NICU Delivery Room Assessment Nurse - Supplemental tier A 7p-7a

Under general supervision, provides direct patient care to assigned patients.

Education

BSN from an accredited School of Nursing preferred

Experience

At least 1 year of NICU and or L&D experience required; 2 years’ experience preferred

Skills

Interpersonal communication (oral and written) skills required in order to educate and comfort patients and their families, maintain effective contacts with a variety of hospital personnel, and maintain appropriate documentation records

Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention

Licensures, Certifications

Current registration with the Maryland State Board of Examiners of Nurses as a registered nurse

Completion of "Healthcare Provider" CPR course, bi-annually

NRP, bi-annually

Physical Requirements

Ability to stand and walk almost constantly up to ninety 90% of work time and lifting and positioning patients up to fifty 50% of work time

Ability to concentrate and pay close attention to detail and often in stressful situations

Working Conditions

Normal patient care environment with possible exposure to excessive noise, dust, temperature

Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases

Patient & Workplace Safety

• Employee has knowledge and understanding of patient and workforce safety as it relates to job duties.
  
  

Patient Population

• Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable.
  
  

Principal Duties And Responsibilities

Utilization of Nursing Process

Assessment

• Attends all deliveries
• Upon delivery, performs initial infant assessment using NRP guidelines
• Assigns Apgar scores and completes L&D Delivery Record
• Communicates with NICU MD, Advanced Practitioner, and charge nurse in the event that infant needs to be transferred
• Performs initial infant blood glucose by heel stick as per policy
• Compiles database and formulates nursing diagnosis.
• Utilizes physical assessment and interviewing techniques.
• Anticipates need for intervention by other disciplines.
• Determines priorities for patient care needs or problems.
• Reassesses the patient as indicated by changes in condition and/ or response to treatment(s)
  
  

Planning

• Ensures that infant warmers in birthing rooms and operating rooms are stocked with the appropriate equipment and functioning properly
• Checks the Neonatal Resuscitation cart at the beginning of each shift
• Communicates infant supply needs to Supply and Equipment Specialist as necessary to ensure that supplies and equipment are readily available
• Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
• Incorporates information obtained from nursing care planning conferences into written nursing plan of care.
• Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.
  
  

Implementation

• Performs infant vital signs per policy while infant in L&D
• Encourages skin to skin with patient
• Encourages breastfeeding within the first hour of life when appropriate. Provides patient education and assistance when necessary.
• Performs clinical nursing skills independently.
• Administers medications, IV therapy and treatments appropriately and accurately.
• Initiates appropriate emergency procedures as necessary.
• Appropriately delegates and coordinates the duties of ancillary personnel.
• Communicate the patient's status and plan of care through written documentation in the patient's medical record
• Verbally communicates the patient's status to physicians, nurses and other health care professionals.
• Communicates in a therapeutic manner with the patient, family and visitors.
• Applies teaching/learning principles in education of patient and family.
• Other duties assigned by the charge nurse.
  
  

Patient Care Coordination

• Communicates and coordinates care with the NICU and Newborn Nursery throughout the shift
• Manages daily patient assignment by appropriately setting priorities.
• Delegates responsibility appropriately and monitors the nursing care
• delivered to patients by ancillary personnel.
• Coordinates patient activities with other disciplines.
  
  

Teaching and Quality Improvement

• Educates the family on the following:
• Expected initial infant assessment findings after delivery
• Importance of skin to skin contact
• Importance of early and exclusive breastfeeding
• Develops, documents and implements Patient Teaching and Discharge Planning Record.
• Participates in established patient, family, staff and/or student education program.
• Participates in clinical monitoring at the unit level.
• Identifies unit, staff and patient care problems. Takes action or refers problems to appropriate resources when indicated.
  
  

All roles must demonstrate GBMC Values

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy
• Listens and responds appropriately to others’ needs, feelings, and capabilities
  
  

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through
  
  

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time
  
  

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others
  
  

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
  
  

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently
  
  

Pay Range

$31.25 - $48.02

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.