Labor Delivery RN

About Riley Maternity Tower Labor & Delivery

RMT Labor and Delivery is a Level IV perinatal center providing high-level, quality care to all spectrums of the obstetrical patient. RMT Labor and Delivery is comprised of 27 inpatient beds, a 10-bed OB Emergency department, 4 ORs including a fetal surgery suite, HR transport, and a 6-bed PACU. While the focus for our patients' care is obstetric, we take a holistic approach to care of the patients, maternal and fetal, to include complex medical, emotional, and social needs.

Nursing Responsibilities:

As a Registered Nurse in Labor & Delivery at Riley Maternity Tower, you will be responsible for:

• Comprehensive Patient Assessment: Performing ongoing, thorough maternal and fetal assessments, including vital signs, pain level, uterine activity, fetal heart rate monitoring, and recognizing and escalating changes in patient condition.
• Labor Management: Providing expert nursing care throughout all stages of labor, including supporting physiological labor, administering and titrating medications (e.g., oxytocin, epidural management), and assisting with various laboring positions and comfort measures.
• Delivery Assistance: Assisting physicians during vaginal and cesarean births, including preparing the delivery field, managing immediate newborn care, and facilitating skin-to-skin contact.
• Postpartum Care: Providing immediate postpartum care to mothers, including fundal checks, perineal assessment, hemorrhage monitoring, and promoting breastfeeding.
• Newborn Care: Performing initial newborn assessments, vital signs, administering medications as ordered, and providing education to parents on newborn care.
• Emergency Response: Rapidly responding to and managing obstetrical emergencies such as hemorrhage, pre-eclampsia/eclampsia, shoulder dystocia, and fetal distress, participating in rapid response teams (e.g., OBERT).
• Medication Administration: Safely administering and monitoring the effects of medications, including high-risk infusions and narcotics, adhering to the 5 rights of medication administration.
• Electronic Health Record (EHR) Documentation: Maintaining accurate, timely, and thorough documentation of all patient assessments, interventions, medications, and outcomes in the electronic health record.
• Patient and Family Education: Providing comprehensive education to patients and their families regarding labor progression, pain management options, postpartum care, newborn care, and discharge instructions.
• Emotional Support and Advocacy: Offering compassionate emotional support to patients and families during joyful, challenging, and often vulnerable times, including bereavement support. Advocating for patient needs and preferences.
• Interdisciplinary Collaboration: Collaborating effectively with physicians, anesthesiologists, neonatologists, scrub techs, other nurses, and support staff to ensure coordinated and holistic patient care.
• Maintaining Sterile Technique: Adhering to strict sterile technique during procedures and in the operating room environment.
• Equipment Management: Operating and troubleshooting various medical equipment, including fetal monitors, IV pumps, rapid infusers (e.g., Belmont), and resuscitation equipment.
• Compliance: Adhering to all IU Health policies, procedures, and national patient safety goals.

MUST HAVE at least 1 year of RN experience; experience in OB nursing a plus! BSN preferred.

Nursing skills gained on this unit:

• Critical assessment skills
• Fetal monitoring and assessment
• Training for US PIV placement, Belmont rapid infuser, OBERT rapid assessment team, and simulation training
• Bereavement support for mothers and families

Unit Successes/Designations:

• Many RNs with professional certifications
• DAISY Award winners in 2023
• Multiple DAISY Award nominees in 2023
• Met or exceeded all 3 harm goals in 2023
• Multiple Capstone Preceptors

Unit Culture Highlights:

• Fosters an environment for learning based on evidenced based care
• Team is key. Our strengths are working together, adaptability, and compassion in a fast-paced environment
• Mentorship program supports continued learning
• Clinical Advisor provides education on-unit in real time

Qualifications:

• Requires Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred.
• Requires current state of Indiana license as Registered Nurse.
• Requires that the RN has graduated from a nationally accredited nursing program.
• Requires Basic Life Support certification through the AHA.
• Other Advanced Life Support certifications may be required per unit/department specialty according to patient care policies (e.g., NRP, ACLS).

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.