (2) years of experience as an inpatient labor and delivery nurse required.
Advanced Cardiac Life Support (ACLS)
Neonatal Resuscitation Program (NRP)
Intermediate Fetal Heart Monitoring (AWHONN)
Basic Life Support (BLS)
Emergency Clinical Obstetrics (ECO) and STABLE certification required within 30–90 duty days of arrival
All relevant experience should be within the last four (4) years.
U.S Citizenship
Ability to perform a full range of medical services consistent with professional licensure.
Be able to comply with all applicable Federal, State, and local laws, Department of Defense, Department of the Air Force, Bureau of Medicine and Surgery, and MTF instructions and policies.
Proficiency in Microsoft Office software applications including Word, Excel, Access, PowerPoint, and Outlook
Be capable of performing a full range of medical services commensurate with the professional license held.
Fluently and proficiently read, write, speak and understand the English language.
Knowledge across antepartum, intrapartum, postpartum, neonatal care, and women’s health.
Pharmacological knowledge including dosage calculations and medication management.
Documentation standards consistent with Air Force and Joint Commission requirements.
Proficiency with electronic medical records systems (AHLTA, CHCS, Essentris).
Effective communication and interdisciplinary collaboration.

Nice To Haves

Experience with postpartum and newborn nursery highly recommended.
Experience aligned with Level 1 Labor and Delivery (ACOG maternal care reference level) highly recommended.
A thorough understanding of the military lifestyle and experience working with military family members.
Working knowledge of relevant military, state, federal, and local laws and resources.
Highly developed written, oral, and presentation communication skills.
Have a work experience for Level 1 Labor and Delivery, American College of Obstetricians and Gynecologists (ACOG) for reference level of maternal care is highly recommended.

Responsibilities

Establish priorities of patient care based on triage, nursing diagnosis, essential patient needs and outcomes.
Collaborate with multi-disciplinary team in assessing the effectiveness of existing therapies and interventions for patients with illnesses, their families and significant others.
Apply understanding and operation of specialty equipment.
Maintain a safe patient care environment.
Monitor and troubleshoot equipment assuring appropriate patient response.
Provide intervention when indicated.
Ensure upkeep, perform checks and maintain appropriate logs of medical equipment.
Administer medications and IV therapy employing knowledge of pharmacological agents and blood/blood components, their indications, routes of administration, expected actions and potential side effects, as related to specific patient population served.
Manage complex central and peripheral intravenous lines/infusions.
Provide recovery care for post-anesthesia patients following C-Sections, cerclage, tubal ligations, and spontaneous pregnancy loss.
Serve as a patient advocate and maintain patient’s right to confidentiality.
Assist patients, families, and significant others in identifying limitations.
Provide telephone advice based on clinical knowledge and accepted standards.
Assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
Consult and work collaboratively with social work and other ancillary services at the medical center and in the community to aid patients in maintaining independence, dignity, and quality of life.
Evaluate effectiveness of own performance and clinically direct and evaluate the clinical care provided by health team members.
Contribute to health care system and support clinical environment resulting in quality services and positive patient outcomes.
Assist management and staff to develop and implement standards of care in keeping with unit and command’s strategic patient care goals.
Demonstrate clinical expertise and independent practice necessary to function as a resource for medical and nursing personnel and mentor to staff.
Provide clinical consultation and participate in problem-solving efforts of nursing staff, medical staff and other disciplines.
Conduct and participate in patient bedside rounds with care team, patient care conferences and discharge planning.
Assess and address the learning needs of patients and families, as well as, cultural and spiritual needs, individualizing each plan of care to meet patients’ specific needs.
Participate in formal patient education and development of patient education materials.
Monitor patient responses to medications/procedures/treatments and provide timely, accurate, and concise documentation, manually and/or by use of computer.
Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events.
Assist in the development, application and monitoring of clinical pathways as directed by government supervisor.
Assist with the development of programs that comply with all regulatory agencies and Joint Commission requirements with a focus on CI, professional practice, and patient care/teaching.
Coordinates patient care through a continuum and facilitates the achievement of high quality, safe and cost effective care.
Ensures compliance with standards of care and practice in accordance with all established Unit Operating Instructions (which follow national guidance from AWHONN, American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP), Medical Group Instructions, and Air Force Instructions used in the medical treatment facility.
Provides care within ethical and legal boundaries.
Provides appropriate patient assessment skills.
Accountable for making patient care assignments based on the scope of practice and skill level utilizing the nursing process as a basis for professional practice.
Sets up, operates, and monitors specialized medical equipment such as IV infusion pumps, PCA pumps, vital sign machines, electronic fetal monitoring, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, ultrasound, emergency transport and other unit-specific equipment.
Recognizes adverse signs and symptoms and reacts quickly in emergency situations.
Makes referral appointments and arranges specialty care, as applicable.
Completes orientation and competency verification programs in accordance with unit guidelines.
Serves and participates in committees, functions and other meetings as directed.
Provides relevant and timely information to these groups and assists with decision making and process improvement.
Participates in customer service initiatives and medical readiness activities designed to enhance health services.
Performs sterile vaginal examinations, speculum examinations, and diagnostic procedures via electronic fetal monitoring and tocometer.
Prepares patients for surgery, ultrasound, amniocentesis, or other prescribed medical procedures.
Provides critical care and evaluation of patients.
Develops nursing care plans, performs care as outlined in clinical pathways, and standing order sets.
Provides and documents individual and family education.
Prepares sterile supplies, non-sterile supplies, and ensures required equipment is present and ready for use.
Adjusts equipment as required.
Reports all problems to the Non-Commissioned Officer In Charge (NCOIC) and works with maintenance service technicians to address problems.
Checks the operating parameters of the equipment each time before the equipment is used.
Develops and monitors quality improvement programs with peer reviews, staff education, chart reviews, and statistics.
Performs telephone consults, triage, and other necessary administrative tasks as required
Maintain knowledge of how to provide nursing care from a multi-disciplinary continuum, from normal physiological changes to a wide variety of disease processes that may complicate the ante-partum, intra-partum or postpartum stages of pregnancy, the immediate care of the newborn and have a varied knowledge in women’s health issues and the physiological changes in the normal life cycle.
Maintain knowledge of the variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
Maintain knowledge of the administrative requirements for proper documentation of patient’s condition including disease progress, acknowledgement of teaching, and follow up care.
Maintain knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records.
Maintain knowledge of effective communication and collaboration with the health care team, both in oral and written form.
Maintain knowledge of synthesizing data from a variety of sources to make appropriate clinical decisions.