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Registered Nurse – Labor and Delivery. Tucson Medical Center (TMC) is Tucson’s only non-profit community owned hospital. Our high-acuity Labor & Delivery unit includes a dedicated triage area and supports over 5,500 deliveries annually. We care for high-risk antepartum and intrapartum patients, with 16 LDR beds, 8 antepartum outpatient beds, 4 NST bays, and 3 pre/post-op beds. We have 24/7 in-house coverage by perinatologists, neonatologists, OB anesthesiologists, obstetricians, and two midwifery groups. The unit features 3 dedicated ORs for scheduled and emergent procedures. Our nurses are cross-trained to serve as pre-op, intra-op (circulator), PACU, and newborn care nurses, providing full-spectrum care. Triage nurses manage OB concerns for patients over 20 weeks and perform scheduled procedures like NSTs and versions. The team includes 14 RNs certified in Inpatient Obstetrics, with additional subspecialty certifications in electronic fetal monitoring. All nurses are NRP and ACLS certified.
Job Responsibility:
Coordinates patient care planning with other disciplines utilizing the principles of the nursing process and critical thinking skills in order to maintain patient safety and well-being
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care
Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans
maintains patient documentation
Receives and reviews preceding shift reports and floor nurse reports
makes complete rounds of all units, and notes patients' condition
Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation
Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family offering informational material and pointing out special areas of concern
Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care
Identifies and resolves workplace health and safety issues
Provides appropriate, direct patient care utilizing appropriate aseptic techniques
May manage IV lines, ensure that sterile techniques are adhered to, and oversee patient movement and positioning to ensure that the patient is handled in a medically safe manner
May perform the administration of pharmacological vasodilator medications for the purpose of nuclear myocardial perfusion imaging
complies with examination competency as defined in the Imaging Services Practice Standards
Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur
Orients, instructs, and educates assigned personnel
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards
Performs related duties as assigned
Requirements:
Graduation from a qualified, nationally-accredited nursing program
One year of nursing experience in an acute care setting preferred
Current RN licensure permitting work in the State of Arizona
Basic Life Support (BLS) certification required
Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
Knowledge of exam indicators, contraindications and patient preparation
Skill in communicating in a clear and concise manner with staff involved in critical care, and physicians to ensure the proper care of patients
Skill in reading 12-lead EKG
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others’ communication or instructions to take appropriate action
Ability to speak and communicate effectively
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables
Nice to have:
Skill demonstrated in assigned disciplines such as EP, directly involved in patient care
For Outpatient Hospice & Pediatrics areas, valid Arizona Fingerprint Clearance Card within 6 months of hire
For Mental Health only Crisis Prevention Instruction (CPI) required
Some departments such as OR, Ambulatory Surgery, Pediatrics/PICU, PACU, and GI Lab will require advanced life support certification (ACLS and PALS)
(Additional certification may be required for some specialties, such as EP certification from International Board of Heart Rhythm Examiners for Special Competency in Cardiac Electrophysiology for the Associated Professional or equivalent certification.)