RN (Flex) - Labor and Delivery - The Brookdale Hospital Medical Center

Under the supervision of the Nurse Manager, the staff nurse is responsible for the application of the nursing process and evidence-based knowledge, judgment and technical nursing skills in the delivery of nursing care to a patient, or a group of patients with medical and surgical conditions on an assigned shift.

• Provide age-appropriate, culturally competent care and family-centered care.
• Able to prioritize and assist in the care of Triage patients.
• Performs a thorough patient assessment and reassessment of the maternity patient and neonate.
• Establishes a plan of care based on patient diagnosis.
• Demonstrates a thorough knowledge of equipment utilized in patient care (infant warmers, fetal monitors, birthing bed, infant warmers, cardiac monitoring).
• Able to care for antepartum (low and high risk), intrapartum and postpartum (NSVD and C/S) patients.
• Able to open and set up a delivery table.
• Pain assessment and reassessment.
• Assists with Epidural placement and administration.
• Able to interpret fetal monitoring and contraction patterns (internal and external)
• Recognizes deviations from normal maternal, fetal and neonatal status, alert providers and initiate interventions.
• Able to scrub in the operating room
• Able to circulate in the operating room
• Recovers post-operative patients
• Initiates and assists with breastfeeding, unless medically contraindicated
• Assigns APGAR scores
• Can initiate and assist with neonatal resuscitative measures
• Aware of and assists with policy and procedure review and development
• Participation in unit-based performance improvement and quality measures
• Participation in unit and multidisciplinary rounds.
• IV insertion, phlebotomy and assisting with obtaining vaginal cultures.
• Involved in discharge planning.
• Ensuring regulatory requirements are met and maintained.
• Following OR processes for safety, verification and time-out.
• Aware of Code Pink infant safety policies and procedures.
• Provides support for the mother during labor.
• Measures the strength and timing of contractions
• Monitors patient’s vital signs according to hospital policy.
• Administers medications and performs diagnostic tests.
• Consulting with physicians/providers and other team members.
• Assists with inducing labor.
• Provides labor support and coaching mother during labor and delivery.
• Identifies and assists with complications
• Assist with various procedures, including Cesarean sections
• Monitors and performs essential tests on newborns
• Provides education and support to mothers and family throughout the delivery process
• Performs duties of transitional nurse: assisting with skin to skin initiation and newborn care after vaginal and cesarean delivery.
• Provides newborn care including newborn assessment and heel sticks(glucose monitoring)
• Participates in clinically appropriate continuing education activities.
• Maintains current nursing knowledge to assure a safe working environment.
• Maintains competency and updates knowledge of standards of practice in scope of practice as per AWHON.
• Participates in assigned departmental or organizational committees, meetings and/or conferences.
• Participates in the department’s performance improvement initiatives to continuously improve the quality of patient care.
• Participates in the formulation, review and or revision of departmental policies
• Delegates responsibilities to NA/PCT to ensure tasks are completed; provide assistance as needed
• Performs other duties as assigned within the RN scope of practice.

Education:

Internal & 1199 SEIU:

• Graduate of accredited nursing program(s).
• Bachelor's degree in Nursing preferred.

Non 1199 SEIU Candidates:

• Bachelor’s degree in Nursing or equivalent to BSN program.
• Master's degree in Nursing, preferred. 

Experience:

• Minimum one (1) year neonatal or pediatric experience.

Knowledge and Skills:

• Critical thinking, math, and computer skills; Works as a team player. 
• Demonstrates respect and professionalism in all interactions.
• Excellent oral and communication skills. 
• Decision making and problem solving. 
• Able to read, write, see and hear English.

Licenses, Certifications:

• Current NY State RN License required.
• Basic Life Support (BLS) required.
• Advanced Cardiovascular Life Support (ACLS) required.
• Neonatal Resuscitation Program Certification (NRP) required.
• WHO 20 hour Breastfeeding Course (Women and Children Division) or equivalent training, required.
• Certified Lactation Counselor preferred
• International Board Certified Lactation Consultant preferred
• Inpatient Obstetric Nursing Certification preferred.
• AWHON: Fetal Monitoring Certificate Intermediate and/or Basic preferred.

Physical Requirements:

• Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. 
• Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
• An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
• Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
• Manual and finger dexterity, as well as hand and eye coordination.
• Corrected vision and hearing to within normal range
• Frequently sitting at desk working on computer
• Ability to flex working hours.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified.  Furthermore, they do not establish a contract for employment and are subject to change at the discretion of The Brookdale Hospital Medical Center.

BHMC is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.