Assists patients through the stages of labor and assists in the preparation for the safe delivery of infant. Accurately attaches patient to electronic fetal monitor, adjusts monitor and notifies RN of any abnormal fetal heart rate patterns. Responds immediately and appropriately to all Code Pink alarms. Maintains accurate collection of specimens with appropriate patient labels before sending to the Lab. Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. Questions the presence of unknown/unauthorized persons in the Perinatal Department and makes notifications as needed. Completes, attaches and double checks maternal/infant identification bands at the time of delivery insuring parental educations regarding the critical importance of bands/security tags per policy.  Checks ID bands at appropriate intervals per policy. Uses two patient identifiers consistently when drawing lab, administering medications and performing procedures. Follows all medication policies including the medication reconciliation policy consistently. Establishes priorities of patient care based on essential needs and available resources of time, equipment, personnel and supplies. Demonstrates understanding of the roles and functions of other members of the interdisciplinary treatment team. Collaborates with other members of the health team and manages unit issues and/or concerns effectively at the lowest level possible. 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. Assures that all clinical alarms (i.e., fetal heart rate monitors, vital sign monitors, IV pumps, etc.) are consistently set with the appropriate parameters for the patient and are audible at all times Demonstrates empathy and respect for patients by explaining all procedures, providing privacy and allowing patient’s to express emotional needs. Is in compliance with information contained in the Infection Manual (i.e. OSHA bloodbourne pathogen standards, CDC Guidelines), and demonstrates appropriate use of personal protective equipment (i.e. gloves, gowns, masks, goggles) and hand hygiene techniques. Gives a thorough, detailed efficient change of shift report to ensure consistency in the plan of care. Ensures each patient is provided an orientation to the Birthplace and unit specific information, including the call light system, visitor policies and/or how to access the supervising RN or Charge Nurse Detects changes in the patient’s condition and communicates information to the RN and physician in timely manner Assists with any special tests or procedures performed on the unit within scope of practice. Uses Universal Precautions "time out" on all patients for any bedside invasive procedures in the unit. 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. Detects and reports medication errors and adverse drug reactions (ADR) according to hospital policy.  Safely and accurately administers medications and documents properly on the Medication Administration Record (MAR) in a timely manner. Withholds medications and notifies supervising RN or Charge Nurse when patient condition indicates medication may be harmful. Completes documentation of narcotics given to the patient on the MAR and narcotic sheet.

Ensures that the facility and campus is safe. Performs checks/surveys of interior areas and well as exterior areas of the facility. Ensures that specific areas are locked & secure. Documents all checks/surveys and incidents on daily reports & incident reports. Intervenes and/or assists when potential violence in indicated. Uses proper techniques to alleviate potential violence and assists the staff in properly restraining violent persons when necessary for the safety of the person and or staff. Identifies potential security issues and takes appropriate action for correction. Performs security services for the staff and investigates security incidents.  Maintains the operation of all security equipment and reports malfunctioning equipment. Able to execute emergency procedures in a crisis situation involving a disaster situation. Able to execute emergency procedure and properly secure the facility.  Will inspect and monitor facility plant equipment in the absence of Engineering staff. Able to verify that all gauges are in normal parameters and reset equipment as directed by the Engineering staff.  Able to record pertinent information on the log book. Will perform minor adjustments to facility equipment in the absence of Engineering staff. Able to perform minor adjustments to thermostats and other related equipment. Performs other duties as assigned or required.

Ensures that the facility and campus is safe. Performs checks/surveys of interior areas and well as exterior areas of the facility. Ensures that specific areas are locked & secure.   Documents all checks/surveys and incidents on daily reports & incident reports.   Intervenes and/or assists when potential violence in indicated. Uses proper techniques to alleviate potential violence and assists the staff in properly restraining violent persons when necessary for the safety of the person and or staff.   Identifies potential security issues and takes appropriate action for correction.   Performs security services for the staff and investigates security incidents.    Maintains the operation of all security equipment and reports malfunctioning equipment.   Able to execute emergency procedures in a crisis situation involving a disaster situation. Able to execute emergency procedure and properly secure the facility.    Will inspect and monitor facility plant equipment in the absence of Engineering staff. Able to verify that all gauges are in normal parameters and reset equipment as directed by the Engineering staff.  Able to record pertinent information on the log book.   Will perform minor adjustments to facility equipment in the absence of Engineering staff. Able to perform minor adjustments to thermostats and other related equipment.   Performs other duties as assigned or required.  

Demonstrates performance and competence associated with position. Performs tasks maintaining department standards of quality, demonstrating a consistent level of productivity. Adapts to changes in assignment and/or priorities. Has knowledge of the principles of growth and development over the life span, assess as appropriate and interpret data, determine patient care requirements and deliver care relative to the patients’ age specific needs. Prioritizes patient care based on physical, psychosocial assessment and reassessment data. Plans patient care based on patient requirement/needs. Assures implementation of patient care based on identified needs and in a systematic and therapeutic manner. Assigns/delegates patient care according to patient requirements/needs and skill level of the support staff. Communicates significant patient status findings using appropriate channels and follows up on response.  Implements appropriate emergency measures in crisis situations. Demonstrates clinical skills at expected level of competency. Functions as a patient advocate for patient care concerns. Initiates a plan and participates in providing patient/family education according to the individualized needs. Functions within scope of practice and meets all legal and regulatory requirements. Assures that nursing care is documented systematically and legibly. Completes tasks in an orderly and timely fashion. Utilizes time management skills efficiently in both clinic and acute care setting. Utilizes resources (supplies, equipment, etc.) in a safe cost effective and therapeutic manner. Participates in monthly instrument count and utilization. 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. Performs all other duties as assigned or required.

Consistently uses two patient identifiers when performing procedures, and administering medications. Does not use unacceptable abbreviations in documentation. Demonstrate an understanding of the hyperbaric chamber system (monoplace) operating procedures. Thoroughly understand and demonstrate the immediate actions required with regards to all established Hyperbaric Emergency Procedures. Cleans and maintains the equipment according to infection control standards. Is in compliance with information contained in the Infection Manual ( i.e. OSHA bloodborne pathogen standards, CDC Guidelines ), and demonstrates appropriate use of personal protective equipment ( i.e. gloves, gowns, masks, goggles ) and handwashing techniques. Maintains legible and accurate record of all aspects of a hyperbaric oxygen therapy, Safety checks and chamber maintenance, as required.  Assists physicians with special tests and procedures in the department. Uses time out on all patients for any 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, i.e. suction and oxygen immediately available when needed. Able to carry out relevant diagnostic and clinical procedures such as:  report accurate medical history to nurse or physician; assess for pain and document findings; obtain vital signs; observe for changes in neurological status; collection and removal of patient waste; observe and supervise patient throughout the hyperbaric oxygen treatment; document depth pressures and air breaks; maintains records and reports of unusual occurrences and interrupted hyperbaric sessions to department director. Assist in educating the patient and/or the patient's family of the risks, benefits, indications, and safety procedures specific to hyperbaric oxygen therapy treatments.

Completes comprehensive physical assessment/examination of patient. Identifies appropriate outcomes/targets for medical and self-management of diagnosed medical conditions. Makes timely and appropriate diagnosis and medical problem list based on physical symptoms and completion of assessment including review of laboratory and diagnostic testing data. Collaborates with the patient and the sponsoring physician as appropriate to develop a management plan appropriate to the diagnosis, other co-morbid conditions and financial needs of the patient. Provides counseling and teaching of patient. Implements plan of care. Demonstrates understanding of sponsoring physician’s philosophy of care and implements or evaluates plan of care and outcomes ordered by sponsoring physicians when providing follow up care, consult referrals and “on-call” support to practice. Uses Practice resources people and equipment to support the achievement of business goals, customer satisfaction, teamwork, and quality outcomes. Utilizes data base and computer based information systems for gathering data, inputting information and utilizing findings to improve Practice quality. Supports Practice in assuming secondary, tertiary or support roles (Practice call, hospital consult support etc.) Schedules hours/activities based on Practice and customer needs.  Offers availability for flexible hours on weekends and evenings for rounding and consultation at all facilities. Assists in orientation of Practice staff. Performs other duties as assigned.

Assembles and transport cleaning supplies, equipment and other material to designated work areas in accordance with established procedures and safety guidelines. Maintains floors, walls, ceilings, windows, fixtures and equipment in accordance with established procedures and safety guidelines. Processes general/infectious waste and soiled linen in accordance with established procedures and safety guidelines. Operates all power equipment as dictated by work assignment in accordance with established procedures and safety guidelines. Uses equipment, supplies and all other hospital property in a safe and economical manner. Maintains environmental services equipment, storage rooms and other materials at a high level of cleanliness and in good repair at all times. Utilizes all chemicals and other cleaning agents in accordance with label instructions, established procedures and safety guidelines. Recommends painting and repairs. Reports any unsafe conditions. Performs other duties as assigned or required.

Plan, coordinate and implement the overall Bariatric and Stroke programs. Plan and manage the care of patients, and family, as applicable.   Serve in accordance with the nursing process to continue follow-up and as a resource. Serve as liaison between hospital, medical staff, clinical departments, bariatric physician’s office, patients and other resources. Collaborates with interdisciplinary team members in the development, evaluation, and revision of the plan of care as appropriate to meet the patient’s needs and goals. Performs concurrent review of patient care to ensure that protocols and care plans have been initiated and followed. Collects and abstracts data into databases. Analyzes data to identify trends and new opportunities for process improvement. Documents findings and communicates all pertinent information to interdisciplinary team members as appropriate. Participates in Regional Advisory Council (RAC) by attending meeting, organizing and facilitating the hospital’s involvement in the RAC. Develop hospital relationships with primary and specialty practice physicians with the goal of increasing referral and redirection opportunities for both inpatient and outpatient services for the hospital. Monitor patient experience and share information with leadership and other departments to identify opportunities to improve, resolve or prevent the recurrence of problems, and increase overall patient satisfaction. Successfully plans and hosts Information Seminars and Support Groups monthly, in support of patient recruitment efforts and program continuing education. Effectively encourages potential patients to complete pre-registration/insurance verification paperwork after Information Seminars/Support Groups, knowledgeably assists with this process, and verifies insurance eligibility. Provides education to patients/families/significant other and staff, incorporating age-specific criteria and assessment of readiness to learn. Supervises staff skills and knowledge verification. Represents the hospital in a professional manner at community events as required.   Performs other duties as assigned or required.