Pulse Healthcare
Sitka, AlaskaRN, L&D
About the role
Labor & Delivery Registered Nurse (RN)
Shift Information
7 PM to 7 AM on varying nights of the week.
Job Description
The Registered Nurse (RN) in Labor and Delivery provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN utilizes the nursing process to assess, plan, implement, and evaluate patient care while delivering high-quality, culturally sensitive, and patient-centered services.
Key Responsibilities
• Perform comprehensive patient assessments and develop individualized plans of care.
• Implement and evaluate nursing interventions and patient responses.
• Administer medications and treatments safely and accurately per provider orders and policy.
• Recognize changes in patient condition and initiate appropriate interventions or escalation of care.
• Provide patient and family education related to care, medications, and discharge needs.
• Deliver culturally responsive, patient-centered care.
Nursing Judgment & Clinical Decision-Making
• Perform and interpret comprehensive assessments and recognize significant changes in patient condition requiring nursing intervention or provider notification.
• Exercise independent nursing judgment in determining appropriate nursing actions, interventions, and priorities.
• Develop, implement, evaluate, and revise individualized nursing plans of care based on patient needs and clinical circumstances.
• Integrate clinical findings with ethical principles and cultural considerations when making nursing decisions.
• Accept accountability for nursing decisions, delegated tasks, and outcomes of nursing care in accordance with regulatory requirements.
Care Coordination & Documentation
• Collaborate with providers and interdisciplinary team members to coordinate care.
• Facilitate referrals, follow-up care, and continuity of services.
• Document assessments, interventions, and outcomes accurately and timely in the electronic health record.
• Advocate for patient care and assist patients in navigating the healthcare system.
Quality, Safety & Compliance
• Practice within nursing scope of practice and adhere to regulatory and safety requirements.
• Participate in quality and performance improvement activities.
• Maintain required competencies and certifications.
• Report adverse events, near misses, and unsafe conditions per policy.
Teamwork & Professional Practice
• Demonstrate professionalism, accountability, flexibility, and teamwork.
• Provide appropriate guidance and delegation to ancillary staff.
• Support orientation, mentoring, and education of staff, students, and peers.
• Float to other departments or assignments as needed.
Qualifications
• Associate's degree in Nursing from an accredited program.
• Current, unrestricted Registered Nurse license in the State of Alaska.
• Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) certifications are required.
• Clinical competency required within 3 months and every 3 years.
• High-Risk Competency required within 3 months and on an annual basis.
Knowledge, Skills & Abilities
• Knowledge of nursing principles, evidence-based practice, medication safety, and infection prevention.
• Strong clinical judgment, organization, prioritization, and communication skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Proficiency with electronic health records and clinical systems.
Physical & Work Requirements
• Ability to lift, push, pull, and move up to 50 pounds.
• Ability to stand for extended periods and perform bending, stooping, and kneeling.
• Ability to work in a moderate-to-high noise clinical environment.
Safety Responsibility
Employees are responsible for complying with safe work practices, reporting injuries and unsafe conditions, and cooperating in safety investigations.