Local Contract Nurse RN - Labor and Delivery
Moreno Valley, CA
APN Healthcare Services Inc
1x12 hrs, Days
Referral Bonus

• Reassess each patients health needs whenever warranted b the patients condition and at least every shift utilizing the nursing processes after obtaining a systematic database
• Establishes a plan of care based on indefinite data from all appropriate sources
• Reviews and updates the plan of care for each assigned patient utilizing data obtained from reassessments.
• Administers oral, topical the parental medications utilizing the 7 rights
• Assesses and documents effectiveness/untoward effects of medications and treatments.
• Performs treatments and procedures with consideration of common nursing practice, hospital policy and procedure, sterile technique, standard precautions and patient privacy
• Documents response to are and addresses pain management, discharge planning needs, educations and progress towards goals.
• Documents in a legible and accurate manner to include date and time of entry, signature, and title.
• Educates patient/family based on his/her assessed needs and uses “Krames” where appropriate
• Interprets or analyzes diagnostic data and reports, and intervenes appropriately
• Promptly communicates change in patients’ clinical condition to physicians and other health care team members as appropriate.
• Uses SBAR communication for all handoffs
• Demonstrates consideration of patient rights including confidentiality, safety and patient participation in plan of care
• Evaluates and documents patient care provided and the effectiveness of patient teaching
• Participates in multidisciplinary care planning
• Demonstrates knowledge of application criteria for restrains and the ability to manage patients in restraints per policy
• Follows the National Patient Safety Goals
• Follows hospital policy on use of two patient identifiers
• Understands Disaster Plan and own role
• Understands how to activate the Rapid Response Team
• Completes orientation to Life Safety Standards – Code Blue, Code Pink (infant abduction, Haz Mat Spills, Code Red (Fire), Oxygen shut off valve.
• Follows hospital infection control policies.
• Demonstrates knowledge of blood transfusion policy and documentation
• Understand the Chain of Command and accesses it appropriately
• Familiar with Labor and Delivery policies and routine
• Demonstrates appropriate management of the patient in labor
• Demonstrates appropriate management of newborn immediately post delivery
• Utilizes APGAR scal to assess the neonate within the first five minutes of birth
• Able to recognize signs and symptoms of fetal distress and performs standard nursing interventions
• Documents appropriate data on the Labor & Delivery flow sheet, and other forms used in the Labor and Delivery area
• Able to assist the physician with placement of UIPC and fetal scalp Electrode
• Reviews fetal monitor strips ongoing for signs of fetal distress
• Able to apply the external fetal monitor and position the sono and tocotransducer correctly to monitor Fetal Heart Tones and Uterine Activity
• Identifies changes in patient condition (fetal distress, Magnesium hypertoxicity, etc) and notifies the physician as appropriate
• Accurately assesses DTR’s and Magnesium Sulfate level during the management of patients receiving Magnesium Sulfate for pre-term labor and PIH
Skills:
ACLS
BLS
CA RN License
Fetal heart monitoring
NRP
Recent L&D experience in acute care facility