Women's Care/Obstetrics Unit RN

Winstar; Ada (OK); On-site; USD 70,000 - 100,000; Full time

Job summary

Chickasaw Nation Medical Center in Oklahoma is seeking a Women’s Care/Obstetrics Unit RN to join our OB Team. This full-time position supports labor, delivery, postpartum and neonatal care within the CNMC OB services, collaborating with multidisciplinary staff.

The role emphasizes patient education, safe medication administration, fetal monitoring, and adherence to OB standards of care. Training and certifications such as BLS/ALS/NRP may be required within designated timeframes.

Qualifications

• Graduate from an accredited school of nursing; RN license required.
• BSN preferred but not required.
• Pass general background check and hold Oklahoma RN license.

Responsibilities

• Coordinate patient transport to higher level of care when needed.
• Administer medications and IV fluids per policy.
• Monitor fetal heart tones and labor/delivery status.
• Provide education to patients and families on medications and pain management.
• Maintain sterile technique and assist in OB procedures.

Skills

Interpersonal communication

Customer service

Basic computer skills

Data entry

Education

Graduate from an accredited school of nursing

Bachelor's of Nursing

Tools

Electronic health records

Job description

Description

We are currently looking for aFull Time Women's Care/Obstetrics Unit RNto join our OB Team team located at the Chickasaw Nation Medical Center.

Responsibilities

• Coordinates the transportation of patients to other healthcare facilities and/or a higher level of care at CNMC when necessary
• Adheres to departmental and hospital safety practices, policies and procedures, and unit practices based upon industry standards/requirements
• Supports the Baby Friendly Initiative 10 steps and Infant Feeding policy and procedure
• Documents nursing care accurately, completely, and legibly
• Collaborates effectively with other disciplines as appropriate
• Provides the patient and/or significant other(s) with education including the safe and effective use of medications, diet and nutrition, safe and effective use of medical equipment, and pain management
• Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of female adult and female adolescent patient populations experiencing pregnancy related and non-pregnancy related conditions, acute medical and surgical gynecological conditions, post-partum conditions, and labor and delivery conditions
• Recognizes and anticipates common changes in the physical, biopsychosocial, and health education needs of the neonate in both stable condition and those experiencing acute medical condition
• Administers prescribed medications, IV fluids, and blood products according to facility policies and procedures
• Administers special medications for OB according to facility policies and procedures including Magnesium Sulfate, Cytotec, and Pitocin
• Assesses the patient on admission to OB Triage and reassesses as indicated, including pain assessments
• Delivers quality patient care in accordance with the OB/GYN/NURSERY Standards of Care
• Documents assessment, interventions, all aspects of patient care, and patient’s response tointerventions according to protocol
• Provides a conducive learning atmosphere and clinical experience for students
• Executes the appropriate line of support when faced with decisions
• Implements emergency procedures and/or interventions related to the age and size of the patient
• Plans and provides holistic patient care in a manner that ensures it is appropriate to patient’s needs, age, culture, and condition in conjunction with the plan of care
• Monitors hemodynamic status of the patients and initiates emergency protocols appropriate for the age and condition of the patient
• Monitors fetal heart tones and communicates to provider appropriate findings utilizing National Institute of Child and Human Development (NICHD) criteria
• Provides the patient and/or significant other(s) with education including the safe and effective use of medications, diet and nutrition, safe and effective use of medical equipment, and pain management
• Provides independent and dependent interventions to achieve and maintain optimal patient responses, restore stability, and prevent complications of the newborn
• Assesses the need for restraint initiation, provides alternatives to restraints, monitors for physical psychological signs of distress related to restraint, document use of restraints, and discontinues restraints as appropriate
• Provides a safe environment for patients, staff, and visitors by the reduction andcontrol of environmental hazards and risks and the prevention of accidents and injuries
• Completes appropriate Universal Protocol for patients undergoing procedures and initiates the “Time Out”
• Assures complete documentation and that the surgical consent and H&P are signed, witnessed, and on the chart
• Assures that all ordered diagnostic tests are performed and the results are posted in the medical record
• Acts as a patient advocate and maintains confidentiality, security, and integrity of data and information
• Transfers care as appropriate utilizing the SBAR system
• Plans and provides comprehensive patient care by utilizing and documenting the nursing process: including teaching patients and their families formulating and evaluating the nursing care plan, and discharge planning
• Monitors hemodynamic status of the patients and initiates emergency protocols appropriate for the age and condition of the patient
• Participates in hospital, departmental, and unit performance improvement activities
• Pursues, maintains, and promotes professional growth by maintaining competencies, sharing knowledge, attending scholarly presentations and/or being involved in professional organizations
• Utilizes any opportunity to meet educational needs and participates in all required educational requirements and in-services
• Maintains and promotes professionalism
• Performs recovery room nursing duties for the immediate post-op patient
• Functions as a circulating nurse as assigned by leadership
• Perform aseptic techniques in preparing for and assisting with surgical procedures
• Calls breaks and/or omissions in technique to the attention of the operating staff and take measures to correct the situation
• Assures access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
• Prepares operative area by cleansing skin
• Assists in maintaining surgical record including procedure, time, participants, time-out, blood loss, medications, positioning, etc
• Prepares and labels specimens for pathological examination and monitoring of sponge, needle, and instrument counts
• Ensures the proper working order of special/surgical equipment
• Observes the need for supplies during operation and replacing them as necessary
• Functions as an OB charge nurse as assigned by leadership
• Makes appropriate and safe patient assignments while facilitating the flow of admissions, discharges and transfers
• Oversees OB triage and provides assistance as needed
• Communicates with House Supervisor and staff nurses about patient status changes
• Supplements staff in a clinical role as needed to ensure the continuum of care
• Ensures that staff provide safe and effective patient-centered care throughout the care areas by assimilating evidence-based standards into decisions
• Utilizes problem‑solving skills and provides direction, support, and constructive feedback to the OB Nursing Team members throughout each shift
• Acts as a clinical resource for OB Nursing personnel using current literature and guidelines, organizational policies and procedures, and regulatory and accreditation standards
• Ensures that all OB Nursing staff function according to these same requirements
• Documents nursing care, incidents, accidents/injuries, and other issues in an accurate, complete, and legible manner
• Reviews the induction schedule as well as staffing for the current and upcoming shifts and notifies OB Nurse Manager and House Supervisor regarding concerns or special needs as necessary
• Shares responsibility for and verifies the general upkeep of the OB department, including the availability of appropriate equipment and supplies and notifies the OB Nurse Manager of any unmet needs
• Prepares and labels specimens for pathological examination and monitors sponge, needle, and instrument counts
• Assists in maintaining surgical record including procedure, time, participants, time‑out, blood loss, medications, positioning, etc
• Prepares operative area by cleansing skin
• Maintains patient position to assure access to the operative area, and uses precautions to avoid obstruction of circulation, respirations, and protection of nerves from compromise of undue pressure
• Promotes the mission, vision, and values of the Chickasaw Nation Department of Health
• Identifies problems competently and provides interventions according to established protocols
• Ensures the proper working order of special/surgical equipment
• Observes surgeon and uses knowledge principles to anticipate what the surgeon will need next
• Makes appropriate and safe patient assignments while facilitating the flow of admissions, discharges and transfers
• Oversees OB triage and provides assistance as needed
• Communicates with House Supervisor and staff nurses about patient status changes
• Supplements staff in a clinical role as needed to ensure the continuum of care in the provision of nursing services within the OB department staffing model as included in the OB Registered Nurse job description
• Ensures that staff provide safe and effective patient-centered care throughout the care areas by assimilating evidence-based standards into decisions
• Assists OB leadership with the oversight of staff participation in focused quality and performance improvement projects
• Acts as a clinical resource for OB Nursing personnel using current literature and guidelines, organizational policies and procedures, and regulatory and accreditation standards
• Ensures that all OB Nursing staff function according to these same requirements
• Documents nursing care, incidents, accidents/injuries, and other issues in an accurate, complete, and legible manner
• Reviews the induction schedule as well as staffing for the current and upcoming shifts and notifies OB Nurse Manager and House Supervisor regarding concerns or special needs as necessary
• Shares responsibility for and verifies the general upkeep of the OB department to maintain a safe environment, including the availability of appropriate equipment and supplies and notifies the OB Nurse Manager of any unmet needs
• Promotes change and growth within the OB department, while serving as a role model of professional behavior
• Performs all other duties as assigned

Competencies

Essential:

• Ability to demonstrate impeccable sterile technique
• Resolves conflicts among personnel, projects and schedules
• Must be proficient in the use of electronic health record keeping systems

Skills

Essential:

• Excellent interpersonal communication and customer service skills, including the ability to interface with and influence associates at diverse levels with different backgrounds and perspectives
• Basic Computer skills
• Accurate typing and/or data entry skills

Experience

Nonessential:

• 1 year directly related experience

Education

Essential:

• Graduate from an accredited school of nursing required

Nonessential:

• Bachelor's of Nursing

Credentials

Essential:

• Pass general background check
• Unrestricted Oklahoma Registered Nurse License
• Basic Life Support (BLS)
• Advanced Life Support (ALS)
• Neonatal Resuscitation Program (NRP)
• S.T.A.B.L.E Certification
• Fetal Monitoring Program
• Perinatal Continuing Education Program

Essential:

• Obtain BLS within one (1) month of hire, if not current
• Obtain ALS within three (3) months of hire, if not current
• Obtain Neonatal Resuscitation Program (NRP) Certification within three (3) months of hire, if not current
• Obtain S.T.A.B.L.E Certification within three (3) months of hire, if not current
• Must complete a basic or equivalent Fetal Monitoring class within 1 year of hire date in OB if not current and additional Fetal Monitoring courses will be assigned as determined by OB leadership

Working Conditions

Essential:

• Works in a hospital or clinic environment
• Stressful environment due to any or a combination of deadlines, pressures, multiple tasks, lines of communication, risks, speed of operations, etc.
• May be required to assist individuals with unmanaged emotions
• Potential exposure to contagious diseases
• Potential exposure to biohazards
• May work irregular hours
• May be required to be available for Call-Back
• Must be flexible with work schedule
• Constantly lift and or carry over 50 lbs
• Manual dexterity
• Frequently assist with lifting patients
• Hand-eye coordination, reach and grasp
• Standing up to 100% of shift
• Walking up to 75% of shift
• Frequently bend, kneel, stoop, push, reach
• May be required to assist individuals who are hostile, agitated or under the influence
• Potential exposure to radiation
• Repetitive motions
• Visual acuity for detail, distance, color, depth perception
• Listening and hearing ability
• Fast-paced environment
• Pass pre-employment drug test

Nonessential:

• Potential exposure to chemicals

Training

• It is the responsibility of each employee to attend required training for their position or profession as determined by their line of support (LOS) or the leadership of the Chickasaw Nation. It is the responsibility of those who supervise, manage or otherwise lead employees or teams to ensure each employee has access to and receives all required training.

Mission, Vision & Core Values

Mission:

• To enhance the overall quality of life of the Chickasaw people.

Vision:

• To be a nation of successful and united people with a strong cultural identity.

Core Values:

• The Chickasaw People
• Cultural Identity
• Servant Leadership
• Selflessness
• Can Do Attitude
• Perseverance
• Stewardship
• Trust and Respect
• Loyalty
• Honesty and Integrity
• Teamwork