Manager Labor & Delivery

This unit is comprised of L&D and a separate L&D triage area.  We have 24 hour perinatologists, neonatologists, and anesthesiologists (dedicated to OB) along with obstetric physicians and 2 groups of midwives.  We are a high risk antepartum and intrapartum unit including 16 LDR beds, 8 antepartum outpatient beds, 4 NST Bays and 3  pre-op and post-op beds.  We have 3 dedicated L&D OR’s for scheduled C-Sections and unscheduled cases such as cerclage placement or removal.  We also do emergent cases such as a laboring patient who needs a C-Section for arrest of dilation or descent or fetal intolerance of labor, hysterectomy or D&C for hemorrhage.  Our nurses are unique in that they are trained to be the pre-op nurse, intraoperative nurse (circulator), and PACU nurse for all OR cases, along with the nurse for the newborn after delivery.  We care for triage patients; ante-partum patients (both outpatient and inpatient if high risk or unstable); intrapartum, and preop and postop patients.  Our triage nurses see pregnant women over 20 weeks of gestation for obstetrical concerns. They also take care of patients with scheduled procedures such as non-stress tests and versions.  We currently do over 5,500 deliveries a year.  We currently have 14 nurses certified in Inpatient Obstetrics through NCC.  Several nurses also have a subspecialty certification in electronic fetal monitoring.   All nurses in L&D are certified in NRP and ACLS.

ESSENTIAL FUNCTIONS:

Manages staff; interviews, hires and trains; evaluates employee performance; deals with performance problems as appropriate; delegates work assignments effectively; manages operations for quality 24/7 patient care.

Assists in managing department budget.

Designs, with agreement from Director of Nursing (DON), or Director of Behavioral Health Nursing, and implements the specific staffing plan (Acuity) and daily, shift-by-shift staffing grid.

Monitors patient acuity/staffing through the bi-weekly productivity report and takes appropriate action.

Provides safe environment for patients and caregivers, compliant to EOC rules and all regulatory requirements.

Facilitates development of unit specific standards of care with realistic and measurable patient care outcomes.

Provides orientation for the medical staff to Nursing Services.

Promotes continuity of patient care by supporting case management activities; acts as a resource to direct care providers when support services are in conflict with patient care needs.

Promotes an optimum environment in which the patient care team can accomplish mutually developed goals.

Investigates patient complaints and/or incidents, initiating corrective and/or disciplinary action.

Maintains an ongoing evaluation of customer service to ensure that systems, policies, and procedures are convenient to those being served.

Ensures compliance with requirements of federal, state and community agencies, regulatory authorities, and hospital policies and procedures.

Selects and monitors preceptors in development of their role to facilitate new grad hires incorporation into the unit staff.

Ensures the design, implementation, and evaluation of educational programs for staff.

May provide education planning, documentation, and record keeping for assigned unit(s).

Maintains clinical expertise through a variety of methods, including direct patient care as necessary. 

 Serve as the liaison to internal and external patient care committees, internal departments, referral hospitals,

Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. 

Adheres to TMC organizational and department-specific safety, confidentiality, values policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS:

EDUCATION:  Bachelor’s Degree in Nursing. 

EXPERIENCE:  Five (5) years of relevant nursing or applicable healthcare experience with mastery of the role and competencies for assigned area required; evidence of leadership, teaching and interpersonal skills, and documentation of professional development.

LICENSURE OR CERTIFICATION: Current RN license permitting work in the state of Arizona and current Basic Life Support (BLS) certification required. Additional certification may be required per department.