The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of professional nursing. Provides direct patient care within the scope of practice. 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 from post delivery stabilization through discharge.
Uses two patient identifiers consistently when drawing lab, administering medications and performing procedures.
Does not use unacceptable abbreviations in documentation and using read back on all telephone orders. Reviews and transcribes all telephone orders. Follows telephone read back policy. Monitors authentication and validation of telephone orders within 48 hours by the physician.
Recognizes onset of neonatal complications and emergencies.
Ensures oxygen/suction/resuscitation supplies, and anything needed for neonatal emergencies, is available and in good working order at all times in preparation for any newborn emergencies.
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 (i.e. gloves, gowns, masks, goggles) and hand washing techniques.
Able to give thorough, detailed efficient change of shift report to ensure consistency in the plan of care.
Assists physicians with special tests and procedures in the unit. Uses universal protocol “time out” on all patients for any invasive / bedside procedures.
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.
Completes pain assessment and reassessment with the time frame after giving pain medications and upon discharge or transfer of patients.
Completes documentation of medications given to the patient on the MAR and narcotic sheet.
Recognizes signs of abuse and reports appropriately to the hospital social worker and/or Child Protective Services. Familiar with the EMTALA Regulations.
Initiates discharge and patient / family education planning with proper documentation on the patient record.
Reviews/implements/processes new orders in a timely manner and keeps physician informed of patient’s status.
Initiates, titrates and safely monitors all medications and blood components. Detects and reports any medication errors/ADR’s per policy.
Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies.
Formulates, maintains and updates a goal directed plan of care on patients which is prioritized and based on patient outcomes.
Monitors infant safety/security levels continually in the department.
Promotes a breastfeeding friendly environment to all nursing mothers.
Determines the patient and family understanding of neonatal care and post hospital follow up appointments/plans.
Questions the presence of unknown/unauthorized persons in the Perinatal Department and notifies security as needed.
Checks maternal/infant identification bands per policy ensuring parental education regarding the critical importance of bands/security tags.
Utilizes the chain of command to ensure appropriate care or resolution of any issues pertaining to patient well being or safety.
Responds immediately, efficiently and appropriately to all Code Pink alarms.
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.
Performs other duties as assigned or required.
Must have current and valid license as a Registered Nurse issued by the State.
BCLS upon hire and maintain current.
NRP within 30 days of hire and maintain current
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