RN Labor and Delivery Full Time 7p -7:30a

*Sign On Bonus potential for RNs with over 1 year of L&D experience*

Full Time Night Shift, 1900 - 0730. 72 hours per pay period (three 12hr shifts week). Holiday rotation, weekend & on-call requirements.

Job Summary

Labor & Delivery provides obstetric care for patients who are 20+ weeks pregnant and up to 6 weeks postpartum. Labor & Delivery is comprised of 9 L&D rooms, an OB Triage unit, OB ORs, and an OB PACU.

The RN independently provides patient care using the nursing process and performs leadership and teaching duties necessary that supports effective patient care.  Supports and participates in continuous quality improvement activities.  Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies.

Essential Functions:

• Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards.
• Uses knowledge and experience in identifying patient needs and prioritizing treatment.  Recognizes and accurately documents and communicates subtle changes in patient assessment.
• Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy.
• Anticipates potential changes in patient’s condition and responds appropriately.
• Anticipates needs based on assessment findings and proposed procedure or course of care.

• Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care.
• Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies. 

• Efficiently organizes and prioritizes patient care and seeks assistance when necessary in order to meet the needs of individual patients.
• Actively participates in development of standards of care according to departmental, organizational, professional or regulatory standards.
• Implements plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards.
• Completely and accurately implements and documents nursing interventions and patient response.  Communicates pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach.
• Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve.
• Demonstrates flexibility in giving and receiving patient assignments on the department and hospital-wide based on skill mix of the staff available and patient care demands.
• Evaluates nursing care, which includes tools and equipment related to patient care.
• Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care.
• Evaluates new and existing equipment, policies, procedures and programs.
• Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly.
• Identifies variances from expected outcomes and makes appropriate recommendations.
• Provides patient/family education      
• Assesses patient/family for:
• Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn
• Cultural, religious, financial and patient preference implications related to learning.
• Identifies learning needs and establishes goals using standardized or individualized teaching plans.
• Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate.  Evaluates effectiveness of teaching.
• Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
• Integrates discharge planning and referral into the teaching process.  Documents teaching per policy.
• Independently offers support to less experienced staff to aid in patient/family teaching.
• Demonstrates professional expectations as evidenced by: 
• Incorporates suggestions for self-development and/or performance into daily practice.
• Meets all requirements of clinical ladder level.
• Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale.
• Utilizes supplies, equipment, and technology to ensure quality of patient care.
• Floats to other nursing units in the hospital as requested
• Demonstrates leadership/accountability qualities.    
• Consistently utilizes communication style that sets department tone for positive professional behavior.  Promotes meaningful focused communication between all members of the healthcare team as appropriate.
• Encourages professional interactions between ancillary healthcare givers, including physicians.
• Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
• Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff.  Adheres to program policies and participates in effective department orientation.

• Demonstrates accountability for the following which includes but is not limited to:
• Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards.
• Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc.
• Must complete all Hospital wide and Department specific competencies.

Minimum Education, Training, and Experience Required:

• Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state.
• Associates degree in Nursing required; Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment
• BLS certification is required 
• NRP certification required upon hire or within 90 days of employment 
• C-EFM certification required upon hire or within 1 yr of employment

 Physical Demands:

Medium-Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking.  Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).

Caring for you as you care for the CommUNITY
Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short-Term Income Replacement and Long-Term Disability are employer paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer paid Employee Assistance Program. 

Pay is based on experience, skills and education.   If position is part-time, salary will be pro-rated based on scheduled hours.  The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.

Pay range: $35.00 - $52.00