RN -L&D/NICU

Bothwell Regional Health Center•Sedalia, MO

76d•$28 - $45•Onsite

About The Position

The RN –L&D/NICU, provides routine to high-acuity obstetric, intrapartum, operative, and neonatal care, requiring advanced clinical competencies, rapid clinical judgment, and specialty certifications. This role functions with a higher level of autonomy and responsibility due to increased patient acuity, regulatory oversight, and safety risk. The RN reports to the team lead/Charge Nurse, Manager, and Director, following the established chain of command.

Requirements

RN graduate of Accredited School of Nursing
Must have a valid, current license by the Missouri State Board of Nursing.
Current Basic Life Support (BLS) certification required
Upon hire or within first year of employment: Advanced Cardiac Life Support (ACLS), Sugar, Temperature, Airway, Blood Pressure, Lab work, Emotional Support (STABLE), BASIC Fetal Monitoring, Neonatal Resuscitation Practioner (NRP), Intermediate and Advanced Fetal Monitoring
Successful completion of hospital and department orientation.
To be eligible for assignment to Labor & Delivery and/or NICU, staff must meet at least one of the following criteria and complete all required onboarding steps:
Standard Eligibility Pathways:
A minimum of twelve (12) months of mother/baby experience post-orientation, OR
A minimum of twelve (12) months of Labor & Delivery and/or NICU experience post-orientation
Special Circumstances (Exception Pathway): Exceptions to the above experience requirements may be granted only under special circumstances and must receive prior approval from the Director of Women’s Health & Newborn Care
Approval will be based on one or more of the following: Demonstrated clinical competency, Relevant prior experience, Departmental staffing needs, Operational necessity
Additional Requirements (All Pathways): Completion of: Formal application, Structured interview, Objective competency assessment
Demonstrates support for organizational and departmental mission.
Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key Initiatives.
Fosters and promotes teamwork within department and the organization as a whole.
Works to resolves conflicts constructively and in a timely manner.
Ability to communicate effectively and simply with every customer and co worker.
Ability to display a positive, courteous and friendly attitude toward all contacts.
Ability to build good relationships with others based upon a sustained effort of mutual support toward common goals.
Ability to exercise good judgment, reasoning and concentration to detail and to take personal accountability for all actions in carrying out job duties.
Is customer focused and committed to Quality and Process Improvement with a strong desire to provide service excellence.
Possesses and displays a strong knowledge and understanding of the standards of practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
Possesses a vigorous and enthusiastic desire to learn and to grow both personally and professionally, and to improve one's skills in order to deliver the best possible care for our customers.

Responsibilities

Labor management, inductions, augmentation, and obstetric triage
Delivery attendance and immediate newborn stabilization
Operating Room (OR) circulation and Post-Anesthesia Care Unit (PACU) recovery for Cesarean sections
NICU care as applicable (Level II)
Routine newborn care within first hours of life and/or stabilization for transfer to higher level facility, admission to BRHC NICU, or to Women’s health & newborn Care (WHNC) for routine care
Obstetric (OB) emergency response (hemorrhage, shoulder dystocia, eclampsia, hypertensive crisis)-OB Alert
Pain management including epidural and post-operative care
Fetal heart rate and contraction monitoring per AWHONN standards
Initiation of intrauterine resuscitation and escalation per protocol
Perform other duties as assigned
Complete shift checklists, including: Room readiness, Equipment checks, Emergency cart verification
Participate in monthly cleaning logs, instrument checks, and supply audits
Maintain compliance with: Hand hygiene audits, Documentation standards, Infection prevention practices
Ensure accurate, timely, and complete documentation in the Electronic Medical Record (EMR)
Participate in chart reviews and quality audits as assigned
Attend required staff meetings
Complete annual competencies, independent education, and skills validation
Serve as a clinical resource and mentor to Mother/Baby staff and new hires