These positions are for a Nurse (Clinical/OB-GYN).
Located in the beautiful Pacific Northwest on the Puget Sound, in Washington State, Joint Base Lewis-McChord is near the city of Lakewood, 10 minutes from Tacoma and 20 minutes from Olympia, the state capitol. JBLM is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. On a clear day, majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State.
As a registered nurse specialist in inpatient obstetrics, provides specialized obstetric nursing care to normal/high-risk obstetric patients. High-risk patients are characterized by the presence of real or potential complicated fetal or maternal conditions requiring continuous observation and intervention to prevent complications and maintain/restore maternal and fetal health. Provides comprehensive nursing care of obstetric and normal newborn patients.
1. In the absence of a physician, independently determines and implements proper emergency interventions within scope of practice after identifying and interpreting maternal and/or fetal distress. Within given parameters, applies the knowledge of the pathophysiology of maternal or fetal disorders, identifies potential complications of pre-existing medical conditions and identifies or minimizes impact by developing or implementing strategies to prevent further compromise. Expertly recognizes and executes nursing responsibilities related to technologies utilized in caring for the normal/high risk obstetrical and newborn patient. Administers complex medications by any route as ordered within the guidelines of nursing practice. These routes include oral, intramuscular, subcutaneous, intra-dermal, topical, rectal, nasogastric, and respiratory. Administers potent intravenous (including intravenous push) drugs such as labor induction agents, anti-hypertensives, insulin, blood products, and magnesium sulfate. Has knowledge of adverse effects and precautions, and initiates response measures as required. Examines and assesses obstetric patients and newborns. Uses seasoned judgment in selecting the course of action in implementing physician orders and interpreting their appropriateness to the patient's present condition. Performs treatments such as oxygen administration, amnioinfusion, placement of fetal scalp electrodes, and conduction of contraction stress tests. Performs the circulation role in the operating room for planned and emergent cesarean-section, dilatation and curettage, cerclage insertion, and cesarean-hysterectomy. Provides nursing care to patients undergoing surgical procedures and during post-anesthesia recovery. Assumes Acting Head Nurse duties as needed.
2. Assists physicians and anesthesia providers with complex procedures such as insertion of internal monitors, placement of epidural catheters, placement of invasive monitoring lines (e.g., arterial, cordis), and induction of general anesthesia. Maintains invasive lines and dressings in accordance with infection control policies and procedures. Assesses patient response through sophisticated clinical observations as well as detailed data analysis and accurately reports information to the physician to ensure the highest level of patient care. Discontinues invasive lines under established guidelines.
3. Utilizes the nursing process to formulate a nursing plan of care relative to the patient's physiological, psychological, and sociological condition in order to provide ongoing and in-depth assessment of patient problems, strengths and limitations. Monitors patient condition through data collected by continuous observation and precise calculation of fluid levels and vital signs through the use of complex monitoring equipment. Applies in-depth knowledge of a large number of laboratory and other diagnostic studies. Interprets findings and reports to the physician those findings which indicate a required change in care. Based on periodic changes in maternal and fetal condition and response, determines validity/feasibility of previously written orders, writes nursing orders, and implements, evaluates and documents the effectiveness of all nursing orders. Continuously revises care plan accordingly. Develops meaningful goals to assist the normal or high-risk obstetrics (OB) patient and family to attain an optimum level of physiological and psychosocial balance within the limitations imposed by any complications or illnesses. Frequently uses crisis intervention techniques to provide constant support to the patient and family in a high stress situation and environment. Gives information on disease process, pre and postoperative care, diagnostic procedures, use of equipment related to disease/care, expected and possible adverse reactions to medications, health maintenance, and illness prevention. Makes referral of patients/family members to allied health care providers such as the community health nurse, social work, community agencies.
4. Serves as project officer/unit coordinator for a variety of activities designed to improve nursing care to the normal/high-risk obstetric patient (e.g., research, grief support, and educational programs). Performs assignments of an advanced nature that require considerable extended experience or training. May serve as a team leader and charge nurse and would make decisions regarding priorities for patient care for shift assignments and assign duties and delegates the patient care to other registered nurses, licensed practical nurses, operating room technicians, and nursing assistants, with consideration of the difficulty and requirements of the assignment and the qualifications and capabilities of the individual.
Serves as a resource and role model for other maternal/child nurses and health care providers, including experienced and fully trained registered nurses and resident physicians. Provides orientation and on-the-job training for nursing and allied health personnel. Serves as a preceptor for all levels of nursing students and newly assigned graduate nurses in the Department of Nursing Preceptorship Program. Leads patient care conferences and conducts classes as part of continuing in-service training in the Maternal-Child Section, such as electronic fetal monitoring, lactation support, grief support, intraoperative care, ante-partum, intra-partum, postpartum, and normal newborn transition care. Directs one or more unit programs such as staff education, patient education, revision of unit Standing Operating Procedures and quality improvement.
Must be a United States Citizen
Must possess a valid Registered Nurse License that has not elapsed/expired
Must have an Associates, Bachelors or Master’s Degree in Nursing. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained.
Madigan is non-smoking facility