Registered Nurse - Labor & Delivery

SouthEast Alaska Regional Health Consortium (SEARHC)•Sitka, AK

12d•$42 - $59

About The Position

The Registered Nurse (RN) provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN uses the nursing process to assess, plan, implement, and evaluate patient care while delivering high-quality, culturally sensitive, patient-centered services, and collaborates with providers and interdisciplinary teams to support patient outcomes, safety, and a positive patient experience. The Labor and Delivery Registered Nurse provides comprehensive obstetric care during labor, delivery, recovery, and the immediate postpartum period, including fetal monitoring, newborn care, and emergency response. The role involves collaboration with providers and neonatal teams to promote safe outcomes for both mother and newborn. The nurse must be competent in the use of all equipment in the specialty. On-call work may be required. SEARHC is a non-profit health consortium serving the health interests of residents of Southeast Alaska. The organization describes employee development and professional advancement as priorities. Benefits include retirement, paid time off, paid parental leave, health, dental, and vision insurance, life insurance, and long- and short-term disability.

Requirements

Associate’s degree in Nursing from an accredited program.
Current, unrestricted Registered Nurse license in Alaska or another U.S. state; direct hires must have applied for an Alaska nursing license at hire, and agency staff must hold an active Alaska license.
Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) certifications are required, subject to the stated timing provisions for new graduates and nurses entering a new specialty.
Clinical competency is required within three months and every three years.
High Risk Competency is required within three months and annually thereafter; validation is required for direct patient care nursing roles and is assessed before completion of initial preceptorship.
Knowledge of nursing principles, evidence-based practice, medication safety, and infection prevention.
Strong clinical judgment, organization, prioritization, and communication skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficiency with electronic health records and clinical systems.
Ability to lift, push, pull, and move up to 50 pounds.
Ability to stand for extended periods and perform bending, stooping, and kneeling.
Ability to work in a moderate-to-high-noise clinical environment.
Compliance with safe work practices, reporting injuries and unsafe conditions, and cooperating in safety investigations.
For nurses hired directly into a specialty area, evidence of current required position-specific certifications is required at hire; nurses new to a specialty must obtain required specialty and advanced certifications within six months of hire.
Nurses who float to other areas must complete the required certifications for the highest-level specialty in which they will provide care.

Responsibilities

Perform comprehensive patient assessments and develop individualized plans of care.
Implement and evaluate nursing interventions and patient responses.
Safely and accurately administer medications and treatments according to provider orders and policy.
Recognize changes in patient condition and initiate appropriate interventions or escalation of care.
Educate patients and families about care, medications, and discharge needs.
Deliver culturally responsive, patient-centered care.
Use independent nursing judgment to interpret assessments, identify significant changes, select and prioritize nursing actions, and determine when consultation, collaboration, or provider escalation is needed.
Develop, implement, evaluate, and revise individualized nursing plans based on patient needs, responses, preferences, and clinical circumstances.
Integrate clinical findings with ethical principles, cultural considerations, patient safety standards, and regulatory requirements when making nursing decisions.
Accept accountability for nursing decisions, delegated tasks, and care outcomes in accordance with Alaska statutes, regulations, and organizational policy.
Collaborate with providers and interdisciplinary team members to coordinate care.
Facilitate referrals, follow-up care, and continuity of services.
Accurately and promptly document assessments, interventions, and outcomes in the electronic health record.
Advocate for patients and help them navigate the healthcare system.
Practice within the nursing scope of practice and comply with regulatory, safety, and infection-prevention requirements.
Participate in quality and performance improvement activities.
Maintain required competencies and certifications.
Report adverse events, near misses, and unsafe conditions according to policy.
Demonstrate professionalism, accountability, flexibility, and teamwork.
Provide appropriate guidance and delegation to ancillary staff.
Support orientation, mentoring, and education of staff, students, and peers.
Float to other departments or assignments as needed.
Provide labor, delivery, recovery, and immediate postpartum care, including fetal monitoring, newborn care, and emergency response.
Remain competent in the use of specialty equipment.