RN PRN Labor and Delivery

Navarro Regional Hospital has an opening for a Registered Nurse PRN Nights in our Labor and Delivery department. At Navarro Regional Hospital, you’ll play a vital role in doing what you do best - providing quality care to our patients. Navarro Regional Hospital is an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today!

Our nurses enjoy a robust benefits package

Health insurance
Flexible scheduling
100% licensure/certification reimbursement
Tuition Reimbursement
Up to $20K for student loan payments
Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions
Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
Utilizes knowledge of human growth and development to provide age-appropriate care and education.
Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
Assists physicians during procedures within the scope of documented competency and skill level.
Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
Documents patient care and education thoroughly and promptly in the medical record.
Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
Critical Care RN:
- Administers medications and other treatments as prescribed, including intravenous medications and therapies.
- Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
- Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
Emergency Services RN:
- Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly.
- Conducts emergency procedures such as intubation, wound care, and suturing.
- Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support.
OR Services RN:
- Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care.
- Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment.
- Monitors patient vital signs, administers medications, and observes for changes in patient condition.
Cardiac Surgery RN:
- Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings.
- Administers medications and IV drips, adjusting dosages based on the patient's condition.
- Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO.
- After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care.
Endoscopy RN:
- Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure.
- Monitors patient vitals, administers medications, and assists the physician during procedure.
- Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions.
- Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly.
Obstetrics/Labor and Delivery/Post Partum/Nursery RN:
- Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery.
- Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression.
- Assists with epidurals and other pain management techniques during labor.
- Administers pain medication, induces labor, and manages other medication needs during labor and delivery.
- Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding.
- Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care.
- Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care.
- Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care.
- Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring.
Oncology RN:
- Administers chemotherapy, manages side effects, monitors vitals, and manages pain.
- Explains treatments, answers questions, and provides information on resources.
- Provides emotional and psychological support to patients and their families.
Orthopedics RN:
- Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases.
- Provides care for Orthopedic patients encompassing pre-operative and post-operative care.
- Conducts peripheral/vascular assessments.
- Treats patients with immobilization devices.
- Provides pain management.
- Provides patient education.
PACU RN:
- Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia.
- Evaluates pain levels and administers pain medications as prescribed.
- Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches.
- Monitors for and respond to any post-operative complications.
- Administers medications, including pain relievers and other post-operative medications, as prescribed.
- Regulates intravenous (IV) fluids and monitor fluid balance.
- Checks and changes dressings on surgical wounds.
- Ensures a clear airway and provide oxygen support as needed.
- Educates patients and families about post-surgery care, potential complications, and discharge instructions.
NICU RN:
- Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress.
- Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy.
- Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition.
- Provides basic care tasks like diaper changes, bathing, and positioning.
- Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU.
Telemetry RN:
- Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs.
- Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians.
- Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health.
- Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions.
Dialysis RN:
- Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed.
- Takes vital signs, monitors signs of complications, and responds to changes in patient condition.
- Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication.
- Inspects and maintains dialysis machines and equipment.
Cath Lab RN:
- Pre-Procedure:
  - Reviews medical history, assesses patient's overall health, and prepares them for the procedure.
  - Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration.
  - Administers medications as prescribed by the physician.
  - Educates patients and families about the procedure and what to expect.
  - Verifies that surgical consents have been signed.
- During the Procedure:
  - Assists the Cardiologist during the catheterization process.
  - Closely monitors the patient's vital signs, hemodynamic data, and sedation levels.
  - Ensures proper functioning of equipment and supplies.
  - Manages potential complications and responding to emergencies.
- Post-Procedure:
  - Continues to monitor the patient's vital signs and overall condition after the procedure.
  - Administers post-procedure medications as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.

Qualifications

0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

Strong knowledge of the nursing process and clinical nursing practices.
Ability to perform thorough patient assessments and communicate findings effectively.
Proficient in administering medications and monitoring for side effects.
Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
Strong organizational skills and attention to detail in documenting patient care.
Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

RN - Registered Nurse - State Licensure and/or Compact State Licensure required
BCLS - Basic Life Support required
ACLS - Advanced Cardiac Life Support preferred
PALS - Pediatric Advanced Life Support preferred
NRP - Neonatal Resuscitation preferred
Refer to facility or unit-specific guidelines for additional requirements.

Navarro Regional Hospital is your community healthcare provider, a 162-bed licensed acute care facility with inpatient and outpatient care, diagnostic imaging, emergency department, medical and surgical care. We offer cardiac rehab, physical therapy, an outpatient surgery center, 3D mammography and a 64-slice CT scanner with the area's most current diagnostic equipment. We offer a special procedures room for interventional radiology procedures, as well as a bronchoscopy suite.

We believe in the power of people to create great care. We're 51 doctors and a team of healthcare professionals strong, and we work hard every day to be a place of healing, caring and connection for patients and families in the community we call home.
Navarro Regional is a primary stroke accredited facility.

Mission
It is the mission of Navarro Regional Hospital to provide quality health services to the community with compassion and a focus on service.

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Assesses and interprets patient’s ability (physical, social and psychological) to manage their health in order to transition their care or discharge. In collaboration with the patient or family identifies patient or family needs based on analysis of data. Identifies and communicates patient or family needs to the interdisciplinary health care team and other providers of care as appropriate through accurate documentation and vocal communication. Provides ongoing monitoring of patient’s and / or their family’s response to intervention; identifies deviations from expected outcomes and assesses change in patient status. Standard 2: Diagnosis Identifies risks to the patient’s health and safety including risk from interpersonal, systematic, cultural or environmental lifestyle. Uses assessment data and clinical decision support tools to identify and communicate actual or potential diagnoses, problems, and issues. Corroborates the diagnoses with the patient, family, group or community. Prioritize diagnoses based on mutually agreed goals to meet the healthcare needs of the patient, family, group or community. Documents diagnoses in a manner that facilitates the determination of the expected outcomes and plan. Standard 3: Outcomes Identification Identifies expected outcomes for an individualized patient treatment plan, in collaboration with the interprofessional team, Creates culturally sensitive expected outcomes from assessment data in collaboration with the patient and their care partner that facilitate coordination of care. Documents expected outcomes as measurable goals. Evaluate the actual outcomes against the expected outcomes. Standard 4: Planning Develops, coordinates and updates an individualized plan of care, based on evidence, in collaboration with the patient and their family, the interdisciplinary health care team and other providers of care promoting continuity of care across the continuum. Develops evidence-based strategies to address each of the identified diagnoses, problems, or issues including but not limited to the following: Promotion of health, prevention of illness or injury, healing, and supportive care. Prioritizes nursing interventions to achieve patient outcomes and goals. Modifies the plan according to the ongoing assessment of the patient’s response and other outcomes. Develops and coordinates a comprehensive discharge and education plan to meet the patient and their family’s needs, including health promotion, self-management, identifying and coordinating resources to promote continuity of care across the continuum. Standard 5: Implementation Establishes and maintains a therapeutic relationship with patient or families. Identifies, initiates and coordinates therapeutic interventions consistent with the legislated scope of practice and level of competence. Implements prescribed interventions (e.g. diagnostic tests, medications) and performs independent nursing interventions (e.g. patient and family education). Ensures the implementation, coordination and ongoing evaluation of the patient care plan. Provides counseling that assists the patient in developing, improving, or regaining skills, social and community supports, promoting health and recovering from illness and disability. Consults with the interdisciplinary team and other care providers to discuss changes related to patient status, and modifies interventions. Provides information and instruction to assist patients and family members to understand health care practices and processes. Utilizes educational material to support patients understanding of their health care, health promotion, and or health maintenance, and the enhancement of their individual well-being. Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintains patient confidence and protects operations by keeping information confidential. Care is coordinated and delivered within the confines of available human, material and fiscal resources of the Association (Summit Healthcare Association). Standard 6: Evaluation Utilizes data obtained from the patient and their family and other health care providers to evaluate the plan of care including the patient’s responses to interventions and achievement of expected outcomes. Supervises and evaluates care provided by direct care assistive and support staff. Uses data and evidence based best practice to evaluate and revised planned nursing activities and interventions. Documents complete accurate and relevant data for every patient according to Association policies and guidelines. In addition the six standards above, the Association also integrates the following into the professional nursing of the association. Advocacy: Provides a supportive environment for communications and decision making by patients and their families. Advocates for and supports the principles of patient and family centered care, and patient rights and wellbeing. Assists patient and families, to become aware of issues relevant to their health care needs and provides information on resources and services within the health care system. Recognizes trends in health care needs within patient groups served, and involves the patient in planning mutually expected outcomes where possible and appropriate. Demonstrates knowledge and understanding of legislation dealing with patient rights and responsibilities in health care. Demonstrates knowledge of the roles, responsibilities and rights of other nurses and other health care professionals. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Professional Development and Accountability: Practices within professional, legal and ethical standards and is accountable for his or her own actions and decisions at all times. Demonstrates professionalism in attitude, dress and behavior. Contributes to positive team functioning and supporting one another. Develops cultural competence in order to provide culturally competent care. Actively participates in developing and evaluating professional goals and performance at regular intervals. Role models the principles of continuous quality improvement by critical reflection of own practice, seeking meaningful feedback from peers, clients and supervisors. Accountable for reporting professional practice issues to the appropriate person, agency or professional body. Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. Promotes the patient safety standards as a core value and part of the strategic plan of the organization. Professional Leadership, Education and Research: Supports the philosophy, vision and mission of the Association. Participates in the development and revision of standards of care, policies and procedures. Participates in and supports organizational or professional committees and in activities related to professional practice, quality improvement and patient safety. Promotes a safe work environment by identifying and resolving potential risk issues. Demonstrates an awareness of organizational and unit needs by participating in the establishment of priorities, the management of resources, and in modifying the environment to meet changing needs. Functions as a change agent by thinking reflectively, questioning assumptions, assessing alternatives, and supporting change. Identifies and participates in problem or conflict resolution utilizing appropriate strategies, processes and procedures. Guides clinical learning experiences as a preceptor for students and staff as assigned and supports the orientation of new staff and students. Accepts responsibility for continuing competencies through ongoing professional development including participation in education programs, research and continuous quality programs. Additional Responsibilities: Completes all tasks as expressed in the Skills Delineation List. Job Scope: Recurring work situations with occasional variations from the norm. Will assist other nursing units within scope of training. A moderate to high level of complexity. Operation from established and well-known procedures. Performance of duties under moderate supervision. Assigned to be “On-Call” for emergency backup as needed. Must be available to share in weekend and holiday rotation for scheduling shifts. Specific Job Skills & Mental Activities: This position requires general nursing skills and knowledge of general office equipment (including the nurse call system, telephone system, fax machine, copy machine, computer, and commonly used hospital programs). This position requires excellent computer, communication, critical thinking, problem solving, leadership, supervisory, interpersonal skills, basic math skills, and be able to exercise independent judgment skills when necessary. This position also requires knowledge of hospital equipment and programs, including all Hospital Information Systems and department specific equipment. This position requires self-direction and self-motivation.

Labor and Delivery

Part-time

2 days ago

Registered Nurse, Labor and Delivery, Per Diem

UMass Memorial Health Lyndhurst, NJ

$52.50 - $57.50 / hour

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $52.50 - $57.50 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - One Major Summer Holiday, Holidays - One Major Winter Holiday, Sunday through Saturday Scheduled Hours: Mixed Shifts, As Needed Shift: 4 - Mixed Shift, 12 Hours (United States of America) Hours: 0 Cost Center: 10010 - 0708 Maternity Delivery Union: MNA-Memorial/Hahnemann This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for the planning, delivery and management of direct patient care utilizing the nursing process and adhering to the standards of nursing practice. Major Responsibilities: Utilizes the Nursing Process for the delivery and management of patient’s care from Admission to Discharge, appropriate to the developmental age of the patient population. Performs patient assessment/reassessment according to standard procedure. Develops and coordinates individual plan of care including discharge planning. Directs, supervises, coordinates and evaluate nursing care within assigned clinical setting. Delegates appropriately to others in accordance with job description and competency level. Documents patient care according to standard procedure. Develops, implements/coordinates and documents Education Plan for patient/family/ significant other. Position Qualifications: License/Certification/Education: Required: Current Massachusetts Nursing licensure and registration. BLS is a requirement for every RN unless advance cardiac life support (ACLS) certification is current, in addition to any unit specific certifications and competencies. Preferred: Bachelor of Science degree in Nursing highly preferred. Experience/Skills: Required: Thorough knowledge of the discipline of Nursing. BLS, NRP, Fetal Monitoring, Telemetry, OR-PACU, Triage, Labor & Delivery and/or Postpartum and Nursery Experience required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.