Registered Nurse (Flex) - Labor and Delivery

One Brooklyn Health•New York, NY

13d

About The Position

Under the supervision of the Nurse Manager, the staff nurse applies the nursing process, evidence-based knowledge, judgment, and technical nursing skills to deliver care to an assigned patient or group of patients with medical and surgical conditions. In Labor and Delivery, the nurse provides age-appropriate, culturally competent, family-centered care for maternity patients and neonates across antepartum, intrapartum, postpartum, and operating-room settings. The role includes assessment, care planning, monitoring, treatment, patient and family education, coordination with providers and team members, and support for safe delivery and newborn care. The nurse contributes to quality improvement, policy review, regulatory compliance, unit activities, and continuing education. This is a physically demanding, high-stress role involving prolonged standing, reaching, and walking; lifting and moving patients and equipment; and potential exposure to blood and body fluids, pathogens, communicable diseases, chemicals, radiation, and other physical hazards. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Requirements

Graduate of an accredited nursing program.
For non-1199 SEIU candidates, a bachelor's degree in Nursing or equivalent to a BSN program is required.
At least one year of neonatal or pediatric experience.
Critical thinking, math, and computer skills; ability to work as a team player.
Respectful and professional conduct in all interactions.
Excellent oral and communication skills; decision-making and problem-solving ability.
Ability to read, write, see, and hear English.
Current New York State RN license.
American Heart Association Basic Life Support (BLS) certification.
American Heart Association Advanced Cardiovascular Life Support (ACLS) certification.
Neonatal Resuscitation Program (NRP) certification.
WHO 20-hour Breastfeeding Course (Women and Children Division) or equivalent training.
Ability to flex working hours.
Ability to stand, reach, and walk for prolonged periods and to stoop, bend, lift, and carry items weighing up to 35 pounds as part of routine essential functions.
Ability to lift up to 100 pounds, if necessary, to assist with lifting and moving patients.
Manual and finger dexterity and hand-eye coordination; corrected vision and hearing within normal range.

Nice To Haves

Bachelor's degree in Nursing preferred for internal and 1199 SEIU candidates.
Master's degree in Nursing preferred.
Certified Lactation Counselor certification preferred.
International Board Certified Lactation Consultant certification preferred.
Inpatient Obstetric Nursing Certification preferred.
AWHON Fetal Monitoring Certificate, Intermediate and/or Basic, preferred.

Responsibilities

Provide age-appropriate, culturally competent, family-centered care.
Prioritize and assist in the care of triage patients.
Perform thorough assessments and reassessments of maternity patients and neonates, and establish plans of care based on diagnoses.
Use patient-care equipment, including infant warmers, fetal monitors, birthing beds, and cardiac monitors.
Care for low- and high-risk antepartum, intrapartum, and postpartum patients, including patients having vaginal births and Cesarean sections.
Open and set up a delivery table; assist with epidural placement and administration; scrub and circulate in the operating room; and recover postoperative patients.
Assess and reassess pain, interpret fetal monitoring and contraction patterns, and measure the strength and timing of contractions.
Recognize deviations from normal maternal, fetal, and neonatal status; notify providers and initiate interventions.
Initiate and assist with breastfeeding unless medically contraindicated, and support skin-to-skin initiation and transitional newborn care after vaginal and Cesarean deliveries.
Assign APGAR scores and initiate or assist with neonatal resuscitative measures.
Perform IV insertion and phlebotomy and assist with obtaining vaginal cultures.
Provide labor support and coaching; assist with labor induction and procedures, including Cesarean sections; and identify and assist with complications.
Monitor patient vital signs according to hospital policy; administer medications; and perform diagnostic tests and essential newborn tests, assessments, and heel sticks for glucose monitoring.
Educate and support mothers and families throughout the delivery process and participate in discharge planning.
Consult with physicians, providers, and other team members; participate in unit and multidisciplinary rounds.
Follow operating-room safety, verification, and time-out processes, and follow Code Pink infant safety policies and procedures.
Ensure regulatory requirements are met and maintained.
Review and contribute to the development or revision of policies and procedures; participate in unit-based performance improvement, quality measures, and departmental or organizational committees, meetings, and conferences.
Participate in clinically appropriate continuing education and maintain nursing knowledge, competency, and standards of practice within scope of practice as per AWHON.
Delegate responsibilities to nursing assistants/patient care technicians, ensure tasks are completed, and provide assistance as needed.
Perform other duties as assigned within the RN scope of practice.