SEASONAL REGISTERED NURSE - Labor and Delivery - Per Diem - Nights

Sierra View MedicalPorterville, CA
Onsite

About The Position

This is a seasonal, per diem agreement for a Registered Nurse in Labor and Delivery. The individual will work a 13-week seasonal assignment, requiring 3 scheduled 12-hour shifts per week. The role involves providing holistic, individualized care using the Nursing Process, demonstrating advanced clinical competency, nursing judgment, and teaching skills. The Registered Nurse is responsible for assessment, treatment, and care appropriate to the ages of patients served, including geriatric, adult, adolescent, pediatric, and newborn populations. The position requires the ability to work under pressure, meet deadlines, and cooperate with colleagues and supervisors. As a designated disaster service worker, the employee must assist in times of need and report perceived misconduct. The role also requires maintaining current knowledge of healthcare trends and adhering to ethical standards.

Requirements

  • Current licensure as a Registered Nurse in the state of California.
  • Current BLS certification.
  • ACLS certification prior to assignment to department.
  • NRP & EFM certifications.
  • 1+ years as an RN in L&D.
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence if required.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages if required.
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations.
  • Basic computer skills.

Nice To Haves

  • Obtain BLS certification within orientation process, prior to hands-on patient care.
  • Obtain ACLS certification within six (6) months of assignment to department.
  • Obtain NRP, EFM or within 6 months of assignment to department.
  • Six (6) month time frame is at the discretion of the Department Director.

Responsibilities

  • Provides holistic, individualized care using the Nursing Process for patients.
  • Demonstrates advanced clinical competency, nursing judgment, and teaching skills.
  • Independently performs general and unit-specific clinical skills.
  • Contributes to the Sierra View Medical Center Department of Patient Care Services and the Nursing profession.
  • Is responsible for the assessment, treatment, or care appropriate to the ages of the patients served.
  • Obtains and interprets information in terms of the patient’s needs.
  • Possesses knowledge of growth and development and understands the range of treatment needed for all patient groups.
  • Works normal/scheduled working hours to include Holidays, call-backs, weeknights, weekends, and on-call.
  • Participates, as directed, in emergencies and community disasters during scheduled and unscheduled hours.
  • Assists in times of need pursuant to the California Emergency Services Act.
  • Reports perceived misconduct, including actual or potential violations of laws, regulations, policies, procedures, or the organization’s standards/code of conduct.
  • Works well under pressure, meets multiple and sometimes competing deadlines.
  • Demonstrates cooperative behavior with colleagues and supervisors.
  • Utilizes holistic assessment skills, recognizing subtle, covert or abnormal signs and symptoms.
  • Identifies nursing diagnosis and interdependent nursing problems and selects applicable nursing care standards to guide patient care.
  • Ensures that the Care Plan is specific and unique to the individual patient.
  • Safely performs nursing care including safe administration of medication, troubleshoots equipment and demonstrates skill in clinical problem solving.
  • Ensures that the nursing care provided is consistent with the established Nursing Plan of Care, the Medical Plan of Care and the ages of the patients served.
  • Evaluates the effectiveness of the Plan of Care and communicates through exchange report; makes recommendations for future care.
  • Communicates evaluation of, or changes in, patient status providing supportive data to the physician or health care team as appropriate.
  • Demonstrates adherence to the Joint Commission "National Patient Safety Goals for Hospitals".
  • Documentation reflects compliance with established Hospital policies and procedures.
  • Demonstrates knowledge of role by adherence to NPSGs as it relates to area of practice.
  • Demonstrates an understanding of the use, actions and interactions of drugs used in combination for patients with multi-system problems.
  • Completes required unit specific performance criteria checklist.
  • Demonstrates proper Infection Prevention skills.
  • Reports quality or Risk Management issues through appropriate lines of authority.
  • Maintains current knowledge of health care trends that affect the clinical practice of Nursing on the unit.
  • Upholds all aspects of the Nursing Practice Act as defined by the California Board of Registered Nursing.
  • Provides evidence of adherence to all nine (9) ANA Code of Ethics for the Nursing profession.
  • Is knowledgeable of interpretation of fetal monitor strips.
  • Is knowledgeable of Maternal/Fetal complications and nursing responsibilities.
  • Is knowledgeable of breathing and relaxation techniques, and ability to teach labor patients and support persons these methods.
  • Understands the stages of labor and nursing responsibilities during each stage.
  • Documents appropriate information on monitor strips and ensures each monitor strip is properly labeled with patient information.
  • Is informed of current developments in the nursing field and Maternal Child Health.
  • Is knowledgeable of medications used in the Maternal Child Health Department, including Neonatal dosages.
  • Functions as a Team Member in the Delivery Room.
  • Is knowledgeable of sterile technique in the Delivery Room.
  • Performs physical assessment of the newborn by following established policies and procedures.
  • Utilizes appropriate anatomical sites for intramuscular injections.
  • Functions as a Team Member in the Operating Room during C-section, receiving baby with Pediatrician.
  • Is knowledgeable of postpartum maternity complications.
  • Demonstrates competency in caring for the postpartum patient.
  • Is competent in assembling and using equipment such as: Oxygen supplies, Oximeter, Radiant Warmer, Neonatal monitor, Suction setups, Catheters, Neonatal emergency supplies, and Bilirubin light.
  • Demonstrates knowledge of EMTALA guidelines.
  • Demonstrates knowledge of breast-feeding and encourages breast-feeding with all patients.
  • Performs and supports family centered care including family in the care of the mother and infant.
  • Is knowledgeable of the care of the antepartum, intrapartum, and postpartum patient.
  • Able to perform a medical screening exam on patients in the observation/Triage room (after two (2) years of labor and delivery experience).
  • Demonstrates care and knowledge of couplet care.
  • Demonstrates care and knowledge in caring for a fetal demise, stillbirth or neonatal death.
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