Registered Nurse (RN) - Birthing Pavilion (LDRP)

Dartmouth-Hitchcock Health•Lebanon, NH

About The Position

The Clinical Nurse works in a 21-room, 24-bed Labor, Delivery, Recovery and Postpartum (LDRP) Birthing Pavilion that averages approximately 1,300 deliveries annually. About 55% of patients are high-risk and receive care through the Maternal-Fetal Medicine service. The unit receives transports from New Hampshire, Southern Vermont, and occasionally Maine, and offers midwifery and generalist physician services. Care includes antepartum, intrapartum, postpartum, normal newborn, and focused newborn services, as well as patient triage in a two-bed triage room. The unit has two operating rooms; staff are trained in perioperative care, including circulating and scribing, and provide Post-Anesthesia Care Unit services. The team collaborates with the Emergency Department, Intensive Care Unit, Cardiovascular Critical Care, Main Operating Room, and the nearby Intensive Care Nursery/NICU to provide specialized care for pregnant and postpartum patients. This is a full-time position involving three 12-hour shifts on a day/night rotation (7 a.m.–7 p.m. or 7 p.m.–7 a.m.). Weekends and holidays are included. The Clinical Nurse is an engaged, credentialed member of the Professional Nursing Organization. The nurse practices autonomously according to the professional tenets of practitioner, leader/decision maker, scientist, and transferor. The role uses the nursing process to provide evidence-based care and continually monitor and evaluate practice to support safe patient care in the best interest of the populations served.

Requirements

  • Graduate from an accredited nursing program.
  • Licensed Registered Nurse with New Hampshire eligibility.
  • Basic Life Support (BLS) certificate required upon hire.
  • Fetal Heart Monitoring Intermediate (FHM) or Advanced (FHM-ADV) certification within six months of hire for experienced RNs, or within one year of hire for new graduates or internal transfers; C-EFM certification is accepted as an alternative.
  • Neonatal Resuscitation Provider (NRP) certificate within six months of hire.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.

Responsibilities

  • Assess patients, identify diagnoses and desired outcomes, plan and implement individualized care, and evaluate that care using the nursing process.
  • Use critical thinking to anticipate and recognize changes in patient status, modify care plans, and escalate concerns to the care team when necessary.
  • Advocate for patients, uphold autonomy in decision-making, ensure informed consent, and support patients and families in expressing self-determination.
  • Seek feedback and use it to improve performance; engage in the governance of practice.
  • Manage interpersonal relationships and mentor colleagues to advance nursing practice and the profession.
  • Take accountability for nursing care, delegate appropriate elements of care in accordance with laws, regulations, policies, and procedures, and organize and prioritize time to optimize outcomes.
  • Seek and apply current evidence and standards in daily practice.
  • Contribute to research, quality improvement, and evidence-based practice at the local level, and role-model a culture of inquiry.
  • Communicate effectively in a variety of formats and partner with others to effect change through the exchange of knowledge.
  • Precept student nurses, nurse externs, nurse residents, experienced clinical nurses, and other healthcare team members.
  • Perform other duties as required or assigned.
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