Senior Nurse Clinician

Senior Nurse Clinician -Labor & Delivery**Job Code**:
30001734

**Basic Function**:
Provides wide range of direct and complex nursing care to Labor & Delivery Care Unit & Obstetrics Clinic patients requiring advanced nursing skills. Functions as a preceptor and role model for new hires and other identified staff. Provides clinical assistance to nurses, practical nurses, patient care assistants and nursing interns in the execution of their responsibilities and gives clinical resource support to the charge nurse. Acts as back up charge nurse when oriented.

Functions using the Nursing Process with emphasis on direct patient care and related activities and referring to the Lippincott Manual and Mosby Competencies.

**Scope**:
Working within Johns Hopkins Aramco Healthcare Nursing & Clinical Services Department in Dhahran, Al Hasa, Udhailiyah, Ras Tanura, and Abqaiq.

The Sr. Nurse Clinician provides complex professional nursing care to the patient using independent nursing judgment within defined programs, protocols, policies, procedures and standing orders. Receives supervision and direction from the Charge Nurse and Supervisor. Work is performed on any shift, as required, in the Labor & Delivery Care Unit & Obstetrics Clinic of the Johns Hopkins Aramco Healthcare (JHAH) facilities.

Work hours are assigned to meet operational needs. Hours may include on call and scheduled overtime.

Direction is through the unit manager.

**Principal Contacts**:
Ongoing with patients and their families home caregivers for assessing, planning, implementing and evaluating the nursing plan of care; with new hire and newly assigned nursing staff for orientation and integration into the nursing unit; routinely with clinicians for carrying out clinician orders, assisting with medical procedures, and reporting changes in the patient's condition and/or needs. ; Ongoing with Charge Nurse for collaborating and reporting.

Occasional public and community contact through communicating policy changes, revisions, and/or introduction of new work rules.

Occasional with other JHAH and outside services.

**Principal Duties**:
1) ASSESSMENT:

- Acts as resource to other staff members during the assessment of complex patient/family needs.
- Assists other staff members in improving their knowledge and skills, giving input when needs are identified.
- Assesses the need for suitable staff development program/s in the assigned clinical area to ensure effective patient care.

2) PLANNING:

- A. Serves as direct care clinical resource in developing, coordinating, and reviewing the patient’s plan of care.

3) IMPLEMENTATION/INTERVENTIONS:

- Provides total, direct nursing care to patients requiring advanced, skilled or complex care.
- Precepts new hires and nursing interns and mentors nursing staff with identified needs.
- Completes specific midwifery competencies and credentialing as identified by supervisor and performs normal full term and preterm deliveries and gives immediate newborn care.
- Responds to life-saving situations based upon nursing standards and initiates Neonatal Resuscitation Program or Massive Blood Transfusion protocols as appropriate.
- Monitors patients for changes in status and indications of conditions such as shock or fetal distress and institute appropriate interventions
- Performs the following as appropriate:

- Antenatal assessment
- Amniotomy
- Application of fetal scalp electrode
- Performance of episiotomy and competent technique of perineal repair
- Cardiotocograph monitoring and interpretation
- Resuscitation of the newborn
- Use of magnesium sulfate
- Epidural management
- Prolapsed cord
- Antepartum Hemorrhage
- Postpartum Hemorrhage
- Abnormal presentation
- Shoulder dystocia
- Use of oxytocin
- Transcribes physician's orders and reviews nursing and medical orders for accuracy and appropriateness.
- Assists clinicians with the more complex diagnostic and therapeutic procedures.
- Performs procedures requiring advanced competency skills or training in the expanded nursing roles.

**Principal Duties (cont'd)**:
4) EVALUATION:

- Acts as resource to other staff members during the evaluation of complex patient care.
- Evaluates the progress of new hires, nursing interns, and other identified staff and gives input to the charge nurse, supervisor, and/or nursing intern coordinator.

5) PROFESSIONAL EXPECTATIONS:

- Participates in the planning, implementing and evaluating patient care conferences and unit in-services.
- Evaluates patient care supplies/equipment and gives input to the charge nurse/supervisor.
- Serves as direct clinical resource in the development, review, revision, and implementation of nursing policies, and procedures, standards of care, and applicable medical organization policies.
- Represents unit or department on committees, special interest groups, and task forces.
- Treats customers (guests, patients, nurses, physicians and other employees) with courtesy, respect and caring behaviors.
- Alway