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Registered Nurse (RN) Labor & Delivery PRN

Company: St. David's Medical Center
Location: Austin
Posted on: April 19, 2019

Job Description:

DescriptionSHIFT: PRN


St. David's Medical Center is part of St. David's HealthCare, one of the largest health systems in Texas, which was recognized in 2014 with a Malcolm Baldrige National Quality Award. Founded in 1924, St. David's Medical Center is a full-service medical center offering comprehensive medical care at three locations-St. David's Medical Center, Heart Hospital of Austin and St. David's Georgetown Hospital. Located in central Austin, St. David's Medical Center includes a 350-bed acute care hospital and a 64- bed rehabilitation hospital providing comprehensive inpatient and outpatient care. It is home to the internationally renowned Texas Cardiac Arrhythmia Institute and St. David's Neuroscience & Spine Institute. The hospital provides a complete range of women's services, including its acclaimed maternity unit, maternal-fetal medicine, a high-risk maternal and neonatal transport team, the region's largest and most sophisticated Neonatal Intensive Care Unit and The Breast Center; complex surgical services; a comprehensive Bariatric Surgery Center; and a 24-hour emergency department.

St. David's Medical Center was named among the nation's 100 Top Hospitals by Truven Health Analytics from 2010 to 2016. Truven also named St. David's Medical Center to the list of 50 Top Cardiovascular Hospitals in 2013, 2015 and 2016. The hospital earned a national distinction for patient safety from The Leapfrog Group from 2012 to 2016, and it received the 2016 Distinguished Hospital Award for Clinical Excellence from Healthgrades for the fifth consecutive year, as well as Healthgrades' 2016 America's 100 Best Hospitals Award--- for the second consecutive year.

Job Summary

Under the direct supervision of the Supervisor Nursing Unit, and according to hospital policies and procedures, the Registered Nurse assesses, plans, implements, and evaluates nursing care for assigned patients.

Job Function

Performs complete and accurate nursing on assessment assigned patients.

  • Completes admission assessment accurately within 60 minutes of patient admission.

  • Performs and documents patient admission assessment completely as outlined per L&D admission/assessment Policy and Procedure.

  • Identifies changes in patient condition and intervenes promptly and appropriately according to L&D P&P, protocols, and order sets. Reports changes (i.e., test results, abnormal findings, etc.) to the physician and /or SNU appropriately.

  • Assesses and documents patient's educational needs on admission and throughout hospitalization.

    Plans comprehensive nursing care for assigned patients according to written hospital standards and physician orders.

    • Nursing process is reflected in plan of care with assessments.

    • Identifies and prioritizes relevant nursing diagnoses and need for interventions.

    • Reviews and updates plan of care as evidenced by appropriate interventions and nursing care documentation according to Standards of Care and Policy & Procedures.

    • Initiates discharge planning upon admission.

      Provides and documents skilled care to assigned patients in compliance with written hospital Policies

      and Procedures and based upon Standards of Care

      • Performs and documents nursing care according to patient needs in a competent and timely manner.

      • Accurately administers and documents medications according to Policy and Procedure.

      • Provides individualized nursing interventions based on identified nursing diagnoses and plan of care.

      • Initiates appropriate teaching and / or referrals.

      • Carries out appropriate interventions based on identified changes in patient condition.

      • Initiates Chain of Command, as necessary, to appropriately care for patients.

      • Assists the surgical team through case preparation and surgical assistance.

        Evaluates patient care outcomes

        • Evaluates plan of care to determine need for interventions according to established P&Ps, order sets, and protocols.

        • Documents resolution of identified patient problems and communicates unresolved problems to physician and SNU (if indicated).

        • Evaluates effectiveness of patient teaching and revises teaching plan as indicated.

        • Participates in Quality Improvement activities.

          Required: Graduation from an NLN school of professional nursing

          Preferred: Completion of or actively pursuing a BSN degree


          Preferred: Experience as a staff nurse in an acute care setting



          Current license to practice as a Registered Nurse in Texas.

          Current AHA BLS Course C or D provider.

          ACLS provider within 6 months of hire. NRP provider, chapters 1-4, within 6 months of hire.

          AWHONN EFM competency within 6 months of hire if L&D experience, within 1 yr of hire if no L&D experience.

          Preferred: Certification in area of specialty when eligible

Keywords: St. David's Medical Center, Austin , Registered Nurse (RN) Labor & Delivery PRN, Healthcare , Austin, Texas

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