Hours: 7am-7:30pm

Shift:1st shift

Status: .9 (36 hours a week)

POSITION PURPOSE:
Provides and directs safe effective and culturally competent care for women newborns and pediatric patients. Utilizes evidence-based practice and critical thinking to assess plan implement and evaluate outcome-based care. Manages a diverse patient population across labor and delivery postpartum newborn nursery pediatrics and/or pediatric intensive care with varying levels of acuity. Supervises and coordinates care provided by LPNs Patient Care Technicians/Assistants and other team members while ensuring clear communication with physicians families and the interdisciplinary team. Adheres to MercyOnes performance expectations and upholds the Mission Vision and Values of MercyOne.

MINIMUM QUALIFICATIONS:

1. Associate degree in nursing required

2. Bachelor of Science in Nursing (BSN) preferred.

3. Current Iowa RN license (current Illinois (IL) license if working in IL) required.

4. American Heart Association Basic Life Support (BLS) required.

5. Proof of completion of Mandatory Reporter Child and/or Dependent Adult Abuse training within three (3) months of hire.

6. High language intermediate to high math high critical thinking ability.

7. Basic computer skills required.

ESSENTIAL FUNCTIONS:
1. Conducts an initial assessment to gather data.

Makes an initial assessment of new admissions within 30 minutes of the patients arrival to the unit.

Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

Initiates the patient problem list and incorporates relevant obstetric neonatal or pediatric history into the plan of care.

Analyzes and interprets assessment data to identify desired outcomes/goals for mother and child.

Determines nursing interventions to achieve those outcomes/goals.

Prioritizes care needs for both mother and infant.

Identifies and makes appropriate referrals (e.g. Lactation Consultant Social Services Nutritional Services Spiritual Care).

3. Implements the outcome/goal-based plan of care

Assigns and coordinates patient care based on acuity and team member competencies.

Organizes and prioritizes care for mothers newborns and pediatric patients.

Delegates tasks appropriately to other team members.

Implements the plan of care including procedures treatments physician orders nursing orders education plans and medications.

Coordinates implementation with Case Manager Social Worker and other disciplines.

Assists in discharge planning ensuring families have resources for newborn care breastfeeding support and pediatric follow-up.

Uses nursing judgment to determine frequency and components of reassessment.

Reassesses at regular intervals to monitor maternal recovery and newborn/pediatric progress.

Documents discharge instructions for mother infant and/or caregiver.

4. Evaluates patient progress and revises the plan as needed

Evaluates maternal and pediatric response(s) to interventions.

Updates the plan of care based on ongoing reassessments.

Revises problem list and outcomes/goals as conditions change.

5. Evaluates patient progress and revises the outcome/goal-based plan as needed.

Evaluates patient response(s) to interventions.

Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

Updates the problem list and outcomes/goals.

6. Communicates relevant clinical information to optimize outcomes

Communicates maternal and pediatric status to physicians and team members.

Reports progress toward outcomes/goals and changes in condition promptly.

Maintains ongoing communication with interdisciplinary team throughout the shift at handoff and during transfers.

Documents completely and accurately per policy.

7. Demonstrates clinical competence

Utilizes Women & Children-specific policies and procedures to guide practice.

Ensures medication safety following the 5 Rights.

Demonstrates competency in electronic health record systems.

Processes and implements physician orders accurately.

Maintains communication with leadership regarding admissions acuity and significant events.

Completes assigned shift duties and resolves discrepancies.

8. Manages fetal and neonatal monitoring when applicable

Demonstrates competency in interpreting fetal heart tracings and neonatal vital signs.

Responds appropriately to changes in maternal or neonatal condition.

Provides interventions for obstetric or neonatal emergencies.

Serves as a resource for other hospital services and participates in quality improvement initiatives.

9. Provides age-appropriate care based on principles of growth and development

Collects analyzes and applies age-specific data for newborns children and adolescents.

Performs tasks and uses equipment in an age-appropriate manner.

Communicates effectively with patients and families at their developmental level.

10. Adheres to safety and infection control standards

Attends required safety programs.

Uses appropriate PPE consistently.

Demonstrates emergency procedures for obstetric and pediatric emergencies.

Maintains a safe environment for mothers infants and staff.

11. Maintains compliance with laws regulations and organizational standards

Upholds Trinity Healths Integrity Program Standards of Conduct and all applicable policies in a professional and ethical manner.

PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS
1. Performs duties that may involve exposure to hazardous substances and is subject to normal risks associated with handling of patient care areas may perform or demonstrate patient care tasks which may expose the clinical nurse to infectious or communicable disease or possibility of injury from irrational or confused patients and visitors or from instruments or equipment.

2. Lift/Carry; Push/Pull 76-100% of the time avg 50-100 lbs.

3. Stand; Walk/Move About 76-100% of the time

4. Must possess the ability to comply with Trinity Health policies and procedures.