RN -L&D/NICU
JOB TITLE: RN-Women’s Health & Newborn Care-Labor & Delivery (L&D)/Neonatal Intensive Care Unit (NICU)
JOB CODE: 5545 / 5540
JOB HOURS: Various Shifts, Call as Assigned
STANDARDS OF BEHAVIOR:
It is expected that all of the duties and responsibilities of this position will be performed in a manner that reflects the Four Key Values of Bothwell Regional Health Center, which are: Community, Purpose, Integrity, and Joy.
JOB SUMMARY:
The RN –L&D/NICU, provides routine to high-acuity obstetric, intrapartum, operative, and neonatal care, requiring advanced clinical competencies, rapid clinical judgment, and specialty certifications. This role functions with a higher level of autonomy and responsibility due to increased patient acuity, regulatory oversight, and safety risk.
The RN reports to the team lead/Charge Nurse, Manager, and Director, following the established chain of command.
QUALIFICATIONS:
- Education:
- RN graduate of Accredited School of Nursing
- Licensure/Certification:
- Must have a valid, current license by the Missouri State Board of Nursing.
b.)Current Basic Life Support (BLS) certification required
c.)Upon hire or within first year of employment
1.Advanced Cardiac Life Support (ACLS)
2.Sugar, Temperature, Airway, Blood Pressure, Lab work, Emotional
Support (STABLE)
3.BASIC Fetal Monitoring
4.Neonatal Resuscitation Practioner (NRP)
5.Intermediate and Advanced Fetal Monitoring
- Work Experience:
a) Successful completion of hospital and department orientation.
L&D / NICU Eligibility Criteria:
1. To be eligible for assignment to Labor & Delivery and/or NICU, staff must meet
at least one of the following criteria and complete all required onboarding steps:
Standard Eligibility Pathways:
1. A minimum of twelve (12) months of mother/baby experience post-orientation,
OR
2. A minimum of twelve (12) months of Labor & Delivery and/or NICU
experience post-orientation
Special Circumstances (Exception Pathway):
1. Exceptions to the above experience requirements may be granted only under
special circumstances and must receive prior approval from the Director of
Women’s Health & Newborn Care
2. Approval will be based on one or more of the following:
- Demonstrated clinical competency
- Relevant prior experience
- Departmental staffing needs
- Operational necessity
Additional Requirements (All Pathways)
- Completion of:
- Formal application
- Structured interview
- Objective competency assessment
RESPONSIBILITIES/JOB DUTIES:
Clinical Care:
1. Labor management, inductions, augmentation, and obstetric triage
2. Delivery attendance and immediate newborn stabilization
3. Operating Room (OR) circulation and Post-Anesthesia Care Unit (PACU)
recovery for Cesarean sections
4. NICU care as applicable (Level II)
5. Routine newborn care within first hours of life and/or stabilization for transfer to
higher level facility, admission to BRHC NICU, or to Women’s health & newborn
Care (WHNC) for routine care
6. Obstetric (OB) emergency response (hemorrhage, shoulder dystocia, eclampsia,
hypertensive crisis)-OB Alert
7. Pain management including epidural and post-operative care
8. Fetal heart rate and contraction monitoring per AWHONN standards
9.Initiation of intrauterine resuscitation and escalation per protocol
10.Perform other duties as assigned
Regulatory, Safety and Unit-Based Accountability:
1. Complete shift checklists, including:
- Room readiness
- Equipment checks
- Emergency cart verification
2. Participate in monthly cleaning logs, instrument checks, and supply audits
3. Maintain compliance with:
- Hand hygiene audits
- Documentation standards
- Infection prevention practices
4. Ensure accurate, timely, and complete documentation in the Electronic Medical
Record (EMR)
5. Participate in chart reviews and quality audits as assigned
Professional Expectations:
1. Attend required staff meetings
2. Complete annual competencies, independent education, and skills validation
3. Serve as a clinical resource and mentor to Mother/Baby staff and new hires
Staffing & Scheduling Expectations—L&D/NICU:
- Scheduled to L&D and NICU
- Receives specialty differential when assigned to L&D/NICU roles, but not while staffing mother/baby; regardless of reason.
- Scheduling flexibility required:
a.) Position may include or require working every other weekend and additional
shifts as needed based on census, vacations, or staffing vacancies to ensure
safe patient care and staff safety. Preferred scheduling is utilized when
possible; however, schedules are not guaranteed and are aligned with patient
care and staffing needs.
REQUIRED STAFF COMPETENCIES:
- Demonstrates support for organizational and departmental mission.
- Supports and demonstrates knowledge of the Strategic Plan and the Hospital Key
Initiatives.
- Fosters and promotes teamwork within department and the organization as a
whole.
- Works to resolves conflicts constructively and in a timely manner.
- Ability to communicate effectively and simply with every customer and co
worker.
- Ability to display a positive, courteous and friendly attitude toward all contacts.
- Ability to build good relationships with others based upon a sustained effort of
mutual support toward common goals.
- Ability to exercise good judgment, reasoning and concentration to detail and to
take personal accountability for all actions in carrying out job duties.
- Is customer focused and committed to Quality and Process Improvement with a
strong desire to provide service excellence.
- Possesses and displays a strong knowledge and understanding of the standards of
practice for their position including, if and when applicable, commensurate computer skills; population specific and general competencies; organizational skills, time and project management.
- Possesses a vigorous and enthusiastic desire to learn and to grow both personally
and professionally, and to improve one's skills in order to deliver the best possible care for our customers.
WORKING CONDITIONS:
- Direct patient contact, possible exposure to infections, communicable diseases and bloodborne pathogens.
- Handles emergency or crisis situations.
- Works in a variety ot temperatures
- Working conditions will comply with ADA guidelines
PHYSICAL AND MENTAL REQUIREMENTS (ADA COMPLIANCE
Frequency Scale: 1 = Rarely/Never; 2 = Occasionally; 3 = Frequently and 4 = Consistently
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I acknowledge that I have read and understand the above job description in its entirety and I am capable of performing all of the stated requirements.
Employee’s Signature____________________________ Date: ____________________
Employee’s Printed Name________________________