Registered Nurse - Behavioral Health

Department: Behavioral Health

Daily Work Times: 7:00am - 7:30pm

Shift: Days

Scheduled Bi-Weekly Hours: 72

Position Summary:

Collaborates with physician to provide a plan of care that will return the patient to optimal health. Provides bedside nursing care and carries out medical orders. Delegates to and oversees Nurse Assistant, Patient Care Associate, OB Care Associate, Surgical Service Assistant, Nursing Clerk and Psychiatric Tech functions. Responsible for evaluating effectiveness of care plan.

Essential Functions and Responsibilities:

Assumes responsibility for a leadership role encompassing:

Integrating evidence-based knowledge into practice.
Delegation and coordination of tasks and assignments of nursing care.
Facilitates/participates in patient conferences.
Identifies and provides the means to meet patients’ ongoing and discharge/transfer teaching needs by communicating with the appropriate resource persons and attending discharge/transfer planning conferences.
Assumes the responsibility for professional growth by seeking out educational opportunities and utilizing programs in the hospital or elsewhere in the community.
Teaches and/or guides professional and ancillary personnel.
Precepts/mentors new employees and students.
Functions as a team leader to ensure proper patient placement and delegation of assignments.

Required:

Graduate of an accredited school of nursing and holding a current license to practice in the state of Michigan.
BLS issued by American Heart Association or Red Cross Certification.

Preferred:

Six (6) months experience in an acute care setting or equivalent

Additional Information

Schedule: Full-time
Requisition ID: 26003769
Daily Work Times: 7:00am - 7:30pm
Hours Per Pay Period: 72
On Call: No
Weekends: Yes

Share this job

Related Jobs

Psych

Full-time

2 weeks ago

Registered Nurse RN Mental Health

MyMichigan Health Midland, MI

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%)* Provides high quality, evidence based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%)* Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%)* Provides education to patients on illness, coping alternatives and relapse prevention. (15%)* Delegates, oversees and provides direction to Mental Health Counselor team members. (15%)* Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). Certifications and Licensures Credential: RN: Registered Nurse Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: FINGERPRINT: Fingerprinting Equivalent Experience Essential: true Credential: RECIPIENT: Recipient Rights Equivalent Experience: Mandatory Recipient Rights training within 30 days of hire and annually. Qualification Source Essential: true Credential: ICHAT: iChat(annually on Hire Date) Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management 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) Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Experience, Training And Skills Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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.

Psych

Full-time

1 month ago

Registered Nurse RN Mental Health

MyMichigan Health Midland, MI

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%)* Provides high quality, evidence based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%)* Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%)* Provides education to patients on illness, coping alternatives and relapse prevention. (15%)* Delegates, oversees and provides direction to Mental Health Counselor team members. (15%)* Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). Certifications and Licensures 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 Credential: FINGERPRINT: Fingerprinting Essential: true Credential: RECIPIENT: Recipient Rights Equivalent Experience: Mandatory Recipient Rights training within 30 days of hire and annually. Essential: true Credential: ICHAT: iChat(annually on Hire Date) Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management 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: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Experience, Training And Skills Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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) Other Comments

Psych

Part-time

3 weeks ago

Registered Nurse RN Mental Health

MyMichigan Health Midland, MI

Summary This position functions as a Registered Nurse (RN) providing direct care to patients on the Mental Health Unit using the nursing process. This includes ongoing assessment of the total patient. The RN provides interventions to treat the presenting symptoms and evaluates the effect of nursing interventions and patient's responses. This position functions as a team member and resource to others. The RN delegates, oversees and provides direction to Mental Health Counselors. The RN is responsible for meeting the needs of all types of psychiatric patients, including those with medical complications. Responsibilities (25%)* Provides high quality, evidence based nursing care to patients using neurobiological and cognitive-behavioral frameworks and techniques. (25%)* Using the nursing process, completes assessments, provides interventions and evaluates patient outcomes according to the appropriate pathway guidelines. (20%)* Provides education to patients on illness, coping alternatives and relapse prevention. (15%)* Delegates, oversees and provides direction to Mental Health Counselor team members. (15%)* Takes initiative to provide appropriate activities for patients when needed (such as during evenings or weekends). Certifications and Licensures Credential: RN: Registered Nurse Qualification Source: MI Essential: true Credential: BLS: Basic Life Support Equivalent Experience: Within 1 month of hire or transfer Qualification Source: AHA Essential: true Credential: FINGERPRINT: Fingerprinting Essential: true Credential: RECIPIENT: Recipient Rights Essential: true Credential: ICHAT: iChat(annually on Hire Date) Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management 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) Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information Other Duties And Responsibilities Communicates information accurately and effectively (verbal and written) to treatment team, to patient, to family, to other appropriate agencies. Demonstrates interest and pursues advancement of clinical skills (asks questions, seeks feedback, shares articles, attends continuing education opportunities, enrolls in classes). Monitors and manages the milieu in order to maintain a safe environment. Identifies and intervenes appropriately in any potential crisis. Possesses crisis intervention skills. Keeps updated on the use of nonphysical as well as physical management techniques and implements using sound judgment and according to established current policy. Conducts groups - provides individual education as appropriate. Maintains patient dignity and rights. Collaborates effectively with other departments and agencies on behalf of the patient. Documents according to policy. Monitors and documents changes in patient status. Participates in performance improvement projects. Completes admission assessments in an accurate, complete, and timely manner. Correctly completes basic nursing tasks such as obtaining vital signs, weight, I&O, specimen collection and assistance with personal care. Correctly assesses and utilizes seclusion and restraints and documents according to policy. Behaves in a courteous, professional manner at all times with patients, visitors, and co-workers. Conveys a positive attitude and works with others to constructively solve identified problems. Knowledgeable about mental health code and is a patient advocate. Knowledge and ability to work with probate courts and attorneys to resolve patient legal issues. Follows hospital policy and procedures. Has working knowledge of computers, phones, and the equipment on the unit. Responds to all disasters and codes promptly and correctly. Administers medications as ordered. Obtains and transcribes physician orders. Completes nursing assessments, performs ongoing assessments and communicates patient status and changes to physician and other team members as appropriate. Attends treatment team meetings. Provides nursing treatments, such as dressing changes, to all patients. Provides medication teaching. Completes nursing duties in accurate, timely, and thorough manner. Is a team leader when needed for decision-making regarding patient, family, or milieu issues. Experience, Training And Skills Good interpersonal skills, ability to take initiative, to work as a team, and to work with a variety of patients' needs. 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. Knowledge of psychiatric-mental health nursing as normally acquired through one or more years of experience in mental health nursing 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.

Director of Nursing

Full-time

3 weeks ago

Director of Nursing

Bickford of Saginaw Township Frankenmuth, MI

Join our DYNAMIC team at Bickford Senior Living as a Health & Wellness Director! The HWD is the clinical leader who supports the clinical operations within the branch. This position works closely with the Director to ensure the branch is a thriving and vibrant environment for our residents! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: Full-time employees are eligible for all benefits (medical, dental, vision, and voluntary products) Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Benefits start the 1 st of the month following 30 days of employment! *full-time employees* Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily Bonus eligible Bonus eligible "There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Works with caregivers to ensure the principles of assisted living and Bickford’s culture are integrated into all aspects of resident care. Develop and participate in the on-call schedule to support clinical needs after hours. Maintain regulatory compliance. Communicate proactively and effectively with residents/families to enhance their engagement. Oversees and manages the process and employees who administer resident. medications ensuring medications are delivered to residents in accordance with their physician’s orders. Coordinate health care services with external care providers and physicians to ensure resident needs are met. Manages partnerships with local vendors to ensure quality external care providers are servicing the residents within the branch. Qualifications: RN license. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills. ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals.

OB/GYN

Full-time

1 week ago

Registered Nurse RN Maternity

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. 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 Qualification Source: MI Essential: true Credential: NRP: Neonatal Resuscitation Equivalent Experience: Within 12 months of hire or transfer Essential: true Credential: TEAM ADVANCED: Techniques for Effective Aggression Management 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) Essential: true Required Education Education: Associates Degree in Nursing required. Equivalent Experience: Bachelor's Degree in Nursing preferred. Education Specialization: NRG Essential: true Other Information 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. 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.