Attachment B - Statement of Duties Womens Health Unit RN.pdf

03/2016

Indian Health Service

Statement of duties

Position title:

Duty location:

Provide specific statement of duties for position to be filled:

1. BCLS

2. NRP

3. Fetal Monitor Course

Shift:

80-84 Hrs Per Pay Period / 12 Hr Day/night Shifts /includes, Weekends and Holidays

Statement of Duties: The Women’s Health Unit at Gallup Indian Medical Center cares for complex high-risk populations. We are a referral center for Zuni Hospital, Crownpoint Hospital, and Fort Defiance Hospital. The unit has 5 LDR rooms, 2 triage beds and 7 postpartum beds. The total number of deliveries per year is estimated at 450 with a C-Section rate of 19% in 2018. Care is provided for patients from antenatal through post-partum with 24/7 rooming-in of the neonate. Antenatal testing is completed on the floor in triage as an outpatient service. We have the capacity to continuously monitor with central monitor capability in each labor room, in the nurses station and at the provider desk. We also have the capability to monitor up to four active fetal strips from monitors in the OB clinic and in provider offices. A fully equipped OR on the floor allows for prompt response to a need for Cesarean Sections. Primary care providers consist of Certified Nurse Midwives and Obstetricians. AWHONN staffing guidelines are used taking into account patient acuity as well as staff experience and competence.

Contract nursing duties:

• Conducts scheduled NST’s

• Triage patients in collaboration with CNM

• Administers iron infusions for prenatal and postpartum patients

• Administers blood transfusions

• Assists with patient transfers to higher level of care

• Provides care to laboring patients o Admits patients with IV start o Administers Pitocin o Administers Magnesium Sulfate o Administers Labetalol o Administers antibiotics o Administers uterotonics as needed o Foley insertion o Monitors patients using electronic fetal monitoring and intermittent auscultation o Assists with epidural/spinal anesthesia o Manages labor in collaboration with CNM o Circulates during C-Sections (will train as needed)

• Provides care to neonate o Acts as baby nurse during delivery (NSVD and C-Section) o Provides resuscitation as needed o Administers Vitamin K and Erythromycin o Practices Baby Friendly 10 steps for successful breastfeeding o Provides care during postpartum period o IV starts with assistance o Administers antibiotics as needed

• Provides care to postpartum patients o Recovers patient with spinal after C-Section (will train as needed) o Daily shift assessments o Administers uterotonics as needed o Supports breastfeeding o Provides discharge teaching