Registered Nurse (RN) - Labor and Delivery
San Ramon Regional Medical Center
San Ramon, CA
3x12 hrs

Job Type; Full time

Shift: Nights

Reporting to the Nursing Director, this position is responsible for planning, directing, coordinating, and providing high quality, individualized patient care using the components of the nursing process. On-call required; when on-call must arrive to the Hospital within 30 minutes.

1. Performs duties in a manner that provides for the psychosocial and spiritual needs of the patient and family. Completes all assessments in a timely manner. Incorporates age-specific considerations, including functional and developmental age, into the care of the neonate (0 to 30 days), adolescent (12 to 17 years) and adult (18 to 70 years) patients.  

2. Effectively manages pain control in the laboring patient by (1) assisting the anesthesiologist with epidural catheter placement and (2) monitoring fetal and maternal status during catheter placement and after medication administration, medicating to appropriate pain scale.  

3. Provides patient education related to infant security measures during hospitalization, such placement of infant security device on the neonate.  

4. Provides routine pre- and post-operative, labor, delivery and mother/baby nursing care to include (1) assessment of fetal and maternal well-being, (2) amniotic fluid status, (3) vaginal bleeding, (4) recognizing and appropriately managing abnormalities, (5) cervical examination, (6) Apgar scoring, (7) meconium aspirations, and (8) insertion of fetal scalp electrodes and subsequent fetal monitoring. Collaborates care with obstetrician, anesthesiologist and pediatrician.  

5. Creates and maintains a sterile environment for Cesarean sections as scrub or circulating nurse, assuring maintenance of all emergency equipment, including anesthesia and crash carts, and assisting physicians with deliveries.  

6. Demonstrates the ability to provide care in emergencies and follows established emergency procedures and practices. Recognizes and responds appropriately to maternal and fetal distress. Assists physician with resuscitation as required.  

Minimum Education:  

• BSN preferred 

Minimum Experience/Skills: 

• Minimum of one (1) year recent experience within the last three (3) years of Full –Time high risk Labor & Delivery experience; 
• OB triage and Circulating vaginal & C-section deliveries; (will train to scrub C-sections and train to postpartum/well baby if no experience). 

Licenses/Certificates/Credentials:  

• Current California RN license  
• Current BLS certification (AHA certified) 
• Current NRP certification 
• AWHONN Intermediate Fetal Monitoring is a requirement within 1 year of hire, unless documentation of completion is provided prior to hire 
• AWHONN progressive Fetal Monitoring classes are recommended every 2 years

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