Registered Nurse - Labor and Delivery - Full Time - Nights - US-TX-Harlingen - Labor and Delivery
Company: Harlingen Medical Center
Location: Harlingen
Posted on: August 4, 2022
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Job Description:
Registered Nurse - Labor and Delivery - Full Time - Nights -
US-TX-Harlingen
Overview
The Registered Nurse is responsible for the delivery of safe
patient care utilizing the nursing process of assessment, planning,
implementation and evaluation. Provides direct patient care within
the scope of practice. The Registered Nurse also directs and guides
patient/family teaching and activities of other nursing personnel
while maintaining standards of care in the Birthplace. Is able to
respond quickly and accurately to changes in condition and/or
response to treatment. Provides for a safe environment for patients
and visitors. Utilizes the chain of command when necessary to
ensure patient well-being and appropriateness of care to newborns
and mothers during the antepartum and postpartum periods.
#LI-KC4
Responsibilities
Detects changes in the patient's condition, including abnormal
fetal heart rate patterns, labor progression, and takes appropriate
action; documents and notifies physician in a timely
manner.Responds appropriately to infant/maternal emergencies at the
time of delivery or as required.Assists patient through the stages
of labor and prepares adequately for the safe delivery of neonate
including supplies and appropriate personnel/environmental
preparation.Accurately performs APGAR scoring.Completes and
attaches and double checks maternal/infant identification bands;
Provides parental education regarding the critical importance of
bands/security.Assures delivery rooms/C-Section rooms are properly
prepared for any emergency or delivery and that all equipment
including suction, oxygen and resuscitation supplies are present
and in good working order.Recognizes signs of abuse and reports
appropriately to the hospital social worker and/or Child/Adult
Protective Services. Familiar with the EMTALA Regulations.Ensures
consistently that all clinical alarms, i.e. cardiac and/or fetal
heart rate monitors are set with the appropriate parameters for the
patient and are audible at all times.Is in compliance with
information contained in the Infection Manual (i.e. OSHA blood
borne pathogen standards, CDC Guidelines), and demonstrates
appropriate use of personal protective equipment (e.g., gloves,
gowns, masks, goggles) and hand hygiene techniques.Gives thorough,
detailed efficient change of shift report or upon patient
intra-department transfer to ensure consistency in the plan of
care.-- Uses the SBAR communication methodology in all
reporting.Avoids and prevents injury to self and patients by
applying the principles of body mechanics. Maintains a safe
environment, functioning with an awareness and application of
safety issues identified within the unit/facility, i.e. suction and
oxygen immediately available when needed.Completes pain assessment
and reassessment consistently within the time frame after giving
pain medications and upon discharge or transfer of
patients.--Completes documentation of medications given to the
patient on the Medication Administration Record (MAR) and narcotic
sheet.Detects and reports medication errors and ADR's according to
hospital policy. Safely and accurately administers medications and
documents properly on the MAR in a timely manner.Ensures Crash
Cart, defibrillation function have been checked per protocol and
after each code, appropriate items are immediately replaced and
indicated by signature on crash cart checklist.Assists physicians
with deliveries, special tests and procedures in the unit. Uses
universal protocol "time out" on all patients for any invasive /
bedside procedures.Responsible for the observation and direction of
patient lifts, mobilization, and shall participate as needed in
patient handling.Attends and maintains mandatory training in safe
patient handling, trained in safe lifting techniques, includes but
not limited to 1) Appropriate use of lifting devices and equipment,
2) Five areas of body exposure: vertical, lateral, bariatric
repositioning and ambulation, 3) Use of lifting devices to handle
patients safely.Uses professional judgment and clinical assessment
in safe patient handling that are consistent with Safe Patient
Handling policies.Uses two patient identifiers consistently when
drawing lab, administering medications and performing procedures.
Follows medication reconciliation policy consistently.Does not use
unacceptable abbreviations in documentation (uses read back on all
telephone orders.) Monitors authentication and validation of
telephone orders within 24 hours by the physician.Performs all
other duties as assigned or required.--
Qualifications
Education and Work ExperienceCurrent and valid state RN
License.Current BLS (AHA) certificate upon hire and maintain
current.NRP (AHA) certificate 30 days upon hire and maintain
current.Advanced or AWHONN Intermediate fetal monitoring 60 days
upon hire and maintain current.ACLS (AHA) certificate 30 days upon
hire and maintain current.Bachelor of Science in Nursing (BSN)
preferred.--We are an Equal Opportunity/Affirmative Action Employer
and do not discriminate against applicants due to veteran status,
disability, race, gender, gender identity, sexual orientation or
other protected characteristics.-- If you need special
accommodation for the application process, please contact Human
Resources.-- EEO is the Law:--
Not ready to apply? Connect with us for general consideration.
Keywords: Harlingen Medical Center, Harlingen , Registered Nurse - Labor and Delivery - Full Time - Nights - US-TX-Harlingen - Labor and Delivery, Healthcare , Harlingen, Texas
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