STAFF NURSE - I - OB/GYNECOLOGY WARD

Follow RCMC policy and procedure

Attends annual review and performs departmental in-services.

Prepare reports

Follow dress code

Adhere to the chain of command

Perform other duties related to the work as assigned by the Manager /supervisor as needed.

Works at maintaining a good rapport and a cooperative working relationship with Vendors, Physicians and Staff.

Maintains regulatory requirements, including all national and JCI regulations.

Wears identification while on duty

Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control.

Communicates the mission, ethics and goals of the hospital

Excellent attendance record.

Represents the organization in a positive and professional manner in the community.

Maintains organizational confidentiality at all times.

Complies with all organizational policies regarding ethical business practices

Resolves personnel concerns at the departmental level, utilizing the grievance process as required.

Completes annual education requirement.

It is the duty of every employee to report any negative or abnormal or unexpected event/incident as soon as possible after its occurrence by filling the appropriate Electronic Occurrence Variance Report (OVR).

Follows and assists in the implementation and interpretation of policies and procedures. Review RCMC IPPs manual (computer system) annually.

Monitor compliance with legislative requirements and organization polices and procedure and take appropriate action to correct any area of non-compliance

Attends and actively participates in meetings of committees as assigned. Assists in data collection for quality improvement

Attend 75% of all department meetings

Attends annual review and annual departmental competencies.

Demonstrable ongoing and active continuous education. Maintain RCMC annual competencies.

Integrates Trans-cultural principles into nursing care.

Works at maintaining a good rapport and a cooperative working relationship with Physicians and Staff.

Ensure orders, receives, secures, monitors, and accounts for drugs, and related supplies and administers and dispenses drugs to established policies, procedures, and nursing protocols.

Operate personal computers, including database, word processing, presentation, and other related medical software.

Deals with patients, families and careers in order to aid resolution of complaints

Communication and interpersonal techniques as applied to interaction with coworkers, supervisor, the general public, etc., sufficient to exchange or convey information and to receive work direction.

The OB couplet staff nurse is expected to have knowledge of all clinical aspect related to this area.

Provides and/or coordinates patient care, education, and documentation in the Obstetric area including patient assessment pre and post procedure, documenting care/instructions given in computer/paper format.

Demonstrates the ability to provide and assure the carrying out of established nursing procedures, for ante and post-partum patients assuring a safe clean environment is maintained

Reports results and pertinent information to physician and appropriate persons

Assists physician with variety of procedures, exams and/or operations of diagnostic equipment as assigned

Administer medication in accordance with RCMC policies

Performs GTG monitoring

Assess pain levels according to RCMC policies and act accordingly

Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms

Practicing infection control methods/ protocols

Reading and interpreting patient charts; Detecting unusual patient behavior related to specific health conditions;

Initiates emergency resuscitative measures according to adult resuscitation protocols.

Offer emotional support and guidance to mothers and families during the postpartum period, addressing their questions, concerns, and educational needs.

Provide lactation support and assistance with breastfeeding techniques, positioning, and troubleshooting common breastfeeding challenges.

Educate parents on newborn care practices, infant safety measures, and postpartum self-care to promote a smooth transition to home.

Collaborate with other healthcare professionals, such as lactation consultants, social workers, and pediatricians, to coordinate comprehensive care for mother-baby

Post-partum management:
i. Assess the patient accurately using the BUBBLE-HE format. Report all abnormal finding
ii. Consults and coordinates with health care team members to assess, plan, implement and evaluate patients’ (both mother and infant) care plans
iii. Assists mother with her hygienic needs
iv. Checks mother for any post-partum bleeding
v. Inspects C-section incision (if applicable)
vi. Performs emotional status checks on mother, recognizing symptoms such as those related to post-partum depression
vii. Takes mother’s vital signs. Document and report all abnormal finding

Baby rounds assignment:
I. Attending deliveries and providing initial assessments and interventions of newborns.
II. Provides specific care immediately after birth (in collaboration with the Medical neonatology and Apgar score)
III. Complete initial well baby management. Document all finding and report immediately to neonatology if abnormal finding is identified.
IV. Monitors bonding between mother and infant
V. Takes infant’s vital signs
VI. Provide assessment and planning for individualized Newborn care.
VII. vaccinates the newborn
VIII. Ensure newborn national screening is completed
IX. Responds promptly to the needs of a newborn
X. Ensures that the tasks set by the neonatologist and the Head Nurse are delivered accurately in terms of quality and efficiency
XI. Takes samples for the laboratory tests
XII. Performs procedures and treatments as prescribed by the physician neonatologist
XIII. Reports any changes in the evaluation of the newborn
XIV. Measures input/output of newborn
XV. Responsible for quality and efficiency of the medical care
XVI. Prepares and demonstrates to the mother the new technique of breastfeeding the baby (Bottle feeding is discouraged and physician’s order is required)
XVII. Monitor mother and infant and reports adverse reactions to any treatments or medications being given
XVIII. Educates mother on sore nipple management
XIX. Teaches mother new born care.
XX. Respects the rules of asepsis

The OB staff nurse is expected to have knowledge of all equipment used in the area, however may not have daily clinical involvement.

• Provide clinical leadership to ensure the provision of highest quality nursing care
• Promote a progressive attitude to the continual improvement of patient care through research and evidence based practice
• Acting as a role model and expert clinical practitioner
• Supervise and teach trained staff and health care assistants
• To assist in the safe, effective and efficient management of the department within allocated resources.
• To undertake delegated responsibility for the department in the absence of the Head Nurse / Charge Nurse.
• When performing as a charge nurse, assigns the nursing care of each patient to other nursing personnel in accordance with the patient’s needs and the specialized qualifications and competence of the nursing staff available

• Bachelor degree of Science in Nursing .
• Course in obstetrical nursing is desirable
• Minimum of 5 years post graduate nursing experience

• Ability to detect deviations from normal and assess condition of patient
• Administers prescribed medications and treatments in accordance with approved nursing techniques
• Ability to maintains appropriate aseptic technique for preparation, procedures, and medications administered.
• Ability to maintain accurate patient data
• Basic computer skills
• Effective skills working with a diverse patient population
• Effective team working skills
• Effective communication skills
• Effective interpersonal Skills
Revision Date:21-Feb-2024 Next Revision Date:21-Feb-2027
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• Able to prioritize and organize time efficiently
• Flexible
• Critical Thinker
• The ability to operate machinery and equipment