Registered Nurse OB Resource Team

Registered Nurse OB Resource Team

Delivers and ensures patient care by assessing and diagnosing patient's condition, developing plan of care and evaluating patient's response to care. Participates in patient education and discharge planning. Collaborates with, coordinates and guides designated care team members in planning patient care and achieving goals.

Job Responsibility

• Provides and ensures patient care by assessing and diagnosing patient's condition, developing a plan of care, and evaluating patient's response to care. Collaborates with, coordinates, and guides designated care team members in planning patient care and achieving goals. Participates in patient education and discharge planning.
• Develops and evaluates the plan of care by systematically and continuously assessing the patient's knowledge base and physical, psychosocial, and spiritual health. Consults with the multidisciplinary health care team regarding nursing assessment findings and creates an individualized plan of care based on patient problems, anticipated length of stay, and input from the patient and family. Communicates pertinent information and changes in patient status to the care team and other health care providers as necessary, and collaborates with team members to make necessary changes to the plan of care.
• Provides and/or delegates patient care according to the plan of care and established protocols. Utilizes clinical resources in implementing patient care and provides rationale for patient care decisions. Conducts clinical rounds, provides emergency care, and administers medications. Operates equipment required for patient care according to manufacturer's recommendations. Performs and assists with procedures and treatments on the unit, including dressing changes, feeding patients, and providing pre/post-operative care. Practices and monitors infection control standards and promotes patient safety in accordance with state and federal guidelines.
• Documents patient care as required on all appropriate forms. Enters the date and time of entry and signs legibly on the patient's chart. Completes the Nursing Admission Assessment within 24 hours of admission. Documents the patient's response to interventions and the plan of care on the Progress Notes. Performs vital signs and pain score at least every four hours. Completes Transfer Assessments on patients transferred out of the unit and Perioperative Assessments on patients scheduled for surgery or procedures. Completes Frequent Observations and the Intake/Outtake Record according to established protocols. Initiates and completes health care referrals in collaboration with the interdisciplinary team.
• Provides patient education by identifying patient learning needs upon admission. Informs and educates the patient and family to enable participation in their care and decision-making. Develops and implements a teaching plan of care and conducts patient teaching conferences. Documents patient teaching.
• Participates in the Quality Improvement process by participating in the development and implementation of unit goals and objectives. Attends in-service programs on new products and equipment. Completes occurrence reports according to policy and unit-based audits as assigned. Participates in identifying problems requiring investigation and in developing and implementing corrective action plans for the unit.
• Participates in unit staff meetings and unit-based clinical conferences as scheduled. Represents the clinical unit on committees as assigned. Submits an annual record of continuing education and self-assessment of clinical performance.
• Performs the responsibilities of charge nurse and preceptor according to established protocols, as assigned. Performs related duties as required.

Key skills/competency

• Registered Nurse
• OB Resource Team
• Patient Care
• Assessment and Diagnosis
• Plan of Care Development
• Patient Education
• Discharge Planning
• Team Collaboration
• Quality Improvement
• Infection Control