*MI license in hand* *Every Other Weekend* 17 Rooms 17 Beds Patient Age Groups: Neonates, Adolescents, Adults, Geriatrics Medication System: Pyxis Epic Required Provider Support: Interpretation Services, Pharmacy, Phlebotomy, Physical Therapy, Tadiology, Rapid Response Team, Respiratory Services, Social Servixes, Transportation, Unit Secretary (no HUC at night) Provider Coverage: CRNA, Hospitalist - Family Practice/Medical, Anesthesiologist, CNM, MD, Fellow Patient Diagnosis: c/ sections- scrub and circulate, vaginal deliveries, operative vaginal births , stabilize neonates, Post partum care, Newborn care, Antepartum, intrapartum, post delivery D&C, fetal monitor, fse, iupc, Ram Cannula Special Procedures/Unit Details: We have a special care nursery - stabilize and transfer out. Mag drips will be started and then patient will be transferred to Toledo. We follow awhonn staffing guidelines: 1:1 for Laboring patients, 1:3 couplet, 1:3 MB, Triage, Special care nursery Certifications Required: ACLS, BLS, NRP, MI license Work Settings Required: Antepartum, Community Level experience, Facility births/month 200-300, Facility births/month >300, Level I Nursery, LDRP, Mother/Baby Antepartum Care and Procedures Required: NST, Reflex checks / edema assessment / clonus, Sterile vaginal exam, Triage of obstetrical patients, Use of EFM (External Fetal Heart Monitoring) Care of Patient Required: Diabetes mellitus, HELLP Syndrome, Malpresentations (breech / face / brow), Multiple Gestation, Placenta Previa/Abruptio, Pre-eclampsia / eclampsia, Premature Rupture of Membranes, Preterm labor, Substance Abuse, Uterine rupture, VBAC management / trial of labor Cardiac Monitoring and Emergency Care Required: Adult cardiac arrest, Infant / neonatal arrest, Use of Rapid Response team, Telemetry Interpretation Fetal Monitoring Required: Use of External Fetal Monitoring, Recognition and Treatment of abnormal fetal heart rate patterns IV Therapy/Phlebotomy Required: Administration of blood & blood products, Start & maintain peripheral IV, Use of infusion pumps / drips / IV monitoring Medication and Administration Required: Antihypertensives, Magnesium Sulfate therapy, Pitocin (oxytocin), Prostaglandins, Terbutaline Labor and Delivery Management Required: Amnioinfusion, Assist with high risk delivery, Assist with vaginal delivery, Circulate for C-section, Hemorrhage/shock, Recover C-Section, Sterile vaginal exam Neonatal Care in Delivery Room Required: APGAR scores, Baby Nurse ( Baby Catcher ), ID/Security Banding, Neonatal Resuscitation, Radiant Warmers/Thermoregulation Newborn Care Required: Assist with Circumcision/Assess site post-op, Car Seat Education, Cord Care, Discharge teaching to parents, Infant Identification, Metabolic Screen, Neonatal Abstinence Syndrome, Newborn Assessment, Newborn hypoglycemia, Phototherapy, Teach Circumcision care to parents, Thermoregulation Pain Management Required: Epidural Anesthesia, General Anesthesia, Opioids, Pain assessment & management Postpartum Care and Procedures Required: Breastfeeding Support/lactation support, Episiotomy/Incisional Care, Foley Catheter insertion, Fundus/lochia/perineum care, Use of Electric/Manual breast pump, Wound Assessment and Care Postpartum Care of Patient Required: Vaginal Delivery, Cesarean Section, Bladder Distension, Couplet Care, Multiple Births, Postpartum Hemorrhage, Pregnancy induced hypertension Professional Topic and Skills Required: Isolation Precautions/PPE, Vaccine Administration Surgical Case/Procedures Required: Cervical Cerclage, D & C, Tubal Ligation Epic required 2 Years Minimum Experience Required Unit Accepts 1st time travelers Scrubs provided - Green 7 days of RTO excluding holidays
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