STAFF RN - Birthing Center

Description

Brattleboro Memorial Hospital /

Southern Vermont Health Services Corporation

Job Title: STAFF RN - Birthing Center

Job Code: 250

Hours: 36 hour nights

FTE: .9

Weekend Schedule: Rotating

Holiday Schedule: Rotating

Call Schedule:

FLSA Status: Hourly

Department Name: Birthing Center

Location: Brattleboro, Vermont

JOB SUMMARY:

The Registered Nurse is responsible for assessing the health status of individuals and groups, establishing nursing diagnosis, establishing goals to meet identified health care needs, planning a strategy of medical or health care, prescribing nursing interventions to fulfill the strategy of care, implementing the strategy of care and evaluating documented responses to interventions.

The Registered Nurse is responsible for assessing the health status of individuals preparing to undergo surgery, identifying and intervening on risk factors according to anesthesia protocols and providing essential pre-op education so as to assure patient understanding and limit day of surgery cancelations. The RN must use critical thinking and nursing judgement to assess risk and to see that all requirements of the anesthesia protocol are met and assure that abnormal test findings are communicated to anesthesia or the surgeon as needed.

The RN works in collaboration with the surgeons’ office, the OR and Anesthesia to assure that the patients vital and required information is recorded and available for Anesthesia and the Surgeon to review and reconcile on the day of surgery. 

The Registered Nurse also delegates those interventions which may be performed by others, supervises others as appropriate, assists in maintaining a safe environment for the rendering of effective nursing care, provides education to patients, families and health professionals and collaborates with other health professionals in the planning and management of health care.  

Dept. Scope of Service:

Perioperative Services consists of the Preoperative Assessment Clinic (PAC), Operating Room (OR), Post-Anesthesia Care Unit (PACU), Ambulatory Care Unit (ACU), Endoscopy, Minor Procedures and Sterile Processing Dept. Patients are cared for from 10 months until the end of life. General surgery, limited vascular, thoracic, head and neck/ENT, OB/GYN, orthopedic, urology, dental, ophthalmology, podiatry and plastic surgery are performed in the three rooms. Holmium laser, Greenlight laser, and ESWL are provided through outside contract services. Cesarean sections are performed in the Birthing Center operating room.  

Perioperative Services is staffed by Registered Nurses, Surgical Tech/LPN, Surgical Tech-Endoscopy, Surgical Techs, an Anesthesia Tech, Materials Specialist, Scheduler/Staffing Coordinator, Sterile Processing Techs, a Unit Secretary/LNA, Operating Room Assistant, Infomatics Nurse and a Director of Perioperative Services.  

The OR provides care 24 hrs a day, each day of the year for patients aged ten months until the end of life. The OR’s elective schedule is from 7:00am to 3:30pm. Care is coordinated between physician offices, the OR, Anesthesiology, the Preoperative Screening RN, and the Team Leader for PACU / ACU and the OR / SPD. Predictable starting times for surgery and admitting times for patients are established by the Director or designee.

The PACU has an area for the immediate preoperative care and reassessment of patients for surgery, for the admission and discharge of select ACU patients, and primarily, for the provision of intensive observation and care of patients following operative and special procedures.

Sterile Processing processes and decontaminates instruments and equipment for the OR and Nursing Units house-wide.

The ACU includes Endoscopy and the Minor Procedure Room, caring for surgical /medical patients, and providing pre and postoperative care and education services. Patients having minor procedures and endoscopy requiring moderate sedation/analgesia are also receiving care. 

Preoperative Screening is an area staffed by, (2) Registered Nurses and a Unit Secretary. Patients are interviewed prior to surgery, pre-op consults and test results reviewed and anesthesia guidelines followed to assure adequate patient assessment and preparation prior to surgery.

Requirements

QUALIFICATIONS:

Education: 

• Graduate of RN accredited program required, BSN Preferred.

Experience: 

• Ambulatory Care or Same Day Surgery experience
• Recent critical care or pre/post surgical experience
• ACLS Certification
• Computer skills and previous electronic charting experience

Licensure/Certification: 

• Registered Nurse currently licensed by the State of Vermont required or compact license required

Additional requirements: 

• Lifting up to 50 pounds.
• Requires eye/hand coordination and manual dexterity.
• Normal or corrected vision/hearing.
• Lifting and/or moving patients from one point to another.
• Requires ability to work in a fast-paced environment while managing multiple priorities.
• Ability to work with patients, families and public experiencing stressful situations.
• Ability to perform keyboarding functions.
• Environment & Working Conditions: Potential exposure to hazardous material, body fluids, bloodborne pathogens and communicable diseases.
• Potential for injury due to physical demands.

OSHA CATEGORY

• OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.

PHYSICAL DEMANDS

On-the-job time is spent in the following physical activities.

• Standing - Up to 1/3
• Walking - Up to 1/3
• Sitting - 2/3 or more
• Talking or Hearing - 2/3 or more
• Use of hands to finger, handle or feel - Up to 1/3
• Pushing/Pulling - None
• Stooping, kneeling, crouching or crawling - None
• Reaching with hands and arms - Up to 1/3
• Tasting or smelling - None

This position requires that weight be lifted, or force be exerted.

• Up to 10 pounds - 2/3 or more
• Up to 35 pounds - 1/3 to 1/2
• Up to 50 pounds - None
• Up to 100 pounds - None
• More than 100 pounds - None

This position has special vision requirements.

• Close Vision (clear vision at 20 inches or less)
• Color Vision (ability to identify and distinguish colors)
• Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)

WORK ENVIRONMENT

This position requires exposure to the following environmental conditions.

• Wet, humid conditions (non-weather) - None
• Work near moving mechanical parts - Up to 1/3
• Fumes or airborne particles - Up to 1/3
• Toxic or caustic chemicals - Up to 1/3
• Outdoor weather conditions - None
• Extreme cold (non-weather) - None
• Extreme heat (non-weather) - None
• Risk of electrical shock - None
• Work with explosives - None
• Risk of radiation - None
• Vibration - None

The typical noise level for the environment is:

• Very Quiet
• Quiet
• Moderate Noise
• Loud Noise

Hearing

• Ability to hear calls
• Ability to hear instructions from physician/department staff/others

EEO/ADA Statement

Brattleboro Memorial Hospital provides equal employment opportunities to all applicants and employees and strictly prohibits any type of harassment or discrimination in regard to race, religion, age, color, sex, disability status, national origin, genetics, sexual orientation, protected veteran status, gender expression, gender identity, or any other characteristic protected under federal, state, and/or local laws.

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Brattleboro Memorial Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Human Resources.

Compensation Disclosure in Accordance with Vermont Act 155

In compliance with Vermont Act 155, Brattleboro Memorial Hospital provides the compensation range for this position in good faith. The listed range represents the pay scale reasonably expected for a successful candidate based on factors such as relevant experience, education, internal equity, and market competitiveness. Final compensation will be determined during the hiring process.