Under general supervision, provides direct patient care to assigned patients.

Education

Associate Degree from an accredited School of Nursing required. Bachelor’s degree in Nursing (BSN) from an accredited School of Nursing preferred.

Experience

2 year of Neonatal Intensive Care Unit (NICU) experience required.

Knowledge, Skills and Abilities

Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.Excellent communication and interpersonal skills.Effective planning and organizational skills in order to effectively manage multiple priorities simultaneouslyStrong analytical skillsEffective skills in use of computer programsAdvanced skill in managing operational flow and unit activities for the overall benefit and smooth operation of the unitDemonstrates skill in patient experience and service recoverySkill in allocating nursing and support resources to provide smooth and efficient, high quality care to patients assigned to unitAble to delegate assignments and provide direction to nursing personnel

Licensures, Certifications

Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.Healthcare Provider CPR biennialAdditional certifications (i.e. ACLS, PALS, NRP) for specialty care areas are required upon hireCertification in specialty preferred

Physical Requirements

Ability to stand and walk almost constantly up to ninety 90% of work time and lifting and positioning patients up to fifty 50% of work timeAbility to concentrate and pay close attention to detail and often in stressful situations

Working Conditions

Normal patient care environment with possible exposure to excessive noise, dust, temperatureExposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases

Conditions of Employment

Maintain current licensure and certification

Principal Duties and Responsibilities

Utilization of Nursing Process

Assessment

Attends all deliveriesUpon delivery, performs initial infant assessment using NRP guidelinesAssigns Apgar scores and completes L&D Delivery RecordCommunicates with NICU MD, Advanced Practitioner, and charge nurse in the event that infant needs to be transferredPerforms initial infant blood glucose by heel stick as per policyCompiles database and formulates nursing diagnosis.Utilizes physical assessment and interviewing techniques.Anticipates need for intervention by other disciplines.Determines priorities for patient care needs or problems.Reassesses the patient as indicated by changes in condition and/ or response to treatment(s)

Planning

Ensures that infant warmers in birthing rooms and operating rooms are stocked with the appropriate equipment and functioning properlyChecks the Neonatal Resuscitation cart at the beginning of each shiftCommunicates infant supply needs to Supply and Equipment Specialist as necessary to ensure that supplies and equipment are readily availableInitiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.Incorporates information obtained from nursing care planning conferences into written nursing plan of care.Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.

Implementation

Performs infant vital signs per policy while infant in L&DEncourages skin to skin with patientEncourages breastfeeding within the first hour of life when appropriate. Provides patient education and assistance when necessary.Performs clinical nursing skills independently.Administers medications, IV therapy and treatments appropriately and accurately.Initiates appropriate emergency procedures as necessary.Appropriately delegates and coordinates the duties of ancillary personnel.Communicate the patient's status and plan of care through written documentation in the patient's medical recordVerbally communicates the patient's status to physicians, nurses and other health care professionals.Communicates in a therapeutic manner with the patient, family and visitors.Applies teaching/learning principles in education of patient and family.Other duties assigned by the charge nurse.

Patient Care Coordination

Communicates and coordinates care with the NICU and Newborn Nursery throughout the shift                      Manages daily patient assignment by appropriately setting priorities.Delegates responsibility appropriately and monitors the nursing careDelivered to patients by ancillary personnel.Coordinates patient activities with other disciplines.

Teaching and Quality Improvement

Educates the family on the following:        Expected initial infant assessment findings after deliveryImportance of skin to skin contactImportance of early and exclusive breastfeedingDevelops, documents and implements Patient Teaching and Discharge Planning Record.Participates in established patient, family, staff and/or student education program.Participates in clinical monitoring at the unit level.Identifies unit, staff and patient care problems.  Takes action or refers problems to appropriate resources when indicated.

Professional Excellence Model

RN 3’s will participate in Leadership and Professional Development and unit based Shared Governance.

Other leadership options include:

Administrative Responsibilities

Charge RNProductivity/Patient flowProvides input for performance evaluationsInterview Process/Share time/Evaluation of candidate

Education and Practice Responsibilities

PreceptorCompetency ValidatorMentoringInservice and Education roll outEBP participation

Quality and Safety Responsibilities

LMSAuditsHCAHPS and Patient ExperienceMock Tracers

All roles must demonstrate GBMC Values

GBMC ValuesValue Description

Respect

I will treat everyone with courtesy. I will foster a healing environment.

Treats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

Meets and/or exceeds customer expectationsActively pursues learning and self-developmentPays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

Sets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

Works cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

Demonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

Embraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficiently

Pay Range

$32.50 - $55.78

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.