Serves as a primary member of the core care delivery team on Labor and Delivery at a facility performing 5500 deliveries per year.
Job Summary:Serves as a primary member of the core care delivery team on Labor and Delivery at a facility performing 5500 deliveries per year. Provides seperate and distinct 24/7 coverage of both Labor and Delivery and OB Triage. Key responsibilities include first assisting on OB surgical cases, discharging patients from OB Triage, performing vaginal deliveries, managing laboring patients, interpreting maternal fetal strips, writing H & Ps and operative notes, communicating with core care delivery team, conducting L & D board rounds every three hours, supporting resident and medical student education. Position operates in a high intensity, high volume, high acuity, critical care environment. Position requires credentialing and privileging through the Medical Staff of facility. Position works under the auspices of a supervising physician.Representative Job Duties:The following description of job responsibilities and standards are intended to reflect the major responsibilities and duties of the job, but are not intended to describe minor duties or other responsibilities assigned from time to time. Performs/records initial prenatal history/physical on patients in Triage/Labor and Delivery. Develops and initiates treatment plans. Provides routine prenatal care and documents admission, antepartum, intrapartum and postpartum orders. Delivers patient management and documentation in Triage. Interprets diagnostic tests and prescribes medications including controlled substances, schedule III - V; and schedule II. Performs antenatal history and physical. Performs speculum and manual vaginal exams. Provides routine intrapartum care including: evaluation of labor, confirmation of rupture of membranes, interpretation of external/internal electronic fetal monitoring data, amniotomy, Oxytocin/prostaglandin induction of labor, oxytocin/prostaglandin augmentation of labor, insertion of I.U.P.C, placement of fetal scalp electrode, ultrasound for presentation, amnioinfusion, interpretation of NST, and insertion of cervical medical dilators. Administers local anesthesia, performs routine term vaginal deliveries. Performs and repairs episiotomies and first, second and third degree lacerations. Performs VBAC deliveries. Obtains fetal scalp ph. First assists on cesarean delivery/tubal ligations. Minimum Job Qualifications:Education: Master’s Degree in Science with clinical specialization from an accredited institution. State of Michigan nurse specialty certification. Certification through the ACNM.Experience: 1 to 3 years experience as a professional nurse in ob/gyn specialty.Licensure: Registered Nurse licensed to practice in the State of Michigan. Nurse Midwifery License.Skills & Ability: Strong clinical assessment and management skills. Ability to work with multidisciplinary team members. Good communication skills. Multitask oriented. Ability to interpret fetal monitoring data. BCLS/NRP certification.Physical Requirements:1. STRENGTH:Position requires incumbent to occasionally perform physical activities requiring ability to push/pull light objects and to occasionally lift objects of less than 20 pounds.2. MANUAL DEXTERITY:Position requires incumbent to frequently perform simple motor skills such as standing and walking; frequently perform simple manipulative skills as writing, collating, faxing, answering phone; frequently perform moderately difficult manipulative skills such as typing and using a calculator. 3. COORDINATION:Position requires incumbent to frequently perform gross body coordination such as walking, stooping, reaching and bending and frequently must perform tasks which require hand-eye coordination. 4. MOBILITY:Position requires incumbent to occasionally perform mobility skills of walking and standing periodically, frequently must be able to sit for prolonged period of time. 5. VISUAL DISCRIMINATION:Position requires incumbent to frequently see objects closely as in reading printed material or information and viewing CRT screen; must frequently be able to see objects far away as in driving.6. HEARING:Position requires incumbent to constantly be able to hear normal sounds with some background noise and to distinguish sound as voice patterns when answering the telephone and meeting with employees and visitors.Mental Requirements:1. CONCENTRATIONPosition requires incumbent to frequently be able to concentrate on fine detail with constant interruption such as requests and inquiries, answering of telephone, special projects and problem solving situations. 2. ATTENTION SPANPosition requires incumbent to attend tasks/functions frequently for varying lengths of time for periods up to 60 minutes in length and frequently for more than 60 minutes at a time. 3. CONCEPTUALIZATIONPosition requires incumbent to frequently be able to understand and relate to specific concepts behind specific ideas; frequently understand and relate to more than one specific idea at a time and to the theories behind related concepts.4. MEMORYPosition requires incumbent to constantly be able to remember multiple tasks/assignments during course of a day as well as over a long period of time. Excellent memory skills are required with storage capability of a high level of information and knowledge.Environmental Conditions:Employee may be exposed to blood, body tissue, or fluids, constantly, hazardous material other than blood, body tissue, or fluids, occasionally high temperature, seldom. Low temperature seldom. Sudden fluctuations in temperature, seldom. Grease or oil, seldom. Radiation, seldom. Toxins, cytotoxins, or poisonous substances, occasionally, dust, constantly. Other chemical hazardous materials, occasionally, bodily injuries, occasionally, loud, unpleasant noises, occasionally, High humidity or wetness, occasionally, electrical hazards, occasionally burns, seldom, electro-magnetic radiations as in CRTSs (VDTs) frequently.