RN - Birth Center Registered Nurse

Trinity Health•Dubuque, IA

1d•Onsite

About The Position

The Registered Nurse provides and directs safe, effective, culturally competent, evidence-based care for women, newborns, and pediatric patients. The role involves assessing patients, developing and implementing outcome-based plans of care, evaluating responses to interventions, and revising care as needed. The nurse manages a diverse patient population across labor and delivery, postpartum, the newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. The nurse coordinates and supervises care delivered by LPNs, patient care technicians/assistants, and other team members, and communicates with physicians, families, and the interdisciplinary team. The position upholds MercyOne’s mission, vision, values, performance expectations, and applicable Trinity Health policies and standards. In the Birth Center, the nurse cares for laboring patients, postpartum couplets, and surgical patients, and may be cross-trained to assist in pediatrics during periods of high census. The posting describes a rotating shift and says the role is primarily nights, with work every third weekend and every third holiday. It also identifies the position as part time and PRN/per diem, despite separately referring to it as a full-time position. The nurse must become Electronic Fetal Monitor certified within the first year. ACLS and NRP are also required, along with BLS and completion of Mandatory Reporter training within three months of hire.

Requirements

Associate degree in nursing.
Current Iowa RN license; a current Illinois RN license is required if working in Illinois.
American Heart Association Basic Life Support (BLS).
Complete Mandatory Reporter training for child and/or dependent adult abuse within three months of hire.
High language ability, intermediate-to-high math ability, and high critical-thinking ability.
Basic computer skills.
Electronic Fetal Monitor certification within the first year.
ACLS and NRP.
Ability to comply with Trinity Health policies and procedures.
Ability to lift, carry, push, or pull an average of 50–100 pounds for 76–100% of the time.
Ability to stand and walk or move about for 76–100% of the time.
Work involves possible exposure to hazardous substances, narcotics-related risks, infectious or communicable diseases, injury risks from confused or irrational patients or visitors, and instruments or equipment.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

Conduct an initial assessment of new admissions within 30 minutes of arrival and complete the admission assessment database within 24 hours.
Identify patient problems and develop outcome- or goal-based plans of care that incorporate relevant obstetric, neonatal, or pediatric history.
Analyze assessment data, set goals for mother and child, determine nursing interventions, prioritize care needs, and make appropriate referrals.
Assign and coordinate patient care according to acuity and team-member competencies; organize, prioritize, and appropriately delegate care.
Implement care plans, including procedures, treatments, physician and nursing orders, education, and medications.
Coordinate care with case managers, social workers, and other disciplines; assist with discharge planning and ensure families have resources for newborn care, breastfeeding support, and pediatric follow-up.
Use nursing judgment to determine reassessment frequency and components, reassess patients regularly, and document discharge instructions for mothers, infants, and/or caregivers.
Evaluate responses to interventions and update plans, problem lists, and goals as patient conditions change.
Communicate maternal and pediatric status, progress, and changes in condition promptly to physicians and team members; maintain communication during shifts, handoffs, and transfers.
Maintain complete and accurate documentation in accordance with policy.
Use Women & Children-specific policies and procedures, follow medication safety requirements, demonstrate electronic health record competency, and accurately process physician orders.
Communicate with leadership about admissions, acuity, and significant events; complete assigned shift duties and resolve discrepancies.
Interpret fetal heart tracings and neonatal vital signs, respond to changes in condition, and provide interventions during obstetric or neonatal emergencies.
Serve as a resource for other hospital services and participate in quality improvement initiatives.
Provide age-appropriate care to newborns, children, and adolescents, using age-appropriate tasks, equipment, and communication with patients and families.
Follow safety and infection-control standards, attend required safety programs, use PPE, demonstrate emergency procedures, and maintain a safe environment.
Uphold Trinity Health’s Integrity Program, Standards of Conduct, applicable policies, and professional and ethical standards.