Registered Nurse (RN), PRN-Unit Based Pool Tier IV, Labor & Delivery - Rotating shifts

PRN Tier IV-work a minimum of 72 hours per month, including (3) 12-hours weekend shifts (Saturday and Sunday)

Holidays (1) 12hr Major Holiday shift and (2) 12hr Minor Holiday shifts

General Summary

A clinically competent professional who utilizes the nursing process to direct and deliver care to the patient population on an assigned unit.

• Assesses and documents accurately the physical, psychosocial, educational, spiritual/cultural, and discharge planning needs of the patient/family.
• Develops a prioritized plan of care (POC) based on medical diagnosis and identified patient/family needs. Updates POC daily.
• Implements the plan of care by performing evidence-based interventions and treatments specific to the diagnosis or problem: administers/monitors blood transfusions, medications, IV therapy per hospital policy. Demonstrates ability to function effectively in clinical emergencies. Demonstrates skills and competencies with:

• • Maintains NRP, fetal monitoring and rhythm recognition certification/competency
  • All Labor and Delivery nurses will be required to orient and maintain competencies as a mother/baby RN.
  • Nurses involved in the recovery of C-section patients must complete Advanced Life Support skills for the OB nurse course.

• Sets priorities and organizes work effectively.
• Provides health teaching that addresses such topics as risk-reducing behaviors, activities of daily living, infection prevention behaviors and patient rights and responsibilities.
• Assures the Environment of Care is maintained according to regulatory guidelines.
• Evaluates and documents the effectiveness of the planned strategies in relation to patient responses and the attainment of the expected outcomes.
• Assures compliance with all National Hospital Quality Measures
• Ensures compliance with all National Patient Safety Goals and infection control standards. Attains knowledge and competency that reflects current nursing practice.
• Demonstrates skills and competencies for the adolescent, adult and elderly patient.
• Maintains and is accountable for required 20 CEUs for the year.
• Submits clinical ladder yearly completion list, if applicable.
• Interacts with and contributes to the professional development of peers and colleagues; assists others with implementation of care.
• Partners with others to effect change and generate positive outcomes through knowledge of the patient, use of SBAR communication and hand-off communication per policy.
• Integrates ethical provisions in all areas of practice by delivering care that protects patient outcomes, dignity, rights and confidentiality.
• Integrates evidence-based findings into practice; participates in unit/hospital quality improvement efforts i.e. shared governance; and unit-specific improvement efforts.
• Considers factors related to safety, effectiveness, cost and impact on practice in the planning and delivery of care: uses supplies and equipment in a cost-effective manner.
• Assumes leadership role of the team. Participates in training of nursing students/precepts, if requested.
• Delegates tasks and duties in compliance with policy and in a manner which results in efficient and effective patient care.

Work Orientation & Experience:

• Prior experience in Medical/Surgical, Obstetrical, or Pediatric nursing is preferred.
• Orientation based on experience level and determined by unit. Regardless of experience, all new RN team members will be required to complete the Maryland Department of Health and Mental Hygiene Hospital Breastfeeding Policy Training Program in addition to six hours of