RN - Birth Center Registered Nurse

Trinity Health • Dubuque, IA

1d • Onsite

About The Position

This is a full-time position in the Birth Center at MercyOne Dubuque Medical Center. Primarily a night position, this role requires working every third weekend and every third holiday. The Registered Nurse will care for laboring patients, postpartum couplets, and surgical patients. Additionally, the nurse will be cross-trained to assist in pediatrics during times of high census. The position requires becoming Electronic Fetal Monitor certified within the first year, in addition to ACLS and NRP. Mandatory Reporter and BLS are also required.

POSITION PURPOSE: Provides and directs safe, effective, and culturally competent care for women, newborns, and pediatric patients. Utilizes evidence-based practice and critical thinking to assess, plan, implement, and evaluate outcome-based care. Manages a diverse patient population across labor and delivery, postpartum, newborn nursery, pediatrics, and/or pediatric intensive care, with varying levels of acuity. Supervises and coordinates care provided by LPNs, Patient Care Technicians/Assistants, and other team members, while ensuring clear communication with physicians, families, and the interdisciplinary team. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

Requirements

• Associate degree in nursing required
• Current Iowa RN license, (current Illinois (IL) license if working in IL) required.
• American Heart Association Basic Life Support (BLS) required.
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
• High language, intermediate to high math, high critical thinking ability.
• Basic computer skills required.

Nice To Haves

• Bachelor of Science in Nursing (BSN) preferred.
• Required to become Electronic Fetal Monitor certified within first year, in addition to ACLS and NRP

Responsibilities

• Conducts an initial assessment to gather data.
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.
• Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant obstetric, neonatal, or pediatric history into the plan of care.
• Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes care needs for both mother and infant.
• Identifies and makes appropriate referrals (e.g., Lactation Consultant, Social Services, Nutritional Services, Spiritual Care).
• Implements the outcome/goal-based plan of care.
• Assigns and coordinates patient care based on acuity and team member competencies.
• Organizes and prioritizes care for mothers, newborns, and pediatric patients.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physician orders, nursing orders, education plans, and medications.
• Coordinates implementation with Case Manager, Social Worker, and other disciplines.
• Assists in discharge planning, ensuring families have resources for newborn care, breastfeeding support, and pediatric follow-up.
• Uses nursing judgment to determine frequency and components of reassessment.
• Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.
• Documents discharge instructions for mother, infant, and/or caregiver.
• Evaluates patient progress and revises the plan as needed.
• Evaluates maternal and pediatric response(s) to interventions.
• Updates the plan of care based on ongoing reassessments.
• Revises problem list and outcomes/goals as conditions change.
• Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.
• Updates the problem list and outcomes/goals.
• Communicates relevant clinical information to optimize outcomes.
• Communicates maternal and pediatric status to physicians and team members.
• Reports progress toward outcomes/goals and changes in condition promptly.
• Maintains ongoing communication with interdisciplinary team throughout the shift, at handoff, and during transfers.
• Documents completely and accurately per policy.
• Demonstrates clinical competence.
• Utilizes Women & Children-specific policies and procedures to guide practice.
• Ensures medication safety following the “5 Rights.”
• Demonstrates competency in electronic health record systems.
• Processes and implements physician orders accurately.
• Maintains communication with leadership regarding admissions, acuity, and significant events.
• Completes assigned shift duties and resolves discrepancies.
• Manages fetal and neonatal monitoring when applicable.
• Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.
• Responds appropriately to changes in maternal or neonatal condition.
• Provides interventions for obstetric or neonatal emergencies.
• Serves as a resource for other hospital services and participates in quality improvement initiatives.
• Provides age-appropriate care based on principles of growth and development.
• Collects, analyzes, and applies age-specific data for newborns, children, and adolescents.
• Performs tasks and uses equipment in an age-appropriate manner.
• Communicates effectively with patients and families at their developmental level.
• Adheres to safety and infection control standards.
• Attends required safety programs.
• Uses appropriate PPE consistently.
• Demonstrates emergency procedures for obstetric and pediatric emergencies.
• Maintains a safe environment for mothers, infants, and staff.
• Maintains compliance with laws, regulations, and organizational standards.
• Upholds Trinity Health’s Integrity Program, Standards of Conduct, and all applicable policies in a professional and ethical manner.

Benefits

• Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees