Registered Nurse (RN) - LDRP

Samaritan Health Services Lincoln City, OR, US

Summary

Occasionally

JOB SUMMARY/PURPOSE

The Registered Nurse (RN) is accountable for utilizing the nursing process to provide safe, age-appropriate, direct and indirect patient care, while practicing within the scope of practice of the Oregon State Board of Nursing.

The LDRP team offers labor, delivery and recovery including post partum and newborn care by a highly trained team of nurses and medical staff in a family centered caring and medically safe environment. All sites are trained in GYN surgical care.

Current unencumbered Oregon RN license required.
Healthcare Provider Level BLS required upon hire.
NLH LDRP:

ACLS required within 90 days of hire.
NRP and STABLE required within six (6) months of hire.

Basic Fetal Monitoring skills required.
Previous experience in Labor and Delivery preferred. Will train qualified RN with Perinatal experience.

Previous Perinatal nursing experience preferred.

Experience in stabilization of the newborn preferred.
One (1) year experience as general duty nurse with emphasis on adult and/or pediatric nursing preferred.
Previous experience in stabilization of the high risk neonate preferred.

Social Perceptiveness: Ability to work with a diverse population from pediatrics to geriatrics. Basic understanding of age-related differences in caring for and/or communicating with patients and caregivers. Possess personal sensitivity to the needs and experiences of others and a non-judgmental attitude towards persons of differing standards, values, lifestyles, and ages.
Adaptability/Flexibility: Ability to respond quickly and appropriately to situations that may arise with high risk or diverse patient populations. Ability to adjust actions in relation to others and adapt to offer best possible care to patients.
Time Management: Ability to organize, plan and prioritize work to complete within required time frames and to follow-up on pending issues. Ability to perform multiple tasks simultaneously and thrive in dynamic fast-paced environments and under pressure.
Communication: Effective written and oral communication skills to explain complex issues, exchange information between team members, and tactfully discuss issues.
NLH LDRP All: Ability to function effectively in crisis situations. Possess critical, independent thinking skills. Basic knowledge of lactation.
NLH LDRP - Labor and Delivery: Knowledge of the physical and psychological changes of pregnancy, birth and the immediate postpartum period for the mother and her neonate. Ability to initiate appropriate interventions in caring for the family during the immediate newborn period, accepts responsibility for actions. Possess assessment skills specific to the high risk pregnancy. Ability to initiate an intravenous line. Basic knowledge of pharmacodynamics of anesthesia and analgesia.
NLH LDRP - Nursery: Knowledge of the physical and psychological changes of the neonate immediately after birth, and during the newborn period. Ability to initiate appropriate interventions in caring for the family during the immediate newborn period. Possess assessment skills specific to the high risk neonate.
NLH LDRP - Postpartum Gynecological Unit: Knowledge of the physical and psychological changes of pregnancy, birth and the immediate postpartum period for the mother and her neonate. Ability to initiate appropriate interventions in caring for the family after delivery. Knowledge of the physical and psychological changes of the Gynecologic patient. Ability to initiate appropriate interventions in caring for the surgical patient.

Rarely (1 - 10% of the time)

(11 - 33% of the time)

Frequently

(34 - 66% of the time)

Continually

(67 - 100% of the time)

CLIMB - STAIRS

LIFT (Floor to Waist: 0"-36") 40 - 60 Lbs

LIFT (Waist to Eye: up to 54") 20 - 40 Lbs

SQUAT Static (hold >30 sec)

KNEEL (on knees)

SIT

LIFT (Floor to Waist: 0"-36") 20 - 40 Lbs

LIFT (Knee to chest: 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye: up to 54") 0 - 20 Lbs

LIFT (Overhead: 54" and above) 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

CARRY 2-handed, 20 - 40 pounds

SQUAT Repetitive

ROTATE TRUNK Sitting

REACH - Upward

PULL (20-40 pounds force)

WALK - LEVEL SURFACE

LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs

CARRY 2-handed, 0 - 20 pounds

ROTATE TRUNK Standing

MANUAL DEXTERITY Hands/wrists

FINGER DEXTERITY

PINCH Fingers

PULL (0-20 pounds force)

STAND

BEND FORWARD at waist

REACH - Forward

GRASP Hand/Fist

PUSH (0-20 pounds force)

PUSH (20-40 pounds force)

PUSH (40-60 pounds force)

PUSH (60 or more pounds force)

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Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. 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Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: Minimum of 1.5 years or 18 months of recent L&D experience, preferably in a center serving high risk patients. License/Certification Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support NRP Provider Card by American Academy of Pediatrics (AAP) within 90 days of hire Advanced Cardiovascular Life Support by American Heart Association (AHA) within 90 days of hire or RQI Healthcare Provider Advanced Life Support Advanced Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Intermediate Fetal Heart Monitoring (Advanced) by Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) or Certification Electronic Fetal Monitoring (C-EFM) from National Certification Corporation (NCC) KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. 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