SEARHC: Registered Nurse (Labor And Delivery) - Southeast Alaska
Company: SEARHC
Location: Seattle
Posted on: February 23, 2021
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Job Description:
Escape big-city stress and find tranquility in the beautiful
scenery of Southeast Alaska. SEARHC is the perfect place to advance
your nursing skills while providing the best care to your new
friends and neighbors.SEARHC is a non-profit health consortium
which serves the health interests of the residents of Southeast
Alaska. We see our employees as our strongest assets. It is our
priority to further their development and our organization by
aiding in their professional advancement.Working at SEARHC is more
than a job, it s a fulfilling career. We offer generous benefits,
including retirement, paid time off, paid parental leave, health,
dental, and vision benefits, life insurance and long and short-term
disability, and more.Job Overview:The OB/Labor & Delivery Nurse
performsa variety of nursing care procedures requiring professional
knowledge and consideration of specific patient conditions and
treatments, and ability to work independently in completing
assignments. Guidelines include physician s orders, standards of
care, nursing policies and procedures manuals, hospital policies.
Nursing duties include support to individuals of all ages and their
families during their ante partum, post partum, laboring stages,
new born baby care, and care of post-surgical C-section
patients.Utilizing after hours call services, holidays and
weekends. On Call responds to all emergencies including trauma and
fetal distress C-sections includes total peri-operative nursing
care. Able to react in a calm manner and make sound nursing
judgments in an emergency environment. Clinical decisions are made
initially independently during the scheduled shift; maintains
complete accountability for all actions taken. Consults with the
appropriate manager/supervisor in difficult situations requiring
additional input. Accountable for proper delegation and supervision
of CNA/Tech, LPN, Ward Clerk and/or PCE on unit during
shift.Responsibilities:Promotes the SEARHC Seven Standards of
Excellence; Implements a safe, therapeutic, and efficient care for
patients with needs due to multisystem disease and/or complications
of treatment with appropriate infection control measures; sets
priorities for care of patients based on acuity and/or patients
preference; anticipates potential problems; adapts to change on
thearea by setting priorities for emergencies, changes in patient
status and unusual occurrences; initiates, manages, anddocuments
the nursing procedures consistent with scientific principle and
departmental policy; demonstrates knowledge of equipment use;
accurately administers age-specific medications and therapeutics;
carries out the medical and nursing care plan and coordinates
patient care activities with physicians and other healthcare team
members; initiates action to reduce, correct, or prevent immediate,
ongoing, or potential risks to the patient; facilitates healing by
providing nursing care that is individualized, goal oriented, based
on scientific principles and the nursing process; seeks out
resources when beyond the scope of skill, knowledge or experience;
explains test, procedures, and disease process to
patient/significant others; follows through on nursing care plans
by teaching and demonstrating skills essential for understanding
and coping with illness and promoting optimal health; communicates
and interacts with patient/significant others in a positive and
supportive way; provides counseling using emotional, intellectual
and psychological supports and utilizes other healthcare
professionals in dealing with psychosocial problems if needed;
takes steps to decreasestress and/or increase effectiveness of
coping mechanisms of patient/significant others; evaluates patient
s progress or lack of progress towards goals, directing new goal
setting and implementing revised patient care plans as directed by
reassessment; documents the patient sresponse to care; closes out
patient careplan by discharge or has in place an after care plan to
meet the patient s needs; Assures confidentialityof patient
information.Plans, coordinates and completes patient care on
C-section post-surgical and obstetrics unit. Closely monitors
patients returning from surgery; provides total patient care from
post-surgical recovery to discharge, including teaching and
self-care demonstrations. Labor/Delivery, Postpartum and Neonatal
Nursing. Provides focused 1:1 care during labor, including
nursing/medical interventions, vaginal exams, comfort measures,
pain relief and labor coaching. Monitors, interprets, and documents
electronic fetal heart rate tracing using current NICHD terminology
and performs scheduled NST s. Cares for high-risk maternal or
neonatal patients, stabilizes and prepares patients for transfer to
a tertiary care facility. Offers breastfeeding support, teaching,
and breastfeeding consults. Triages OB phone calls and unscheduled
outpatients to ensure safe, timely provision of care. Assists MD
with bedside procedures, pelvic exams and OB-related procedures.
Performs well baby checks. Supervises and delegates to CNA and
housekeeping staff. Seeks continuing education to maintain current
standards in fetal heart monitoring. Complies with ACOG standards
of care.Accomplishes nursing assessment through interviewing,
observation and nursing process; obtains, interprets andapplies
age-related (pediatric, adult, and geriatric) patient information
in terms of cognitive, physical, emotional and normal
growth/development needs of the patient; completes thorough Nursing
Admission Databases/initial patient assessment; documents
assessment findings that are consistent with other providers and
include review of body systems, laboratory results, diagnostic
findings, chart reviews, and interdisciplinary input; identifies
problems & nursing diagnosis by recognizing the impact of health
problems on patients and families; distinguishes between normal and
abnormal assessments in order to identify patient capabilities and
limitations including psychosocial risks; utilizes resources to
assess patients with conditions that are new, unfamiliar, or not
commonly seen.Imparts educational knowledge to develop skills to
enhance decision making and promote understanding by interacting
with patients, family, staff, and community; engages in ongoing
evaluation of the effectiveness of teaching in terms of patient
understanding and behavioral outcomes; organizes and participates
in patient care conferences as applicable; identifies staff,
patient, and family needs and develops a plan for education and/or
makes appropriate referrals; develops/implements educational
programs and learning aides of the department (ie. Inservices,
special projects, learning aides, patient care standards);
documents education accurately and completely; provides discharge
patient information; participate in in-services and educational
programs in the department, hospital and/or community as assigned;
ACLS trained within thefirst six months of employment and
biannually thereafter; completes all mandatorytraining and
competency checks; utilizes opportunities for incidental teaching
with staff members.Communicates with staff, patients, significant
others and other members of the healthcare team in a way that is
supportive, constructive, and positive; gives feedback to
otherstaff and healthcare team members in regard to behavior that
does not support achievement; assists in the orientation of new
staff, travelers, and students by sharing knowledge, experience and
verbal encouragement; guides others in choosing nursing
intervention, developing skills and applying knowledge; follows and
directs others to follow corporate, hospital, and departmental
policies, procedures and patient care standards; supports the area
and overall Nursing services mission by assigning staff to
productive tasks and floating to other units as needed; provides
input regarding the need for change in policies, procedures, and
patient care standards; able to perform as Contact RN leading
assigned RNs, LPNs, and CNAs and accomplishes all assigned patient
care and area support activities during the shift.Develops and
contributes to a plan of nursing action based on existing and
potential patient problems and obtainable patient responses which
are mutually acceptable to the healthcare team; transcribes and
notes physician orders accurately; utilizes past experience to
provide a range of options for nursing care; initiates patient care
plans using patient care standards; addresses identified nursing
diagnosis and coordinates the plan with the healthcare team by
using methods that include interventions, goals, and time frames;
utilizes resources to formulate a written plan of care; documents
reassessmentswhich include laboratory results, diagnostic findings,
interdisciplinary notes and documented patient observations; writes
a PIER or SOAPE note in progress note; gives shift report according
to area guidelines.Performs other duties as assigned. Will take
call as assigned by immediate supervisor. Attends and participates
in at least 50% of departmental staff meetings; applies information
presented in staff meetings; participates in unit goal setting;
complies with area and departmental scheduling guidelines;
initiates discussion with nurse manager regarding area or
department issues; completes annual competencies, evaluation
material, maintains certifications and licensure; complies with
dress code; refers un-resolved problems with
patients/visitors/co-workers to Nurse Manager or Administrative
Manager for resolution; addresses employee concerns consistent with
Human Resources PolicyQualifications:Education/ExperienceEducation
required to obtain a valid, current, full and unrestricted RN
license in the State of AlaskaCommission Corp Officers meet billet
description requirements for a 0 2 to 0 3 and can have a RN license
to practice in any StateOne year clinical nurse experience is
preferredPrior OB experience is preferredCertifications/License
Valid, current, full and unrestricted RN license in the State of
AlaskaMust have BLS until get ACLS, ACLS, PALS, and NRP on hire, if
not on hire, must be obtained within 6 months of hire
dateKnowledge, Skills & AbilitiesKnowledgeKnowledge of nursing care
principles, practices, diagnosis, and processes (including
assessment, planning, implementation, and evaluation) to provide
professional nursing care to patients.Competency to recognize
adverse signs and symptoms and to act promptly in emergency
situations.Knowledge of pharmaceuticals, their desired effects,
side effects, and complications in their use.SkillsSkills to apply
scientific principles in operating and monitoring of basic and
specialized medical equipment (ex: defibrillator, gastric and
thoracic suction, EKG machines, ect.).Proficient in nursing
procedures and basic nursing care.Oral and written communication
skills, can enter and retrieve patient data accurately, can
verbally communicate findings with healthcare team.
AbilitiesAbility to provide guidance, leadership, and work
cooperatively with others by establishing and maintaining
interpersonal relationships with patients, visitors, and other
healthcare team members.Ability to implement appropriate nursing
therapeutic interventions based on the knowledge of a wide variety
of nursing diagnosis, medical and psychosocial disorders, the
normal course of disease and anticipated complications.recblid
i7sml321qezr3hwsu0be8jmyy49swi Associated topics: ambulatory, care
unit, ccu, coronary, hospice, intensive care, intensive care unit,
nurse, surgery, transitional
Keywords: SEARHC, Seattle , SEARHC: Registered Nurse (Labor And Delivery) - Southeast Alaska, Healthcare , Seattle, Washington
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