LDRPN-RN - Labor & Delivery - Full Time - 7a - 7p Shift

The RN is a nursing professional care provider under the direction of the director or designee who utilizes the nursing process, nursing standards and physicians orders to plan, provide and direct nursing practice. Accomplishment of nursing practice that includes practice elements as defined by the Kentucky Board of Nursing and in accordance with the Ephraim McDowell Health nursing professional practice model. Performance that accomplishes patient and family centered care as central to practice and a foundation of caring, compassion, competence, communication, collaboration and teamwork. Responsible to participate in shared nursing leadership to accomplish positive outcomes, education, respect, dignity and safety for the patient and their family. Accountable for leadership of self and others and functions as charge nurse when designated. Exhibits F.I.R.S.T. values (Friendliness, Innovation, Respect, Service and Trust).”

Competent Nursing

1. Accountable for problem solving and critical thinking.
2. Serves as a patient advocate.
3. Knowledgeable for therapies, diagnostic results and products for patient use.
4. Participates in peer review.
5. Uses evidenced based practice and pursues new knowledge including but not limited to:
   1. Participates in data collection and Performs research/pilots and creates new projects.
   2. Shares research findings with others for the development of policies, procedures, and practice guidelines for patient care.
   3. Critiques research for application in practice and conducts product evaluations.
   4. Applies knowledge and skills to the practice of nursing.
6. Systematically evaluates clinical care by:
   1. Understands and teaches the performance improvement process.
   2. Collects and monitors data for quality and effective clinical care.
   3. Implements activities to enhance the quality of clinical care.
   4. Participates with interdisciplinary teams that evaluate clinical practice or health services.
   5. Participates in root cause analysis and corrective action plans, when indicated.
7. Demonstrates knowledge and executes the unit’s standards, policies and procedures to ensure safe, effective patient care. Interacts with others to achieve desired outcomes.
8. Responsible for patient assignments and unit flow while maintaining a calming atmosphere. Leads by example to ensure Associates demonstrate the skills and tasks to achieve positive outcomes.
9. Promotes the best patient plan of care according to identified needs based on nursing assessment in collaboration with patient, family, and healthcare team.

Patient Education

1. Serves as patient, family, and Associate mentor by:
   1. Identifies the multi-disciplinary and/or unit based teams and exemplifies knowledge of external/internal resources to achieve desired outcomes.
   2. Facilitates the continuum of care on a daily basis meeting regulatory standards, and communicates findings as appropriate.
   3. Defends patient rights and improves care on the unit and in the Organization.
2. Applies patient goals and education utilizing knowledge of age appropriate, culturally and ethically sensitive care techniques through the life span in planning and implementing care.
3. Initiates development of teaching tools in order to provide instructional guidance as needed related to the education of the patient, family and/or support person specific to the patients assessed learning needs. Is persistent and realistic in instructional methodology empowering the patient and family to develop skills so they can advocate for themselves.

Respect/Dignity

1. Defends patient rights and improves care on the unit and in the Organization.
2. Exudes trustworthy behaviors, as noticed by colleagues, patients, and their families.
3. Conducts self in an ethical manner while working toward positive outcomes for the patient and their family.
4. Demonstrates optimism and is adaptable to changes made in the department.
5. Shows genuine concern for colleagues, patients, and their families.
6. Maintains patient confidentiality and privacy within legal and regulatory parameters and delivers care in a nonjudgmental and nondiscriminatory manner that is sensitive to patient diversity.
7. Delivers care in a manner that preserves patient autonomy, dignity and rights; seeks available resources in formulating ethical decisions, preserves the patient’s privacy and refers cases as appropriate to the Ethics Committee.

Patient Safety

1. Promotes a culture of safety through identification of adverse events that warrants disclosure.
2. Establishes and uses the standardized methodology to identify report, manage, investigate, analyze and trend incidents, "near-misses" or other critical and adverse outcomes.
3. Responsible for treatment of patients in a safe environment according to Safety and Infection Control guidelines and Universal Protocols.

Shared Nursing Leadership

1. Embraces new concepts by making efforts to become a self-directed, creative, progressive and visionary thinker.
2. Fosters innovation by motivating and inspiring others.
3. Pursues specialty certification, professional membership, and education.
4. Skilled in decision making abilities and exhibits a positive character.
5. Contributes to a supportive and healthy work environment for students and Associates.
6. Values and respects all levels of nursing.
7. Directs, leads, and evaluates Associates’ performance.
8. Provides peers with constructive feedback regarding their practice through peer review activities.

Communication/Collaboration

1. Maintains honest, exemplary interpersonal skills while providing open and clear communication of relevant facts.
2. Maintains and participates in a strong teamwork environment.
3. Accepts instruction and suggestions with optimism in an approachable manner.
4. Asks questions when clarification/ instruction is needed.
5. Maintains composure during demanding periods of time.
6. Acts as a positive role model to implement and sustain change in the work environment.
7. Contributes to the achievements of the goals, mission, vision, and philosophy of the Organization.

Positive Outcomes

1. Demonstrates a commitment to professional and ethical accountability. Maintains and expands knowledge and skill. Possesses a spirit of inquiry to promote excellent patient care.
2. Develops and sustains a helping, trusting, and authentic caring relationship in a healing environment for the patient and their families.
3. Anticipates, identifies and prioritizes patient needs appropriately.
4. Assures that licensed practical nurses and unlicensed personnel are assigned duties consistent with their education, competency, and experience to promote safe practice.
5. Participates in the interviewing and selection of Associates when necessary.
6. Identifies opportunities for cost containment on unit meeting budget goals.

Teamwork

1. Utilizes team discussions to establish goals and develops mutual trust and loyalty among colleagues.
2. Facilitates a partnership between healthcare team, patients, and families to establish a plan for a healing environment and desired outcomes.
3. Promotes and maintains a positive:
   1. Collaboration in a non-defensive manner.
   2. Flexible in assignments and understands compromise.
   3. Responds to direction.
   4. Exudes congenial, humble and resilient behaviors.

Caring/Compassion

1. Promotes the best patient plan of care according to identified needs based on nursing assessment in collaboration with patient, family, and healthcare team.
2. Applies knowledge of culturally sensitive care techniques to ensure sensitivity to self and others.
3. Develops a nurturing, protective relationship with the patient and their family.
4. Embodies humanistic nursing by maintaining a calming atmosphere, providing emotional and spiritual support.

1. Demonstrates knowledge and skill required to care for the Antepartum period, Intrapartum and Postpartum period.
2. Demonstrates the knowledge and skills require to circulate with the care of the patient during a Cesarean delivery or vaginal delivery.
3. Demonstrates the knowledge and skills required to care for the OB patient during transport.
4. Demonstrate the knowledge and skill to care for a patient during recovery.
5. Demonstrate the knowledge and skill in the management of the OB Triage patients
6. Demonstrate the knowledge and skill for the interpretations of Fetal Monitoring and appropriate Nursing interventions.
7. Demonstrate the knowledge and skill to enter charges for the unit
8. Maintain a safe environment for the newborn.
9. Demonstrates a commitment to professional accountability and growth to maintain and expand knowledge and skills.
10. Contributes to the achievement of the mission, vision, and values of the Organization.
11. Contributes to the effective operations of the Organization by demonstrating dependability in job performance.
12. Demonstrates a commitment to incorporating the core concepts of patient family centered care into practice (dignity, respect, information sharing, and participation).
13. Demonstrates a commitment to the development and implementation of shared governance across the Organization.
14. Performs other related duties as assigned.

Works in a well lighted, ventilated and air conditioned area. Schedule may consist of weekends, holidays and shift work. Often exposed to unpleasant odors, sights and sounds. Long periods in a stationary position and move around the unit are required. Risks exposure to disease, infection and physical strain and assault. Risks exposure to blood, body fluids, tissue, radiation and antineoplastic agents. Must be able to move or position 50 lbs. independently.

Patient, family members and significant others, physicians and Associates, other healthcare providers, community resource personnel, administrative staff and Organizational support services.

Graduate of an accredited ADN nursing program.