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Job description
Description
We are currently looking for aFull Time Women's Care/Obstetrics Unit RNto join our OB Team team located at the Chickasaw Nation Medical Center.
Summary
Performs comprehensive assessments and develops patient-centered care plans in collaboration with patients, families, and the healthcare team. Provides professional nursing care, education, and administers intravenous therapy including medications, fluids, and nutrition per physician orders.
Responsibilities
Coordinates the transportation of patients to other healthcare facilities and/or a higher level of care at CNMC when necessary
Adheres to departmental and hospital safety practices, policies and procedures, and unit practices based upon industry standards/requirements
Supports the Baby Friendly Initiative 10 steps and Infant Feeding policy and procedure
Documents nursing care accurately, completely, and legibly
Collaborates effectively with other disciplines as appropriate
Provides the patient and/or significant other(s) with education including the safe and effective use of medications, diet and nutrition, safe and effective use of medical equipment, and pain management
Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of female adult and female adolescent patient populations experiencing pregnancy related and non-pregnancy related conditions, acute medical and surgical gynecological conditions, post-partum conditions, and labor and delivery conditions
Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of the neonate in both stable condition and those experiencing acute medical condition
Administers prescribed medications, IV fluids, and blood products according to facility policies and procedures
Administers special medications for OB according to facility policies and procedures including Magnesium Sulfate, Cytotec, and Pitocin
Assesses the patient on admission to OB Triage and reassesses as indicated, including pain assessments
Delivers quality patient care in accordance with the OB/GYN/NURSERY Standards of Care
Documents assessment, interventions, all aspects of patient care, and patient’s response tointerventions according to protocol
Provides a conducive learning atmosphere and clinical experience for students
Executes the appropriate line of support when faced with decisions
Implements emergency procedures and/or interventions related to the age and size of the patient
Plans and provides holistic patient care in a manner that ensures it is appropriate to patient’s needs, age, culture, and condition in conjunction with the plan of care
Monitors hemodynamic status of the patients and initiates emergency protocols appropriate for the age and condition of the patient
Monitors fetal heart tones and communicates to provider appropriate findings utilizing National Institute of Child and Human Development (NICHD) criteria
Provides the patient and/or significant other(s) with education including the safe and effective use of medications, diet and nutrition, safe and effective use of medical equipment, and pain management
Provides independent and dependent interventions to achieve and maintain optimal patient responses, restore stability, and prevent complications of the newborn
Assesses the need for restraint initiation, provides alternatives to restraints, monitors for physical psychological signs of distress related to restraint, document use of restraints, and discontinues restraints as appropriate
Provides a safe environment for patients, staff, and visitors by the reduction andcontrol of environmental hazards and risks and the prevention of accidents and injuries
Completes appropriate Universal Protocol for patients undergoing procedures and initiates the Time Out
Assures complete documentation and that the surgical consent and H&P are signed, witnessed, and on the chart
Assures that all ordered diagnostic tests are performed and the results are posted in the medical record
Acts as a patient advocate and maintains confidentiality, security, and integrity of data and information
Transfers care as appropriate utilizing the SBAR system
Plans and provides comprehensive patient care by utilizing and documenting the nursing process: including teaching patients and their families formulating and evaluating the nursing care plan, and discharge planning
Monitors hemodynamic status of the patients and initiates emergency protocols appropriate for the age and condition of the patient
Participates in hospital, departmental, and unit performance improvement activities
Pursues, maintains, and promotes professional growth by maintaining competencies, sharing knowledge, attending scholarly presentations and/or being involved in professional organizations
Utilizes any opportunity to meet educational needs and participates in all required educational requirements and in-services
Maintains and promotes professionalism
Performs recovery room nursing duties for the immediate post-op patient
Functions as a circulating nurse as assigned by leadership
Performs aseptic techniques in preparing for and assisting with surgical procedures
Calls breaks and/or omissions in technique to the attention of the operating staff and take measures to correct the situation
Assures access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
Prepares operative area by cleansing skin
Assists in maintaining surgical record including procedure, time, participants, time-out, blood loss, medications, positioning, etc
Prepares and labels specimens for pathological examination and monitoring of sponge, needle, and instrument counts
Ensures the proper working order of special/surgical equipment
Observes the need for supplies during operation and replacing them as necessary
Functions as an OB charge nurse as assigned by leadership
Makes appropriate and safe patient assignments while facilitating the flow of admissions, discharges and transfers
Oversees OB triage and provides assistance as needed
Communicates with House Supervisor and staff nurses about patient status changes
Supplements staff in a clinical role as needed to ensure the continuum of care
Ensures that staff provide safe and effective patient-centered care throughout the care areas by assimilating evidence-based standards into decisions
Utilizes problem-solving skills and provides direction, support, and constructive feedback to the OB Nursing Team members throughout each shift
Acts as a clinical resource for OB Nursing personnel using current literature and guidelines, organizational policies and procedures, and regulatory and accreditation standards
Ensures that all OB Nursing staff function according to these same requirements
Documents nursing care, incidents, accidents/injuries, and other issues in an accurate, complete, and legible manner
Reviews the induction schedule as well as staffing for the current and upcoming shifts and notifies OB Nurse Manager and House Supervisor regarding concerns or special needs as necessary
Shares responsibility for and verifies the general upkeep of the OB department, including the availability of appropriate equipment and supplies and notifies the OB Nurse Manager of any unmet needs
Prepares and labels specimens for pathological examination and monitors sponge, needle, and instrument counts
Assists in maintaining surgical record including procedure, time, participants, time-out, blood loss, medications, positioning, etc
Prepares operative area by cleansing skin
Maintains patient position to assure access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
Promotes the mission, vision, and values of the Chickasaw Nation Department of Health
Identifies problems competently and provides interventions according to established protocols
Ensures the proper working order of special/surgical equipment
Observes surgeon and uses knowledge principles to anticipate what the surgeon will need next
Makes appropriate and safe patient assignments while facilitating the flow of admissions, discharges and transfers
Oversees OB triage and provides assistance as needed
Communicates with House Supervisor and staff nurses about patient status changes
Supplements staff in a clinical role as needed to ensure the continuum of care in the provision of nursing services within the OB department staffing model as included in the OB Registered Nurse job description
Ensures that staff provide safe and effective patient-centered care throughout the care areas by assimilating evidence-based standards into decisions
Assists OB leadership with the oversight of staff participation in focused quality and performance improvement projects
Acts as a clinical resource for OB Nursing personnel using current literature and guidelines, organizational policies and procedures, and regulatory and accreditation standards
Ensures that all OB Nursing staff function according to these same requirements
Documents nursing care, incidents, accidents/injuries, and other issues in an accurate, complete, and legible manner
Reviews the induction schedule as well as staffing for the current and upcoming shifts and notifies OB Nurse Manager and House Supervisor regarding concerns or special needs as necessary
Shares responsibility for and verifies the general upkeep of the OB department to maintain a safe environment, including the availability of appropriate equipment and supplies and notifies the OB Nurse Manager of any unmet needs
Promotes change and growth within the OB department, while serving as a role model of professional behavior
Provides first class customer service to both internal and external customers and responds to inquiries, compliments, and/or complaints with professionalism, courtesy, and efficiency
Completes all training and development requirements and participates in continuing education opportunities
Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
Maintains a clean, organized work area and ensures a safe environment
Maintains and promotes professionalism
Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
Adheres to Chickasaw Nation dress code standards
Maintains knowledge of and follows all rules, regulations, policies and guidelines for assigned area
Performs all other duties as assigned
Competencies
Essential:
Ability to demonstrate impeccable sterile technique
Ability to demonstrate ingenuity in problem solving
Ability to provide constructive feedback to others
Able to follow instructions, both written and oral
Able to adhere to all scheduling and attendance requirements
Resolves conflicts among personnel, projects and schedules
Delegates to appropriate personnel and follows-up to ensure required results and standards are met
Honesty, truthfulness, reliability, accountability
Able to read, understand, apply, and retain knowledge of Chickasaw Nation, departmental, divisional and all other rules, regulations, policies, procedures and guidelines
Knowledge of patient's position to assure access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
Must be proficient in the use of electronic health record keeping systems
Understanding of aseptic technique, principles and practices
Ability to multitask
Able to verbally communicate in a professional and positive manner with other team members, departments, guests and management
Writes effective communications with team, departments, guests and management
Skills
Essential:
Excellent interpersonal communication and customer service skills, including the ability to interface with and influence associates at diverse levels with different backgrounds and perspectives
Basic Computer skills
Excellent Phone Skills
Accurate typing and/or data entry skills
Experience
Nonessential:
1 year directly related experience
Education
Essential:
Graduate from an accredited school of nursing required
Nonessential:
Bachelor's of Nursing
Credentials
Essential:
Pass general background check
Unrestricted Oklahoma Registered Nurse License
Basic Life Support (BLS)
Advanced Life Support (ALS)
Neonatal Resuscitation Program (NRP)
S.T.A.B.L.E Certification
Fetal Monitoring Program
Perinatal Continuing Education Program
Essential:
Obtain BLS within one (1) month of hire, if not current
Obtain ALS within three (3) months of hire, if not current
Obtain within three (3) months of hire, if not current
Obtain within three (3) months of hire, if not current
Must complete a basic or equivalent Fetal Monitoring class within 1 year of hire date in OB if not current and additional Fetal Monitoring courses will be assigned as determined by OB leadership
Working Conditions
Essential:
Works in a hospital or clinic environment
Stressful environment due to any or a combination of deadlines, pressures, multiple tasks, lines of communication, risks, speed of operations, etc.
May be required to assist individuals with unmanaged emotions
Potential exposure to contagious diseases
Potential exposure to biohazards
May work irregular hours
May be required to be available for Call-Back
Must be flexible with work schedule
Constantly lift and or carry over 50 lbs
Manual dexterity
Frequently assist with lifting patients
Hand-eye coordination, reach and grasp
Standing up to 100% of shift
Walking up to 75% of shift
Frequently bend, kneel, stoop, push, reach
May be required to assist individuals who are hostile, agitated or under the influence
Potential exposure to radiation
Repetitive motions
Visual acuity for detail, distance, color, depth perception
Listening and hearing ability
Fast-paced environment
Pass pre-employment drug test
Nonessential:
Potential exposure to chemicals
Training
It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training.
Mission, Vision & Core Values
Mission:
To enhance the overall quality of life of the Chickasaw people.
Vision:
To be a nation of successful and united people with a strong cultural identity.
Core Values:
The Chickasaw People
Cultural Identity
Servant Leadership
Selflessness
Can Do Attitude
Perseverance
Stewardship
Trust and Respect
Loyalty
Honesty and Integrity
Teamwork
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Worksite address
ada, OK, 74821, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.