Registered Nurse - Hospital - Birth Center

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Job Title:

Registered Nurse - Hospital - Birth Center

Cost Center:

311010 MfdHos-Birth Center-2W

Scheduled Weekly Hours:

36

Employee Type:

Regular

Work Shift:

See Job Description for detail (United States of America)

Job Description:

JOB SUMMARY

The Registered Nurse-Hospital functions as a vital member of the healthcare team by demonstrating a customer/patient focus, effective communication, professionalism self-development, and teamwork. The individual utilizes the nursing process to assess, plan, implement and evaluate comprehensive care provided to selected patient populations and their families. The Registered Nurse-Hospital is expected to demonstrate excellent clinical, problem-solving, interpersonal and leadership skills and make decisions consistent with hospital policies, department protocols/guidelines, and the Wisconsin Nurse Practice Act.

WORK SHIFT

Variable 12 hour shifts (primarily evenings/nights) which will include every 3rd weekend and every 3rd holiday. This position requires 24 hours of call in a 6 week schedule.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: Diploma or degree in nursing.

Preferred/Optional: Bachelor's degree in nursing.

EXPERIENCE

Minimum Required: None

Preferred/Optional: Two years hospital nursing experience

Those inpatient facilities participating in the Clinical Nurse Advancement Portfolio (CNAP) clinical ladder, refer to program documents for eligibility to advance/maintain CNAP level.

CERTIFICATIONS/LICENSES

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required:

* Current State of Wisconsin Registered Nurse License or Nurse Compact License.
* Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of employment.
* Additional department-specific certifications, licenses, or memberships may be required (varies by department/location).

Preferred/Optional:

* Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.

Marshfield Medical Center

The Birth Center

Registered Nurse-Hospital

DEPARTMENT/UNIT DESCRIPTION

The Birth Center is a 24-bed postpartum/antepartum unit, 7 bed LDR, and 18 bassinette well baby nursery unit within the department of Women's & Children's Services. We provide 24/7/365 care, both inpatient and outpatient. We are a Level 4 tertiary center as designated by the WAPC [Wisconsin Association for Perinatal Care].

Services Provided/Patient Conditions:

Our primary population includes antepartum, intrapartum, postpartum and healthy newborns. These patients include but are not limited to:

* Labor
* All complications of pregnancy
* Delivery - Vaginal and Cesarean Section
* LDR model of care [Labor/Delivery/Recovery]
* Cesareans are done on the unit in two operating rooms located within the LDR
* Long term Antepartum care and support
* Healthy newborns (Level 1)
* Perinatal Bereavement/Loss families

Besides the comprehensive inpatient and outpatient services, we provide a full scope of prenatal education programming, a perinatal loss & grief program, and lactation consultant support services.

Staffing Mix:

Patient care is accomplished through a combination of nursing personnel that include 85% RN's, and 15% OB Techs. We utilize a Total Patient Care model of care within a Family centered care model. All FTE staff are cross trained and work PostPartum/AntePartum/Newborn Nursery and Labor & Delivery. Direct caregiver skill mix is determined each shift through established guidelines provided by AWHONN standards [Association of Women's Health, Obstetric and Neonatal Nurses]. Fluctuations in daily staffing models vary from shift to shift or day to day due to volumes and acuity of LDR & PP/AP patients and availability of resources. Support services that work frequently with personnel on this unit are Case Management/Social Services, RT, FNS, EVS, OT and Facilities. Operational support is provided to the department from HUC coverage on Day and Evening shifts and a centralized night model.

Interpretive services are available and activated approximately 2-3 times each week.

Patient Population:

The majority of our patients are intra and postpartum families. We provide tertiary care for ~150 to 180 maternal transports each year from throughout our service area. We perform approximately 1000-1100 deliveries each year. Our physical proximity to the NICU brings with it, deliveries of pre-term/high risk infants.

We also provide care and support to any pregnant patient that is hospitalized at MMC with pregnancy as a secondary diagnosis; these patients are typically located on another unit and care is a collaborative function.

Frequent Procedures:

The Birth Center is fully dedicated to providing high touch plus high tech nursing care to their patients and families. Mom and New Baby educational needs are indicated by each family we serve and then met through development of an education plan which utilizes Injoy learning magazine materials and videos (along with 1:1 sessions with their nurse as needed). Clinical procedures performed frequently on the unit include:

* Vaginal delivery
* Cesarean Section delivery
* Version
* Lactation Management and Education - servicing both NICU & the Birth Center
* Stabilization & Care of PreTerm Mother & Baby
* Circumcisions
* VBACs

Necessary knowledge, skills and abilities to provide nursing care services to this population include successful performance of the following:

* Basic and Intermediate EFM - ability to interpret and take appropriate actions
* Full assessment of care and stabilization of the antepartum and laboring mother
* Basic and specialized care, assessment, and stabilization of the newborn
* NRP - Neonatal Resuscitation Program certification
* Vaginal delivery and Cesarean Section care and interventions as defined by the standards of care per AWHONN
* Ability to critically evaluate every situation, formulate a plan, implement that plan, and then assess the outcome in an ongoing manner making any changes in the plan/implementation as appropriate
* Milieu management r/t LDR and Mom/Baby areas
* Multidisciplinary care planning and approaches
* Ability to deliver patient and family education in a manner conducive to their learning needs and ability to learn
* Psychosocial assessment skills
* Negotiation and conflict management skills
* Teamwork focused
* Participation in simulation drills relative to OB emergencies

Less Frequent Procedures:

Less frequent procedures include:

* Amnioinfusion
* Blood product administration
* Antepartum testing (NST, CST)
* PUBS [Percutaneous Umbilical Blood Sampling]
* Amniocentesis
* Frenulotomy

SERVICE LINE/DEPARTMENT LICENSES, REGISTRATIONS OR CERTIFICATIONS

Individual must meet the minimum qualifications as stated within the system job description. The items noted below are in addition to the minimum qualifications.

Minimum Required:

* NRP [Neonatal Resuscitation Program] during orientation.
* Basic Electronic Fetal Monitoring Course completion during orientation.

Preferred/Optional:

* Certification in OB nursing or related area.

Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.

Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.

Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.