Registered Nurse -OB-GYN Ward

Role Overview

Registered Nurse – OB-GYN Ward at NMC Healthcare. This role focuses on specialized nursing practice in obstetrics and gynecology, with specific responsibilities in neonatal intensive care.

Role Purpose

Deliver expert, safe, and high-quality patient care in the OB-GYN specialty. Act as a subject matter expert, role model, and educator within the interprofessional team while maintaining current clinical and technical competency and supporting organizational learning and audit initiatives.

Key Responsibilities

Patient Assessment and Care Planning

• Perform systematic patient assessment, reassessment, and collection of pertinent data about the patient's health and situation.
• Understand and analyze assessment information and data.
• Determine actual and potential nursing diagnoses, problems, and issues.
• Define predicted and expected outcomes of the patient's planned care.
• Create and evaluate patient care plans with the interprofessional team, in collaboration with the patient and patient's bystanders.
• Assess and identify patients' needs and implement and monitor the patient's medical plan and treatment.

Neonatal Intensive Care

• Provide direct care and related duties in critical care with current knowledge of critical care nursing practice and standards.
• Plan, implement, and evaluate nursing care given to assigned neonate in an effective and organized manner.
• Perform appropriateness review of medications before preparing and administering medications as required.
• Maintain continuous care for infant with receiving articles including warmer, suction, oxygen, AMBU bag, and ET tubes.
• Receive the infant from the labor room or operating room when required.
• Perform initial assessment and stabilization of the newborn in the neonatal intensive care unit, including placement on continuous hemodynamic monitoring, thermoregulation maintenance, capillary glucose monitoring, and carrying out doctor's orders within scope of practice.
• Demonstrate complete skill in performing immediate newborn care procedures including insertion of nasogastric or orogastric tube, gastric lavage, aspiration, administration of Vitamin K injection, IV cannulation, and check for anal patency.
• Perform newborn assessment including anthropometric measurements.
• Perform aseptic venipuncture, initiate IV, and care for infant with peripheral, umbilical, and central IV.
• Demonstrate in-depth knowledge and skill in assessing and caring for newborn with congenital abnormalities.
• Demonstrate in-depth knowledge in the care of infant under phototherapy.
• Assist with umbilical catheterization and collection of specimens and blood for diagnostic testing.
• Assess and document vital signs at specified frequency as per hospital policy.
• Set up peripheral cannulation, CPAP, hood oxygen, and nasal prong.
• Assist with intubations by preparing for the procedure.
• Perform or assist with feedings and encourage breastfeeding.
• Perform baby bath, cord care, and eye care meticulously for infants.
• Perform newborn screening test including audiometry.
• Assist with transfer of newborn or infant within health care facilities and serve as transport nurse during ambulance transport.
• Demonstrate competency in neonatal resuscitation and perform when needed.

Medication Management

• Prepare, administer, and document all neonatal medication as per hospital policies.
• Maintain predominant role in preparation, administration, and documentation of medication.

Patient and Family Support

• Support patient care by educating patients and the public about various health conditions.
• Provide advice and emotional support to patients and their family members.
• Provide for the physical, psychological, and social needs of the patient and families.
• Provide health education to infants' parents about care of infant at home including breastfeeding and immunization.

Clinical Practice and Procedures

• Perform a wide range of nursing procedures with attention to accuracy, patient safety, and comfort, including those requiring strict aseptic technique.
• Understand different diagnostic tests and laboratory examinations.
• Maintain and update technical and clinical skills related to nursing practice.
• Employ strategies to promote patients' health and a safe environment.

Neonatal Knowledge and Safety

• Demonstrate in-depth knowledge of newborn safety, newborn identification policy, hypoglycemic protocol, visitation policy, immunization schedule, and breastfeeding.
• Demonstrate knowledge and skills necessary to care for neonates born at risk.

Professional Development and Education

• Develop and maintain a learning culture amongst nurses, particularly in the specialist field.
• Be a role model and always seek to improve the safety and quality of care delivered to patients in the specialist field.
• Support the nurse educator with training programs and training needs analysis within the specialized field.
• Maintain and update technical and clinical skills related to nursing practice.

Governance and Audit

• Be a member of the interprofessional team as a subject matter expert in the field of specialization.
• Support and lead audit and data collection in the area of specialization for KPIs and benchmarking.

Qualifications & Experience

• Appropriate license to work as a registered nurse in the relevant regulatory health authority with all qualifications and experience mandated.
• Hold a valid American Heart Association Basic Life Support Provider card.
• Post-graduate specialist qualification, diploma, degree, or master's in the specialty.
• Previous experience within the specialist field.
• Be an expert registered nurse with advanced education, training, or certification in specialized area of practice.

Skills & Competencies

• Clear and effective communication in English (spoken and written).
• Neonatal resuscitation competency.
• Advanced clinical and technical nursing skills specific to neonatal and critical care practice.
• Subject matter expertise in obstetrics and gynecology specialty.
• Ability to work effectively as part of an interprofessional team.
• Competency in aseptic technique and infection control procedures.

Additional Information

• Manage own professional re-licensure.
• Be willing to work across departments when necessary.