OB RN - Casual

LADD MEMORIAL HOSPITAL•Osceola, WI

1d•Onsite

About The Position

An Obstetrics (OB) Registered Nurse in a critical access hospital (CAH) provides comprehensive, high stakes care to patients throughout the prenatal, labor, delivery, and postpartum stages, often operating in a "jack-of-all-trades" capacity. The OB RN must possess advanced skills to manage low-risk, high-risk, and emergency scenarios in a single setting, including cross-training to float to other departments like Medical-Surgical or the Emergency Department.

Requirements

Graduate of an accredited Registered Nursing program
Licensed in the state of Wisconsin and in good standing
Active BLS
Active ACLS
Active NRP certification
STABLE certification or required to obtain within 6 months of hire.

Nice To Haves

A minimum of 2 years labor and delivery experience, preferably in critical access hospital.

Responsibilities

Follows the Standards of Nursing Care as well as the Nursing Process of assessment, planning, implementation, and evaluation while delivering high quality patient care.
Manage the full birthing process from admission to discharge, including triage of patients with pregnancy complications.
Monitor fetal heart rates, track contractions, and assist physicians or midwives during vaginal deliveries and C-sections.
Provide care for both mother and newborn, including lactation support, newborn assessments, and education on infant care.
Act as a first responder to acute OB emergencies such as shoulder dystocia, fetal heart rate decelerations, and postpartum hemorrhage.
Communicates an accurate, concise end of shift patient report in a timely manner
Interacts with physicians regarding patient status on an on-going basis though SBAR format
Work in other units, including emergency department nursing, medical-surgical care, or swing bed
Must be proficient in using Epic for documentation.
Monitors patient throughout (before/during/after) the labor
Performs basic IV skills
Knowledge of hemodynamics
Administers pain medication as ordered
Takes and records patient’s vital signs, ascertains if problematic
Reads fetal monitor & ascertains if problematic
Identifies & manages life-sustaining physiological functions in unstable patients
Cares for patients Pitocin, MgSO4 & continuous epidural
Ensures patient is in proper position for delivery & all monitoring equipment is functioning properly
Aids doctor during delivery and as needed
Immediate care of newborns (clean, weight, etc)
Consults and coordinates with health care team members to assess, plan, implement and evaluate patients’ (both mother and infant) care plans
Maintains a comfortable, safe and clean environment for mother and infant
Assists mother with her hygienic needs
Checks mother for any post-partum bleeding
Examines mother’s fundus
Inspects c-section incision (if applicable)
Assesses mother’s pain, if any
Performs emotional status checks on mother, recognizing symptoms such as those related to postpartum depression
Monitors bonding between mother and infant
Provides mother with breast-feeding tips, Educates mother on sore nipple management
Teaching mother bathing tips for infants
Keeps track of all feeds and diapers
Involves and educates family/significant others in implementing best practices for mother and infant care
Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
Performs other position-related duties as assigned, depending on assignment setting
Float among various clinical services