OB Technician, Labor & Delivery

Job Description

At the delegation of the registered nurse, assists the nurse in the provision of basic patient care. Demonstrates working knowledge of reasons for tests, procedures, treatments and potential signs and symptoms of complications.

Demonstrates the knowledge and skills to provide for the physical, psycho/social, safety, cultural, and related patient needs appropriate to the age of the patients of the clinical population served.

Responsibilities

PATIENT POPULATION - (CLINICAL ONLY) 5%
  • Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient.
  • Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately.
  • Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms.
  • Performs treatments, administers medication or operates equipment safely.
  • Recognizes and responds to signs/symptoms of abuse or neglect.

Teamwork/Collaboration: - 10%
  • Participates in unit team and governance based activities.
  • Accomplishes work by: Asking for help in identifying and accomplishing goals and solving problems. Giving and seeking input from others.
  • Assisting others in solving problems and accomplishing tasks. Sharing information, ideas, and suggestions.
  • Notifying others of changes or problems in a timely manner.
  • Builds and maintains relationships by: Giving and accepting feedback from team members and others in order to perform the job.
  • Acknowledging others' skills, experience, creativity, and contributions. Listening patiently to others in conflict situations.
  • Acknowledging and defining problems in a calm, collaborative manner.
  • Works effectively with team/work group to accomplish daily team/unit tasks; works proactively to achieve team/unit goals and facilitate group cohesiveness.

Transportation: - 5%
  • Incorporates patient safety and comfort to transport patient to/from other areas as directed; provides backup transport services to any department and/or other unit and/or assists with discharging patients home.

Communication/Coordination: - 10%
  • Supports patient care environment by communicating verbally and through written documentation.
  • Facilitates patient/family orientation through explaining steps of the: Call signal, Visitor policy; location of visitor lounge . Mealtimes, cafeteria location and hours, coffee shop location and hours
  • Use of side rails; safety standards; no smoking policy
  • Reports to the RN and documents all pertinent patient information accurately, concisely and timely, charting/documentation is done according to hospital policy/procedure.
  • Participates in care planning and outcome evaluation with team members through change of shift report activities, ongoing communication/documentation, etc.
  • Posts appropriate patient care signage (e.g. hearing impaired, isolation, etc. in patient's room).
  • Performs necessary computer functions as needed: e.g. order entry; obtaining lab receipts; LINK, etc.
  • Facilitates transfers and discharges: collects patient's personal belongings, assists patient to wheelchair or stretcher, accompanies patient to new room and/or discharge area.
  • Reinforces patient instructions for clinical and equipment issues.

Safety Awareness: - 5%
  • Demonstrates understanding of conditions and can apply needed knowledgeable skills that affect patient, self, and/or employee safety under normal conditions and conditions that occur in crisis situations:
  • Ensures patient identification through the application and monitoring of Patient ID band placement.
  • Initiates and maintains all procedures related to infant security. Ensures beds are in appropriate position and locked at all times; ensures that side rails remain in up position as indicated.
  • Maintains safety standards and use of proper body mechanics while assisting patients in moving, sitting, or ambulating.
  • Ensures that patients are secured appropriately when transported by wheelchairs/stretchers.
  • Adheres to infection control standards and practices, uses good hand washing and aseptic technique, utilizes universal precautions; adheres to isolation procedures, keeps unit clean, removes equipment from room when no longer in use, and changes linens promptly when wet or soiled.
  • Safety hazards are corrected and/or reported to the appropriate person/ department; location of all fire alarms and extinguishers are known.
  • Adheres to standards for disposal of all waste and body fluids. Adheres to standards of radiation safety.

Environment - 5%
  • Assists in maintaining a clutter-free patient room and ensures necessary supplies and equipment are available and acceptable.
  • Checks personal protective boxes in each room. Checks oxygenated prams and isolettes for oxygen.
  • Ensures that necessary equipment is in patient room and is in working order; appropriate department for repair as needed.
  • Ensures that needed articles are within patient's reach. Verifies and orders unit stock and materials as necessary.

Professional/Career Development - 5%
  • Assists with orienting, coaching, mentoring of new employees. Plans and organizes time appropriately to accomplish assigned tasks. Learns and applies new techniques and technologies. Attends required in-services and education programs. Participates in unit-based governance activities.

Clinical: - 55%
  • Performs aspects of clinical care as assigned or delegated by the RN. All clinical procedures will be done under the supervision of an RN who has assessed the patient and determined appropriate tasks for delegation.
  • Makes observations as directed by RN and reports deviation to RN. Treatment and Procedures: (performs the following as delegated by the RN): Performs scrub duties for obstetrical surgical cases, demonstrates knowledge of care and use of all equipment, instruments and supplies used for surgical procedures.
  • Assists with vaginal deliveries (places legs in stirrups, scrubs perineum, and drapes patient. Weighs patient: standing or bed weight. Performs bedside glucose finger sticks. Performs Q.C. on lab instruments.
  • Gives enemas, applies vaginal pads, hot/cold compressess, ace bandages, and antiembolic stockings/pneumo boots. Assist physician or nurse midwife with procedure as directed.
  • Performs ADL (e.g. baths, linen changes, etc.). Assists with ambulation, turning, and positioning. Applies over-bed trapeze and over-bed frame.
  • Responds rapidly, calmly, and appropriately during emergencies, initiates CPR and provides for necessary items requested.
  • Applies pneumatic stockings or boots. Assists with mobility and transfer.
  • Transports newborns to nursery. Performs procedures as defined by unit specific standards. Clinical Measurements:
  • Performs vital signs (temperature, pulse, respirations, and BP). Measures and records patient intake and output.
  • Circulation - pulses with or without doppler, skin temperature, and color. Reports changes in neurologic status: changes from alert and oriented, or change in gross motor function. Observe skin integrity (redness, swelling, etc.) while completing baths, repositioning, linen changes, etc.
  • Reports patient complaints about IV site, observes that IV continues to flow.
  • Specimen Collection: Collect strained urine specimens: routine, clean-catch, catheter, 24 hr. Strain urine as ordered.
  • Ensure appropriate processing of specimen: labeling, transport, computer order entry (CPOE).
  • Labels placentas for pathology. Gathers specimens for cord pH. Draws PKUs (Metabolic Screening Test) on newborns 24 hours after birth.
  • Draws labs on OB & GYN patients and sends to lab.
  • Review the physical demands and assign an overall average percentage of time this position performs these activities.


Qualifications

  • High school graduate or GED required; STNA or preferred; successful passage of 80 hours of State Tested Nurse Aide Training; 40 hours of Acute Medical-Surgical Training, Specialty Training and Hospital Specific Training; or a student from an NLN accredited RN program having successfully completed one Medical-Surgical rotation or another acute rotation.
  • Medical Assistant or previous operating room preferred.
  • Prior to patient contact, the associate will successfully complete Medicaid Nurse Aide Training and Competency Evaluation Program.
  • Must achieve a passing test score within four months of course completion.
  • BLS certification- within 60 days of hire | None Required