Client:Barton Health is a non-profit, community health system situated on the south shore of beautiful Lake Tahoe nearly 6,200 feet above sea level. Since opening in 1963, Barton has expanded its services to serve both its residents and visitors to Lake Tahoe. Barton Health includes a community hospital and Level III Trauma Center including 63 licensed acute care beds and 48 licensed long term beds.
Location:Barton Memorial Hospital, a component of Barton Health, consists of 24-hour emergency care services, 63 patient beds, a skilled nursing facility with 48 resident beds, and a full array of care for children and adults in Lake Tahoe including surgery, medical imaging, laboratory services, and more.
Department:8 bed unit, 300 births/year. No deliveries before 35 weeks.
Specialty Profile:Minimum of 2 years of experience working in the L&D department required.
Certifications: BLS, ACLS, NRP and Fetal Heart Monitoring required. STABLE preferred. FHM does not have to be AWHONN, will also accept NCC
Will care for high-risk patients such as preeclampsia, gestational diabetes, and multiples (twins only). Day shift will do outpatient fetal stress tests. Nurses do it all: pre-labor/triage, delivery, post-partum, and nursery care. Willing to train in nursery and lactation skills. There are 2 RN/LCs on staff.
3 RNs always staffed on unit. RN should be able to independently provide care as no physician or anesthesia in hospital at nights or weekends. RN will attend c-section and will recover mom and baby. RN needs to have significant resuscitation experience for newborns. May float to ER or Acute Care floor as a sitter and will not take a patient assignment. Ideal traveler is a self-starter, adaptable and open to coaching.
Client job description:
The Perinatal Nurse provides professional nursing care to patients through the Labor and Delivery, Recovery, Postpartum and Nursery, by utilizing the established facility and AWHONN policies, procedures and guidelines, ensuring safe and effective care. The Nurse performs antenatal testing, monitors maternal and neonatal wellbeing during labor and provides individualized care structured to each patient s unique situation and requests in order to achieve a safe and positive birthing experience for the family unit. The Nurse provides postpartum care and education based on individual needs and department standards. The Nurse provides newborn care based on individual needs and departmental standards. The Nurse participates in activities necessary in keeping the department in a state of readiness to provide patient care (included but not limited to restocking rooms, checking crash carts, quality control for point of care testing, participating in policy and procedure creation and revision, attending meetings, attending and/or providing in services, researching and championing ways to improve the patient experience).
Qualifications
Education:
? Completion of an accredited Nursing program.
? Bachelor s degree in Nursing (BSN) preferred.
Experience:
? At least two years of recent Perinatal Nursing experience required; 5 years or greater preferred. If a Barton employee wants to transition to practice in the Family Birthing Center, then minimum two years inpatient nursing experience will be considered.
? Sufficient computer skills for electronic medical record documentation.
? In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities are preferred.
Knowledge/Skills/Abilities:
? Excellent skills to provide triage/medical screening exams to patients presenting to the unit.
? Ability to assess and provide care to patients who have complications of pregnancy requiring treatment and/or hospitalization.
? Ability to assess and provide care to patients through the labor and delivery process.
? Ability to assess and provide care to patients in the immediate recovery period of a cesarean or vaginal delivery.
? Ability to assess and provide care to patients in the postpartum period.
? Ability to assess and provide care for newborns.
? Ability to communicate well with patients, families, and other healthcare providers for proper care coordination.
? Perform duties in accordance with AWHONN guidelines and standards.
? Skilled in prioritizing patient needs and cope well with a fast-paced, sometimes stressful environment.
Certifications/Licensure:
? Current California RN license in good standing prior to start date
? Current ACLS and BLS for the Healthcare Provider by the American Heart Association or ability to obtain prior to start date
? Current NRP by the American Academy of Pediatrics or ability to obtain prior to start date; for transition to practice RNs, must complete the first Barton Education available offering
? Current validation of competency in Fetal Monitoring, as evidence by National Certification Corporation (NCC) certification or AWHONN Intermediate or Advanced Fetal Monitoring Course; for transition to practice RNs, must complete the first Barton Education available offering
? Current STABLE certification prior to start date or must enroll and complete the first Barton Education available offering
? Professional certifications including but not limited to NCC certification in Inpatient Obstetrics preferred
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
? While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear.
? The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms.
? The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.
? Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
? Lifts, positions, pushes and/or transfer patients.
? The employee must occasionally lift and/or move up to 50 pounds.
Working Conditions
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
? Routine Hospital/Healthcare & Office/Administrative conditions.
? Contact with patients and guests under a wide variety of circumstances.
? Regularly exposed to the risk of bloodborne diseases.
? Exposure to infections and contagious disease.
? Exposed to hazardous anesthetic agents, body fluids and waste.
? Subject to hazards of flammable and explosive gases.
? Subject to varying and unpredictable situations, including the handling of emergency or crisis situations.
? Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands.
? Occasional travel to various health system locations.
Essential Functions
Provides consistently exceptional care at all times.
Provide patient care, anticipate and evaluate outcomes, consult with others as required and adjust care plan as necessary to ensure optimal care and outcomes.
Perform system assessments at intervals consistent with departmental standards of care and patient acuity, recognizing disturbed physiology and abnormal parameters.
a. Accurately interpret fetal heart tracings and immediately respond to non-reassuring rhythms according to established standards.
b. Ensure the wellbeing and safety of the neonate during transition.
Performs neonatal testing according to established policies and procedures.
a. Accurately interpret fetal heart rate tracings.
b. Determines reactivity according to defined criteria.
c. Responds to interpretation (Reactive vs Nonreactive) according to AWHONN Guidelines.
Assess pain level on all patients;
a. Upon initial assessment, determine patient s goals for pain management during labor, educating patient in available options.
b. Reassess pain levels and readdress pain management goals according to departmental standards and patient s response to intervention.
Assess psychosocial needs of patients, expressing interest in their progress, comfort and prepares for disposition.
Develops an individualized care plan for each patient based on findings from triage/medical screening exam.
Medication administration is safe, accurate and timely
a. Follows the five rights of medication safety and double check dosage accuracy if applicable.
b. Follows procedure when removing medication from floor stock (Pyxis).
c. Signs and ensures all narcotic wastage is witnessed.
d. Documents all medication interventions to include rationale for PRN and emergency medications.
e. Reports all Adverse Drug Reactions and Medication Errors according to policy.
Monitors patient reaction and compliance with care.
a. Reports any untoward change in patient condition to appropriate individual.
b. Immediately responds to situation where the wellbeing of the mother, fetus or neonate is determined in jeopardy.
Documents patient assessment findings, physical/psychosocial responses to nursing interventions and progress towards problem resolution.
Provides care in a non-judgmental, non-discriminatory manner that is sensitive to the patient and family s diversity, preserving their autonomy, dignity and rights.
Functions as a team leader;
a. Communicates effectively with team members.
b. Completes assessments in a timely manner.
c. Supports team members by offering assistance and guidance.
d. When indicated, delegates activities to appropriate personnel. Utilize supportive personnel to perform duties within their abilities and scope of practice.
Effectively coordinates and prioritizes scheduled procedures and care activities.
Assist physicians with examinations, deliveries and other procedures and processes related to direct patient care. Assists anesthesiology with regional anesthesia.
Keeps family unit informed of progress, procedures, and disposition.
a. Focuses on family unit needs.
b. Promptly responds to patient call system.
Assess the patient and family s learning needs, abilities, preferences, and readiness to learn. Effectively educate the family unit to
a. Medication use and safety
b. Nutritional interventions
c. Safe use of medical equipment
d. Management of pain
e. Rehabilitation techniques
f. Resources outside of the hospital
Monitor and ensure the accuracy of documentation in the patient s electronic medical record. All aspects of patient care are accurately and completely documented.
Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions.
Orients, instructs and trains new nurses to the department.
Demonstrate knowledge and skills necessary to provide care appropriate to the age of the population served, principles of growth and development over the lifespan, and possess the ability to identify each patient s age specific needs.
Demonstrate a working knowledge of regulatory and licensing standards and ensure that practice is compliant with standards.
Maintains current competency to perinatal nursing and up to date with current practice guidelines.
Maintains confidentiality in matters related to patient and family.
Proactively participate in activities necessary to keep the department in a state of readiness as defined in the position summary. 25. Take an active role in Shared Governance.
Demonstrate flexibility in meeting departmental staffing needs.
Responds to the needs of the department by performing other duties, as necessary.
Service Standards
Safety
Safe Environment - Takes pride in a safe environment; picks up trash and keeps hallways clear of equipment. Reports all safety concerns to direct manager.
Safe Practice of Regulatory Standards - Understands and performs sound health and safety habits, proper body mechanics, infection control precautions and other regulatory standards as they relate to the employee s job and the organization.
Safety Education and Testing - Completes Annual Required Training, TB testing, competency demonstration and other periodic safety requirements on time and without reminder.
Respect
Accountability - Accepts responsibility for work results and takes initiative to do more than expected. Accepts personal responsibility for work results. Works independently completing assignments without close supervision. Resolves issues, anticipates next steps and works to the next level when possible. Connects personal work results to accomplishment of team and organizational goals.
Responding to Change - Accepts change and responds in a positive and productive manner. Handles unexpected situations and changes in direction calmly and with confidence. Accepts and implements change in day-to-day operations in a positive manner. Questions and recommends solutions when implementing new process or procedure. Views new assignments and job responsibilities as a challenge.
Developing Relationships - Builds positive and productive business relationships with individuals and groups. Accepts the ideas and contributions of others in a respectful and appreciative manner. Builds positive relationships with colleagues/associates by addressing mutual needs in a win-win approach. Acts in consideration of the roles and responsibilities of self as well as others. Asks for feedback from colleagues/associates.
Teamwork - Contributes to fullest potential to achieve team goals. Works effectively with team members to achieve team goals. Supports group decision even if the decision differs from personal opinion. Accepts and provides direct, honest feedback between team members in a non-punishing manner. Informs and consults team members, leaders and stakeholders as to potential barriers that impact team results.
Service Excellence - Provides excellent service in direct and indirect manner identifying customer needs and exceeding customer expectations. Greets customer and offers assistance. Provides direct service to an internal or external customer that meets customers expectations. Finds solutions to customer problems even when unrelated to own work area. Deals with the unexpected customer requests quickly and pleasantly. Expresses sincere concern and empathy when dealing with a customer complaint. Seeks guidance from co-workers or supervisor when necessary. Engages in active listening when dealing with a customer complaint.
Image
Effective Communication - Communicates effectively with various audiences using the most appropriate method for the situation. Communicates ideas and messages clearly and concisely. Selects an appropriate method of communicating for audience and message. Adjusts communication style to fit the target audience. Listens actively and asks questions for clarity.
Professional Image - Follows appearance guidelines with attire that is clean, neat, free of undue wear, and properly fitted. Wears badge in the upper left chest area using only approved attachments. Practices good hygiene and does not use strong cologne. Accepts and delivers constructive feedback with respect. Consistently adheres to the principles of the Code of Conduct.
Work Area Image - Conducts non-work related conversations, including cell and private phone calls, in areas outside of hearing distance of guests. Uses respectful tone of voice and language at all times, and keeps voice volume low. Eats only in designated break areas, and does not have food visible to patients and visitors. Keeps personal work area clean and neat. Notices litter and removes any seen, whether in personal work area or not. Wipes up small spills. Alerts environmental services staff to any litter or spills that need special or attention or equipment.
Efficiency
Accuracy - Completes work assignments within established quality standards. Delivers an acceptable volume of work with high levels of accuracy. Accepts responsibility to review and correct errors before completion, and routes to others for review when appropriate. Improves inefficiencies and minimizes repetitive errors by changing how work is done. Shares errors trends and makes recommendations to improve results with staff/team members.
Analysis and Decision Making - Uses decision making processes and tools to analyze situations and make effective decisions. Identifies obstacles/problems as they surface. Defines the problem and diagnoses the cause before taking action. Takes initiative to formulate solutions when unexpected problems or barriers occur. Considers other alternatives before acting on a decision. Acts decisively but knows when to ask for help if the solution is not clear, impacts others or has potentially long-range effects.
Problem Solving - Ability to identify, analyze and effectively solve problems. Responds to day-to-day problems with an appropriate sense of urgency. Uses a logical process to identify the cause of the problem and develop an appropriate solution. Involves others in the problem solving process when additional input is needed. Recognizes when a problem needs to be elevated for resolution.
Organization Skills - Organizes work to achieve maximum efficiency. Plans daily and weekly work to meet deadlines and priorities. Adapts scheduling to handle changing priorities and to juggle multiple tasks. Organizes work area using techniques that improve individual efficiency. Uses technology effectively as an alternative to meeting (e.g. voicemail, electronic mail, faxing).
Resource Efficiency - Uses supplies and equipment efficiently. Proactively utilizes all available workplace tools and resources to complete job responsibilities in an efficient and timely manner. Brings forward innovative solutions to control costs, supplies and labor. Cooperates with efforts to improve work processes.
Scheduling Efficiency - Keeps unscheduled absences and tardiness to a minimum. Attends staff meetings to keep abreast of what is changing or new, and contributes to department goals.
