Registered Nurse - Family Birthing Center- Per Diem- 2 positions

Barton Healthcare System•South Lake Tahoe, CA

About The Position

The Perinatal Nurse provides professional nursing care to patients in Labor and Delivery, Recovery, Postpartum, and the Nursery, following facility and AWHONN policies, procedures, and guidelines. The role includes antenatal testing; monitoring maternal and neonatal wellbeing during labor; and providing individualized care to support safe, positive birthing experiences. The nurse also provides postpartum and newborn care and education based on individual needs and department standards. The nurse helps keep the department ready to provide patient care, including restocking rooms, checking crash carts, performing point-of-care testing quality control, contributing to policy and procedure updates, attending meetings and in-services, and identifying ways to improve the patient experience. This is a per diem position.

Requirements

  • Completion of an accredited nursing program.
  • At least one year of recent perinatal nursing experience.
  • Sufficient computer skills for electronic medical record documentation.
  • Ability to communicate effectively in English.
  • Current California RN license in good standing before the start date.
  • Current ACLS and BLS for Healthcare Providers certifications from the American Heart Association, or ability to obtain them before the start date.
  • Current NRP certification from the American Academy of Pediatrics, or ability to obtain it before the start date.
  • Current validation of fetal-monitoring competency, evidenced by NCC certification or an AWHONN Intermediate or Advanced Fetal Monitoring Course.
  • Current STABLE certification before the start date, or enrollment in and completion of the first available Barton University offering.
  • Ability to perform triage and medical screening exams and assess and care for patients with pregnancy complications and patients through labor, delivery, recovery, postpartum, and newborn care.
  • Ability to communicate and coordinate care with patients, families, and healthcare providers.
  • Ability to prioritize patient needs and work effectively in a fast-paced, sometimes stressful environment.
  • Ability to meet the physical demands of the role, including walking, standing, sitting, lifting, positioning, pushing, and transferring patients; occasional lifting or moving of up to 50 pounds is required.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Five or more years of perinatal nursing experience.
  • Bilingual abilities.
  • Professional certifications, including NCC certification in Inpatient Obstetrics.

Responsibilities

  • Provide triage and medical screening exams, assess patient needs, and develop individualized care plans.
  • Provide care through pregnancy complications, labor and delivery, immediate recovery after cesarean or vaginal delivery, postpartum, and newborn care.
  • Monitor maternal, fetal, and neonatal wellbeing; interpret fetal heart tracings and respond to non-reassuring rhythms and neonatal testing results according to established standards and AWHONN guidelines.
  • Assess and reassess pain, discuss pain-management goals and options, and address psychosocial needs.
  • Administer medications safely and accurately, follow medication safety procedures, document interventions, and report adverse drug reactions and medication errors.
  • Monitor patients’ responses to care, report changes in condition, and respond immediately when maternal, fetal, or neonatal wellbeing is at risk.
  • Document assessments, nursing interventions, patient responses, and care progress accurately and completely in the electronic medical record.
  • Provide respectful, non-discriminatory care that preserves patient and family autonomy, dignity, and rights.
  • Coordinate and prioritize procedures and care activities; communicate with the care team; function as a team leader; and delegate duties appropriately.
  • Assist physicians with examinations, deliveries, and other procedures, and assist anesthesiology with regional anesthesia.
  • Keep patients and families informed and respond promptly to patient calls.
  • Assess patient and family learning needs and provide education on medication safety, nutrition, medical equipment, pain management, rehabilitation, and external resources.
  • Operate equipment safely, ensure it functions properly, and follow procedures when equipment malfunctions.
  • Orient, instruct, and train new nurses in the department.
  • Provide age-appropriate care and maintain knowledge of growth and development across the lifespan.
  • Follow regulatory and licensing standards, maintain current perinatal nursing competency, and keep up to date with practice guidelines.
  • Maintain confidentiality regarding patients and families.
  • Participate in department-readiness activities, Shared Governance, and efforts to meet departmental staffing needs; perform other duties as needed.
  • Provide antenatal testing and participate in department activities such as restocking rooms, checking crash carts, point-of-care testing quality control, policy and procedure development, meetings, and in-services.
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