Registered Nurse RN

Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Responsibilities (40%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) Follows up regarding medication changes and order clarifications as requested. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: Essential: true

RN

Supervisor Medical Office RN

MyMichigan Health Midland, MI

Summary This position must have basic knowledge of general and complex rehabilitation patients and able to assess, plan, implement and evaluate care for patients. They will maintain and oversee employees and patients at the office location and will act as the liaison with other subsidiary and organization's personnel. This position orders all medical supplies to manage patient care. The Supervisor RN will assure compliance with the policies/procedures by maintaining the; Health Systems policies, OSHA guidelines, CLIA regulations, and corporate compliance. The Supervisor RN will coordinate and train of any new employees. The position will provide teaching to patients and their family members. Manages the patient with pain management and symptom management, and will be available for office emergencies. Calls in prescriptions and teaches the patient and family the reasons for the medication and side effects. Will be working in collaboration with providers and staff from Michigan Medicine. This position provides daily direction and problem solving to clinical and administrative staff. Responsibilities (25%) The Supervisor RN will coordinate and train new employees and conduct coaching and disciplinary conversations, along with job performance reviews for all staff. Processes time keeping in the payroll system for bi-weekly payroll. Facilitate the hiring process and selection of new employees. (25%) Performs clinical duties as needed including triaging patient calls and reporting test results to patients. Assess patients as appropriate and serve as a liaison between the provider and patient. (25%) Handles day-to-day clinical operations in the clinic and utilize critical thinking skills to resolve issues. (25%) Interacts positively with patients and families in an ongoing way. Provides information to patients so they may fully utilize and benefit from our services. Other Responsibilities Demonstrates critical thinking and integration of theory to practice for Rehabilitation patients. Provides for the age specific needs of the population served according to department standards and policies/procedures as evidenced by observation, documentation and peer feedback. Maintains medical supplies to assure consistent supply levels to meet the needs of the patients. Room patients during office visits and perform and record all vital signs on patient. Assess physical as well as social needs of the patient. Verify patient demographic information and maintain clinical documentation. Management of the patient with symptoms management, and will be available for care emergencies. Calls in prescriptions and teach the patient and family the reasons for the medications and side effects. Serve as a resource to technical, clerical and medical staff. Identifies preventative maintenance needs for any office equipment. Conducts performance review of clinical staff and conducts follow up as appropriate. All other duties as assigned. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Certifications and Licensures BLS: Basic Life Support Within 1 month of hire or transfer RN: Registered Nurse Required Education Associate's degree is required Bachelor's degree in nursing at time of hire or transfer to position preferred. New requirement added in March 2020, incumbents with an Associate's degree in nursing have until 1/1/2025 to obtain a Bachelor's degree in nursing. Other Information Experience, Training And Skills Previous management experience including coaching, leading and mentoring employees. One (1) Year Of Supervisory Experience Preferred. Leadership skills needed to effectively direct a group. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. PC software knowledge must include: Excel and Word. Knowledge of medical office policies, practices and procedures as normally acquired through three to five years working in the healthcare system or similar setting Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

Registered Nurse RN - PCU

MyMichigan Health Midland, MI

Summary 14K sign on bonus for qualified candidates This position performs a variety of integrated functions, intuitively, using the nursing process while applying a broad nursing knowledge in a caring, concerned manner. Responsibilities (25%)* Assesses patient for physical, emotional, psych/social and family support. (25%)* Organizes and coordinates all aspects of patient care according to the patient’s real and/or perceived needs. (25%)* Evaluates patient progress by correlating patient information with nursing knowledge to determine if goals are being met according to the patient’s plan of care or clinical path. (25%)* Consults and collaborates with members of the health care team in planning and implementing total patient care for individuals. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates proficiency (according to hospital and unit policy and procedure) in nursing skills to carry out the patient’s plan of care. Communicates interactions, both verbal and written, that clearly and positively accomplish desired patient care as a collaborative effort. Educates patients and families. Provides teaching, support and coordination of health care plans for patient and family through the acute phase of illness, as needed. Promotes clinical knowledge development including critical thinking skills and improves strategies for comparing clinical judgment through research and continuing education. In the performance of the regular job duties, it is appropriate for this job code to have access to the medication room and supply room for the purpose of stocking. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: DIMC: Dysrhythmia Interpretation Man Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 3 months of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Completion of orientation process as directed by the Progressive Care Unit (PCU) nurse manager and critical care educator. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PCCN certification preferred. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments #Indeed1RN

RN

Full-time

1 week ago

Registered Nurse RN

MyMichigan Health Midland, MI

Summary On call requirements This position maintains adequate respiratory and cardiac status of patients awakening from anesthesia. Continually assesses the patient, carries out doctor's orders while maintaining patient safety and comfort. Responsibilities (30%)* Regularly assesses patient's/client's needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (30%)* Provides direct resident care, including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%)* Follows up regarding medication changes and order clarifications. Other Duties And Responsibilities Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each resident patient. Coordinates care provided by Patient Care Technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remains current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Demonstrates and verbalizes the different types of anesthetic agents and methods of administration, their expected physiologic response and possible side effects. Demonstrates skills for assessment and maintenance of ventilation and homeostasis. Demonstrates and documents assessment of level of consciousness and promotes reactivity. Demonstrates assessment of pain, promotes comfort through required intervention and documents accordingly. Demonstrates and verbalizes intervention that moves the patient toward PACU discharge criteria and promotes continuity of care. Effectively completes final patient preparation in the Pre-Op holding area. Demonstrates skills for assessment, documentation, pre and post procedure care, and follow up for pain clinic patients including use of appropriate forms and safe monitoring of patient. Other duties as assigned. Certifications and Licensures Credential: ACLS: Advanced Cardiac Life Support Equivalent Experience: Within 12 months of hire or transfer Qualification Source Essential: true Credential: RN: Registered Nurse Equivalent Experience Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information Experience, Training And Skills Basic knowledge of dysrhythmia and critical care. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. Certification in perianesthesia (CPAN-Certified Post Anesthesia Nurse and/or CAPA-Certified Ambulatory Perianesthesia Nurse) preferred. Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs.

RN

Full-time

1 week ago

Registered Nurse RN

MyMichigan Health Midland, MI

Summary This position has basic knowledge of neonatal care and is able to assess, plan, implement and evaluate care for maternity patients. Responsibilities (40%)* Regularly assesses patient’s/client’s needs and provides skilled nursing services as prescribed by the physician authorized plan of care, and accepted standards of nursing practice. (20%)* Provides direct resident care including medication administration, treatments, call lights, assisting with transfers, responding to alarms, etc. (20%)* Evaluates effectiveness of treatment plan and makes suggestions or participates in updating/revising the treatment plan in collaboration with other team members, utilizing current information to improve patient care. (10%)* Processes physician/provider orders and performs physician ordered care accurately, completely and in a timely manner. (10%) Follows up regarding medication changes and order clarifications as requested. OTHER DUTIES AND RESPONSIBILITIES: Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Assess learning needs considering readiness, ability, preferences, and cultural / spiritual variables. Provide education to meet the individual needs and ability to learn. Participates in care conferences as assigned. Develops and maintains good working rapport with interdisciplinary personnel to meet the needs of each patient. Coordinates care provided by patient care technicians. Demonstrates the ability to organize and prioritize the needs of groups of patients or an individual patient. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Instructs other team members when appropriate, explaining goals and rationale for individualized care. Implements clinical and technical aspects of care in accordance with established policies and procedures. Demonstrates understanding of clinical pathways and utilizes appropriately. Remains calm and efficient when working in stressful situations. Documents in an accurate, clear, and concise way and includes pertinent clinical data. Shares information and reports significant changes and/or abnormal findings to appropriate team members. Participates in regulatory surveys. Participates in the performance improvement activities. Assists with orientation and ongoing competencies. Provides a safe and secure environment for patient care. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Remain current on new developments by reading professional journals, and attending seminars. Demonstrates understanding of role in emergency preparedness procedures. Obtains prenatal history (prenatal Labor and Delivery (L&D) records) and antenatal care, gathering data and identifying risk factors. Performs physical assessment. Performs Loepold’s maneuvers for fetal position. Assesses fetal heart rate and identifies maternal-fetal risk factors. Palpates uterus to assess frequency, length and quality of contractions. Distinguishes, reports and records normal and abnormal conditions. Identifies life-threatening/emergency situations. Formulates conclusions, making a diagnosis. Decides when to do or not to do a vaginal examination on the laboring patient. Assesses and evaluates dilatation and effacement of the cervix and station of presenting part via sterile vaginal examination. Graphs labor process based on Friedman labor curve. Distinguishes true labor from false labor. Assesses and evaluates suspected rupture of membranes. Visualizes pooling of amniotic fluid. Uses nitrazine paper to prepare slide for fern test. Performs and/or assists with sterile speculum examinations. Assesses and documents family interaction/support system. Identifies support person and desired birthing plan. Assesses effectiveness of patient’s/family’s current coping mechanisms. Evaluates level of childbirth preparation. Explains diet and activity orders during labor. Communicates and documents admission data with physician, nursing staff, family and appropriate personnel. Prioritizes and delivers care based on information obtained from maternal-fetal labor assessment of status and initial exam. Identifies those patients with high-risk conditions that may require consultation and/or transportation to a tertiary center. Assesses patient during all stages of labor, obtaining vital signs, fetal heart rate and patterns, and amount, color, and odor of amniotic fluid, etc. Continuously updates nursing care plan. Identifies common analgesic drugs, contraindications, dosage parameters, and acceptable routes of administration. Identifies and promptly initiates appropriate nursing intervention for maternal and/or fetal side effects of medication and/or complications. Sets up sterile delivery or operating instrument table using strict aseptic technique according to specific physician’s request. Ensures presence and proper functioning of emergency/resuscitation equipment for mother and newborn and radiant warmer for infant if appropriate. Positions patient in desired delivery position, utilizing physiologic positioning. Performs perineum or abdominal scrub using sterile technique. Instructs coach/family in appropriate attire and hand washing technique per medical center protocol. Notes and documents time of birth. Assesses Apgar scores at one and five minutes after birth. Assists with stabilization of at-risk neonate and performs cardiopulmonary resuscitation if indicated. Performs preliminary physical assessment for obvious physical abnormalities and notifies physician if abnormalities are noted. Correctly identifies newborn and mother, applying identification bracelets to both. Obtains necessary cord blood samples and sends them to the laboratory. Initiates newborn eye prophylaxis after initial bonding per Medical Center protocol. Assists in initial infant-parent-family bonding. Encourages immediate touch and eye contact as soon as possible after delivery. Answers Patient-family Questions About Newborn. Assists with initial breastfeeding. Notes and records delivery time of placenta. Notes and documents condition/ intactment of placenta and number of vessels in umbilical cord. Obtains cultures or specimen for laboratory analysis if indicated. Assesses and documents maternal vital signs every 15 minutes for first hour, more frequently if the patient’s condition warrants, and until stable per Medical Center protocol. Institutes uterine massage and/or applies perineal ice pack if indicated. Assesses for maternal discomfort and distended bladder and uses nursing intervention if needed. Encourages and promotes the bonding process. Explains post-delivery procedures and postpartum routine to patient and family. Prepares patient for transfer to postpartum status and/or gives discharge instructions to mother for self and infant care. If indicated, administers and documents oxytocin for induction/augmentation of labor after a physician, nurse midwife or qualified intrapartum nurse examines the patient. Performs continuous electronic fetal monitoring and immediately discontinues oxytocin if there is maternal-fetal intolerance. Develops a nursing plan of care based on appropriate data and rationale. Monitors status of patient and fetus if antepartum. Monitors status of infant. Performs physical care, technical procedures and maintains a therapeutic environment. Intervenes in emergency situations. Evaluates and initiates changes in plan of care based on changes in status of patient. Evaluates and initiates changes in plan of nursing care based on changes in status of infant. Collaborates with other health care providers in order to achieve optimal outcomes. Performs neonatal resuscitation if needed. All other duties as assigned. Certifications and Licensures Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer Qualification Source: Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Mgt Equivalent Experience: Within 6 months of hire or transfer (Employees who are in this position on or before 12/31/2023 will have 24 months to complete this certification) Qualification Source: Essential: true Required Education Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Must be able to occasionally (0-33% of the workday) lift or carry 21-50 lbs., frequently 34-66% of the workday 20 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls and constantly (67-100% or the workday) 10 lbs. Equivalent Experience And Other Comments (Education) Education: ASSOC Equivalent Experience: Bachelor's degree in nursing preferred. Education Specialization: NRG Essential: true Other Comments Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: RN: Registered Nurse Qualification Source: Essential: true

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