RN D/R MNA Labor & Delivery

Job ProfileSummary

Tufts Medical Center is recognized by the ANCC Magnet Recognition Program for excellence in nursing. Magnet recognition is the highest and most prestigious credential a health care organization can achieve for nursing excellence and quality patient care. Magnet recognition signals to nurses that the organization is committed to nursing.

The nurses at Tufts Medical Center are integral to everything we do. They are often the ones patients interact with first, and sometimes the ones they interact with the most. It's a critically important role, so our nurses are well-supported, well-respected, and very well-appreciated!

There's an intensity and a pace to be embraced. You will have responsibility and accountability the minute you pull on the scrubs. You need to be the kind of person who gives everything you've got. Our patients deserve the best. Our nurses give it to them.

Labor & Delivery is a 6-bed unit, MSCU is an 11-bed unit seeing laboring patients, both term and preterm, inpatient and outpatient with complications requiring evaluation in LDR not in physician office. The unit also accepts maternal transfers from outside hospitals, of urgency such as pre-eclampsia, preterm labor, patients with intrauterine fetal demise or second trimester termination for maternal complications or fetal anomalies, reproductive endocrinology for IVF procedures, periumbilical blood sampling procedures, Fetal Stents, pre-operative patients, surgical cases, D&C's emergent, Post Partum Tubal Ligations. Postpartum patients with complications. Newborns, both normal and those for NICU admissions.

Cluster Unit: MIU

This role focuses on providing professional and nonprofessional nursing care servicesin accordance withphysician orders.In addition, this role focuses on performing the following Clinical Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients orprovidesnursing care andidentifiedclinical support tasks within the scope of practice for achievement of the patient's plan of care as directed.Providesprofessional nursing care to patients. Requires a nursing license.A professional individual contributor role that may direct the work of otherlower levelprofessionals or manage processes and programs.The majority oftime is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typicallyacquiredthrough advanced education.A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience.Typicallyresponsible for: managing projects / processes, working independently with limited supervision,coachingand reviewing the work oflower levelprofessionals, resolving difficult and sometimes complex problems.

Job Overview

The professional registered nursepossessesand applies the skills and knowledge necessary for the delivery and management of patient care from admission through discharge.The professional registered nurse is knowledgeable of current trends in healthcare including but not limited to advances in technology, pharmacology, treatment care modalities, quality and patient safety.The professional registered nurse serves as a patient and family advocate whilefacilitatinga cooperative and collaborative environment among all health care providers. The professional registered nurseis responsible forthe planning, delivery and management of patient/family centered careutilizingthe nursing process and adhering to the standards of nursing practice embedded in research,evidence basedpractice and/or best practices. The professional registered nurse at Tufts Medical Centerprovidesclinical excellence, which fosters and supports an environment central to our patient and family centered model of care.

Job Description

Minimum Qualifications:

Preferred Qualifications:

1. Bachelor of Science in Nursing (BSN)

2. Specialty Nursing certifications.

3. Previous L&D, OB or Post partum

Duties and Responsibilities:Theduties and responsibilities listedbeloware intended to describe the general nature of workandare not intended to be an all-inclusive list.Other dutiesand responsibilitiesmay be assigned.

1.Utilizestheoretical and evidence-based knowledge in partnering with patients and their families to assess, plan, implement and evaluateage appropriatecare.

2.Assesses and collaborates with patient, family/significantothersand other disciplines to:Identifyexpected outcomes based on synthesis of data and diagnosis; andidentifycultural needs (i.e.language,etc) to develop a care plan that enhances the health care experience.

3. Plans anddevelops: Individualized outcomes-based care plans incorporating the patient and family's readiness and barrier to learning;Orchestrates and validates a plan of care for each shift;Initiates interdisciplinary patient/family meetings to facilitate communication regarding the plan of care;Communicates and coordinates the patients discharge plan utilizing unit-based and community resources to ensure a seamless transition for the patient and their family; Ensures theplan of care utilizes principles and concepts of project, organizational or systems management.

4. Implements:The plan in a safe and timely manner;Documents the implementation and any modifications, including changes or omissions, of the identified plan;Collaborates with nursing colleagues and others to implement the plan;Utilizes evidence-based interventions and treatments specific to the diagnosis or problem;Provides and coordinates health teaching which is required by individuals, families and groups to maintain an optimal level of health;Documents per hospital and regulatory requirements/policies, all aspects of care, including but not limited to, treatments/procedures performed and patient response.

5.Evaluates: Theeffectiveness of the planned strategies in relation to patient responses and the attainment of expected outcomes and knowledge;Uses theevaluation process to update the plan of care as dictated by the patient response and/or if desired outcomes have not been achieved.

6.Demonstratesand applies the skill and judgement necessary to implement the nursing plan of care, nursing interventions and procedures necessary for the care of the patient and family based upon critical thinking skills and a spirit of inquiry.The plan of careis:Evidence based andutilizesresearch whenappropriate;Incorporates new knowledge and strategies toinitiatechange in nursing care practices;Demonstratesthe knowledge and skills necessary toprovideageappropriate culturallyand ethnically sensitive care to all patients and families.

7.Performs procedures and treatments using nursing knowledge and judgment, according to established unit/practice area guidelines and professional standards.

8.Safely administers and assesses the patient response to medicationutilizingessential knowledge of pharmacology and Hospital and Department Standards of Care.

9.Maintains clinical competency with respect to technology and utilizes equipment in a safe manner.

10.Performs as an advocate and as an educator for patients and families.

11.Provideshigh quality in an efficient anda safemanner. The professional nurseutilizesdata trends to support and improve clinical practice.

12.Participatesin hospital and/orunit basedpatient safety and quality activities and uses principles to support and improve patient outcomes (unit-based, hospital-wide, The Joint Commission, NPSGs, NDNQI, Patient First and other local,stateand federal patient safety initiatives.

13.Participatesin performance improvement activities through data collection,analysisand evaluation.14. Championsquality, safety, regulatory, and patient-family satisfaction.

15.Facilitatescooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care deliveryand to create apositive and professional work environment.Supports collaboration with nursing colleagues and other disciplines to implementplanof care by participation in nursing, physician, and case management reporting rounds.

16.Delegates responsibilities to others with an understanding of their roles,knowledgeand capabilities

17. Influencesothers to achieveService Excellenceby:Establishing a climate for optimal patient care, mutually supportive collegial relationships, and professional development; Treatingboth internal and external customers with courtesy, respect and caring behavior; Promotinga safe, clean, therapeutic environment for patients, families and staff; Acknowledgingcultural differences that exist among staff and patients; Identifyingcustomer service needs on the unit; Presentingself in a professional and calm manner; Providingresponsible and efficient use of resources.

18. Participates in professional development and lifelong learningactivities that assist in developing and maintaining their continuing competence, enhance their professional practice and support achievement of their career goals including: Maintainingcurrent licensure and adheres to the Massachusetts Nurse Practice Act; Assumingresponsibility for participating in educational opportunities to support and meet clinical competency requirements; Seekingout educational and professional resources; Developing professionally as a self-directed, motivated learner; Seekingout advanced certification opportunities and ongoing education opportunities;Precepting and mentoringnewly hired staff and nursing students;Investigatingavailable technology and resources to apply evidence based practice and research into daily professional activities;Promotingleadership at the bedside as a delegator, collaborator, facilitator, and communicator; and Promotingunit and organizational growth through a shared governance model.

19.May assume charge nurse functions in collaboration with unit leadership;

20.Facilitates communication by:Seekingand sharingjob-related information that supports a culture of respect and responsibility; Assumingresponsibility and ownership for professional conduct; Acceptingresponsibility for positive and productive communication skills;Attendingand actively participatingin staff meetings(when unable to attend, accepts responsibility for reading staff meeting minutes); and Acceptingresponsibility for reading emails to keep current with unit and hospital based information.

Physical Requirements:

1.Prolonged, extensive, or considerable standing/walking.

2.Lifts, positions, pushes and/or transfer patients and equipment.

3.Considerable reaching, stooping, bending, kneeling, crouching.

4.Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise andpossible exposureto radiation, lasers, electric shock, etc.

5.Regularly exposed to the risk of bloodborne diseases and other transmissible infections.

6.Contact with patients underwidevariety of circumstances.

7.Subject to varying and unpredictable situations.

8.Handle emergency and crisis situations.

9.Subjected to irregular hours.

10.May have contact with hazardous materials.

Skills & Abilities:

1.Possessesand applies the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

2.Ability toprovidecare for a designated group of patients according to unit guidelines and hospital policies,proceduresand protocols.

3.Has the skills and knowledge toprovidecare to the age groups of the population served including:Knowledge of growth and development;Ability to interpret age specific data and response to care;andProvideage appropriate communication.