RN Registered Nurse High Risk OB
Methodist Health System Omaha, NE
Purpose of Job
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
Explosives (pressurized gas)
Hazardous Drugs (exposure risks, personal protective equipment required)
Chemical agents (Toxic, Corrosive, Flammable, Latex)
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
Mechanical moving parts/vibrations
Essential Job Functions
Essential Functions I
Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.
Include data from the patient/significant other(s) in the assessment as appropriate.
Prioritize data collection according to patient's immediate needs.
Use assessment findings in discharge planning.
Meets outpatient documentation requirements for Emergency Medical Treatment and Labor Act (EMTALA) including discharge of unscheduled or undelivered obstetrical patients.
Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)
Collaborate with providers and other clinical disciplines as appropriate.
Provide teaching specific to the patient's health care problem.
Care plan reflects continuing care needs and/or referrals for discharge/transfer.
Continued assessment and documentation of pain goal and outcomes reflected in individualized care plan.
Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).
Is familiar with, and follows, nursing protocols and standards of care for their unit.
Use current knowledge in nursing practice based on standards and research literature.
Evaluate patient care to determine response to care/interventions for optimal patient outcome.
Monitor outcomes and documents patient response to interventions.
Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
Recognize and address patient and family capabilities and limitations (physical and mental).
Perform technical skills competently and independently to assure patient safety (autonomy).
Able to competently perform technical skills independently.
Is accountable to learn new skills and equipment within areas' specifications and time frame.
Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.
Accurately performs all sponge, needle, and sharp counts at appropriate times according to department standards.
Follow department policy for wearing personal protective equipment (PPE) during all procedures.
Provides for appropriate handling and labeling of all specimens, cultures, and blood draws according to department policy and procedure.
Using consent form, verbally confirms surgical team, patient identification, procedure, fire risk, antibiotic, allergies and right or left side = (time out).
Uses appropriate technique when performing surgical scrub.
Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)
Communicate effectively to solve problems at the personal and unit level.
Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
Take pride in the unit by active participation in restocking and maintaining a clean environment.
Maintain a professional appearance, behavior, and work environment.
Maintain competence in area of experience.
Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
Maintains compliance with department call coverage.
Participates as a preceptor for competency based orientation of staff/students.
Adapts to change in a positive, professional manner.
Consistently meets the hospitals published HCAPS.
Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)
Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
Communicate to appropriate personnel regarding unresolved issues.
Work within the scope of practice as defined by State Nurse Practice Act.
Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
Demonstrates an ongoing awareness of and participation in the performance improvement program and actively participates in solving such problems.
Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
Right communication (clear, concise, correct, complete).
Right feedback: the Reciprocal Process (ask teammates' input first, recognize effort, get teammates' solution to problem, check off points).
Prepares and administers medication with 100% accuracy within a designated period of time according to nursing policy and procedure.
Correctly labels high risk lines according to hospital policy 100% of the time.
Completes appropriate paperwork and addendum to include: shoulder dystocia, operative vaginal delivery, hemorrhage, early warning signs, oxytocin checklist, and VTE score 100% of the time.
Accurately documents intake and output and infusion billing icon per policy.
Appropriately result copies maternal chart to ensure correct newborn weight for correct dosage calculation of infant medication.
Essential Functions II
Participate in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follow and understand the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.
| Date Posted
March 14, 2019
| Date Closes
May 13, 2019
| Located In
| Work At
Methodist Women's Hospital
High Risk OB
6:45pm - 7:15am + Every 3rd Weekend; 36 hours per week
| SOC Category
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