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Department: Nursing - Obstetrics (Birth Center)

Hours: Part-time (0.6-0.75 FTE, 48-60 hours per biweekly pay period including every third weekend) – Night Shift: 7:00 p.m. to 7:30 a.m. with 30-minute meal break

Description:

Floyd County Medical Center is seeking experienced obstetrical nurses to join our team!

Position Overview: The Obstetrical (OB) Registered Nurse (RN) will provide and assist in the safe and effective perinatal and infant nursing care. Exhibit knowledge and competency in the nursing care of ante-partum, intra-partum, post-partum, and nursery settings. Provide nursing care and treatment to OB patients and infants based on the nursing process using assessment, planning, implementation, and evaluation. Accept responsibility for the care, treatment, and delivery of the obstetrical patient. Responsible to practice and maintain OB policies, procedures, and standards. Provide OB and newborn health education to patients. Interact with nursing staff, physicians, and other departments to ensure that the OB patient and infant’s needs are met. Use critical thinking skills in making decisions regarding OB patient and infant care.

Duties and Responsibilities:

• Perform routine skills or treatments in a manner that provides for patient comfort and protects the patient’s dignity, privacy, and confidentiality.
• Perform tasks and technical skills in accordance with the OB Unit’s policies and procedures for OB patients and Newborns.
• Provide competent patient care to the above-indicated patient population.
• Prepare patients for tests and procedures within the RN’s scope of practice.
• Float to various units as determined by the House Supervisor and/or Nursing Services administrative staff when the OB Unit is closed.
• Assess patients and identify common and obvious physical and psychosocial needs. Develop ability to identify common or unusual, complex physical and psychosocial needs.
• Develop an individualized Plan of Care within 24 hours of admission. Review and update the Plan of Care every 24 hours based on changes in the patient’s condition. Utilize the nursing process to meet the physical, psychological, social, and rehabilitative needs of the patient.
• Report pertinent observations and response to nursing interventions to the appropriate person (i.e., Physician, House Supervisor) and record those observations accurately and concisely.
• Actively participate in individualized patient teaching activities with the patient and/or their significant other.
• Assign nursing care to staff members in accordance with the patient’s needs and the staff member’s capabilities and qualifications, and assign other duties as needed.
• Direct, coordinate, and evaluate nursing care provided to patients.
• Precisely, accurately, completely, and legibly document all pertinent data in the patient’s chart.
• Administer medications as prescribed.
• Perform treatments for patients as prescribed.
• Collaborate with physician/providers regarding patient care, patient needs, and family needs.
• Administer direct patient care.
• Assist staff team members in giving care to patients.
• Begin the patient/family Discharge Plan on admission and discharge planning to finalize post hospital care.
• Maintain accountability for nursing care by identifying and reporting patient problems to the appropriate multi-disciplinary team member (i.e., Physician, Case Management/ Utilization Review Nurse, House Supervisor, etc.).
• Institute or assist with emergency measures for adverse developments in the patient’s condition.
• Coordinate and prioritize care of the patient requiring multi-disciplinary services (i.e., Physical Therapy, Radiology, etc.).
• Initiate and maintain intravenous (IV) therapy skillfully and correctly.
• Initiate and maintain blood transfusions and other blood products skillfully and correctly, including accurate and complete documentation in the patient’s record.
• Perform various unit duties including, but not limited to checking equipment, assuring proper supplies are in unit, and preparing unit for patient care.
• Frequently perform detailed tasks, very frequently subjected to interruptions and changing work priorities.
• Support and abide by all medical center, departmental, and OB unit policies and procedures.
• Act in a professional manner, reflecting the mission, vision, and values of the medical center.
• Perform other responsibilities within scope of practice as requested/directed by the Birth Center Director, House Supervisor, or Chief Nursing Officer.
• Demonstrate effective communication skills and prompt good working relationships in a collegial manner.
• Support the application of Quality Improvement (QI) principles and participate in QI activities.
• Participate in activities that promote better patient care, nursing development, and professional growth

Minimum Education/Licensure/Certification Required:

• Minimum of Associate Degree in Nursing (ADN)
• Current licensure as an RN in the State of Iowa
• Basic Life Support (BLS). BLS is not required for staff with Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) certifications.
• Basic Fetal Monitoring Course
• Neonatal Resuscitation (NRP)
• Advance Cardiac Life Support (ACLS)
• Mandatory Reporter of Dependent Adult/Child Abuse or completion within six months of hire.
• Minimum of two years obstetrical experience required.

Additional Qualifications:

• Ability to communicate effectively, both orally and in writing; Must be able to read, write, comprehend, and verbally communicate in English fluently.
• Organization and attention to detail required.
• Ability to maintain a positive attitude.
• Ability to prioritize assignments and manage time efficiently.
• Demonstrated ability to work effectively with staff, Health Care Providers, and other departments.

Physical/Cognitive Requirements:

• Sit: Frequent
• Stand: Frequent
• Walk: Frequent
• Lift:
  • 10 pounds Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Carry:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Push/Pull:
  • 10 pounds: Frequent
  • 25 pounds: Frequent
  • 50 pounds*: Occasionally
  • 75 pounds*: Occasionally
  • Greater than 100 pounds*: Occasionally
• Squat/Kneel/Crouch: Occasionally
• Climb: Occasionally
• Balance: Occasionally
• Twist: Occasionally
• Bend/Stoop: Occasionally
• Crawl: Occasionally
• Grasp/Grip: Constant
• Talk: Constant
• Hear: Constant
• See: Constant

• Anything greater than 50 pounds- assist of two or more, or mechanical lift are required.

Environmental Factors:

• May be exposed to communicable diseases due to working in a health care environment.
• Works in a well-illuminated climate-controlled environment.
• Work environment is comfortable, with minimal exposure to physical hazards.
• Moderate noise level when machines/equipment in use but typically quiet environment.
• May come in contact with blood and other body fluids.

Organizational Relationships:

Reports to: Birth Center Director

Employees supervised: None

Why choose Floyd County Medical Center?

Competitive pay including Night Shift Premium and routine wage increases .

Comprehensive benefits package including IPERS Retirement Plan and rich health insurance plan comprised of low deductibles and low-cost employee premiums .

Positive workplace culture – work directly with a motivated, compassionate team of professionals that are dedicated to our medical center, our patients, and our community.

Award winning work environment – Floyd County Medical Center was recently recognized by nurse.org as a top ten best hospital in Iowa for nurses.

What our employees are saying:

After working at a large hospital for several years, I am proud to be a nurse at my hometown hospital. Floyd County Medical Center and the team I work with are committed to providing high-quality care in a state of the art facility. We offer a complete range of services for all of our patients, while providing a family-friendly environment. –Rachel Conrad, RN, BSN

We are truly our own little family at Floyd County Medical Center. I know I am cared about both professionally as well as personally. Coming from a bigger facility I was only a number, here I am Allie. I feel that we treat our patients the same. They are not just a number, they are a person. -Allie Wesselmann, RN, BSN

Floyd County Medical Center is located in Charles City, Iowa. Charles City is a beautiful river town located in Northeast Iowa. Sitting right off the Avenue of the Saints, Charles City offers residents small town living with easy access to bigger, metropolitan areas.