Postpartum nurses are responsible for providing care to women who have recently given birth either Vaginal or via Cesarean Section. The Nurses are involved in helping new mothers learn how to breastfeed their babies, assisting with maternal hygiene post-delivery, Cesarean section recovery, assisting with all newborn tasks. Postpartum nurses must be able to multitask. They also need strong skills so that they can communicate clearly with both patients and medical professionals.

Postpartum nurses have a wide range of responsibilities, which can include:

• Observing the  newborns for signs of distress, illness, and overall fetal well-being
• Providing newborn care such as bathing, dressing, and weighing the baby
• Teaching new mothers about infant nutrition, sleep patterns, safety concerns, feeding ques  and other topics related to parenting
• Monitoring mothers’ physical health during postpartum care, including taking vital signs , measuring fundal height and tone,  monitoring Maternal bleeding, assessing for  Postpartum depression
• Providing support to mothers who are experiencing anxiety, stress, or other mental health issues related to pregnancy or parenting
• Providing emotional support to new parents
• Discharge education

Assessment:

• Performs appropriate nursing history and physical upon admission and ongoing basis.
• Collects and documents patient data.
  
  • Interviews patients and significant others and completes a history documentation.
  • Documents signs and symptoms that indicate actual and potential problems.
  • Incorporates information in the written assessment from families/significant others and members of the health care team.
  • Assess safety of the patient care environment.
  • Documents patient/family teaching needs in the patient care plan.

Planning:

• In conjunction with the patient and family, develops individual patient care plan.
• Identifies short and long term goals, including discharge planning consistent with established patient care.
  • Documents patient problems and goals requiring intervention, including teaching needs and discharge planning.
  • Provides continuity of care by communicating the plan of care and diagnostic data through the shift report, in accordance with the unit's guidelines.
  • Involves family members and other health care team members in the development of the plan of care as able and appropriate.
  • Revises the initial patient care plan to the changing needs of the patient.

Implementation:

• Provides direct nursing care based on he plan of care and established priorities.
  • Sets priorities and gives nursing care based on the patient's needs.
  • Implements the medial care plan as delegated.
  • Follows through with care plan established by other health team members (i.e., P.T., O.T., Speech, etc).
  • Writes patient discharge plan and makes appropriate referrals.
  • Delegates and guides aspects of care to appropriate personnel based on level of acuity and individual patient needs.
  • Coordinates the activities of other disciplines of the health team to implement the individual care plan.

Evaluation

• Evaluates and documents the patient/family response to nursing interventions related to the stated goals and the overall effectiveness of the care plan.
• Revises plan of care based on evaluation.
  • Documents the response of the patient to the medical are plan.
  • Documents the response of the patient to nursing interventions.
  • Recognizes alterations in physiological and psychosocial status.
  • Collaborates with other members of health care team to revise the patient care plan according to changing needs of the patient.
  • Documents revision of the goals and plan of care to meet the changing needs of the patient.

Customer Service

• •  Consistently strives to implement the unit's customer service standards and to exceed the expectations and satisfaction levels of patients, families, physicians and other customers.
  • As observed, all interactions are conducted in a professional manner; is supportive and consistently demonstrates the Target 100 standards.
  • Unit surveys consistently meet or exceed hospital benchmark.
  • Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations. 
  • Consistently exhibits appropriate phone protocol (e.g, answers phone promptly is courteous and helpful).
  • Interacts with other departments for problem resolution and quality patient care.
  • Maintains a quiet, therapeutic environment in the immediate patient care areas, including at the nursing station.
  • Makes rounds to assigned patients; anticipates patients' needs and answers/responds to the patients' call lights or paging promptly

Performance Improvement

• • Serves as a role model in implementing the PDCA (Plan, Do, Check, Act) methodology.
  • Consistently works to improve identified unit-specific problems.
  • Consistently works to improve identified hospital-wide system problems.
  • Uses established systems to document occurrences.

Professional Conduct

• • Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the unit on an as-needed basis or as determined by management.
  • Follows attendance and all other established hospital and department policies.
  • Demonstrates the philosophy of the team concepts.
  • Participates in staff meetings with suggestions that enhance the work environment and increase productivity.
  • Communicates well with supervisor, reporting problems with equipment, supplies or procedures.
  • Requests assistance as appropriate.
  • Complies with all safety and infection control standards.
  • Maintains confidentiality as related to job responsibilities.
  • Exhibits willingness to resolve problems as they arise.
  • Consistently projects positive professional image through appearance and behavior.
  • Attends 75% of staff meetings or reads and initials minutes.
  • Completes assigned work within shift.
  • Complies with time and attendance policy (i.e., KRONOS).

Professional Growth and Development

• • Completes Annual Updates and Ethics Training within established time frames.
  • Completes general and departmental orientation within established time frames.
  • Attends 80% of unit staff meetings and in-service programs.
  • Maintains licensure/certification as appropriate.

Age-Specific Competencies (OB)

• Assessment
  • Collects data/information to determine a plan of action based upon given physical parameters.
  • Recognizes patient's needs for comfort measures.
  • Recognizes and reports deviations from normal interactions between parent and newborn.
• Knowledge of Growth and Development
  • Recognizes need to be informed of, as well as involved in, medical decisions and plan of care.
• Range of Treatment:
  • Normal Involuntary Process - Vaginal & C/S Birth:
    • Identifies alterations in the normal voluntary process, e.g., excessive bleeding, fundal height.
    • Recognizes and reports signs and symptoms of infection.
    • Initiates the educational process to ensure self-care needs and discharge planning.
    • Recognizes and responds to alterations in patient comfort related to episiotomy, hemorrhoids, or Cesarean Section incision.
  • Medical Complications Related to Pregnancy, e.g., hyperemesis, P/H, diabetic:
    • Recognizes signs and symptoms of pre-term labor.
    • Demonstrates knowledge of medication dosage (e.g., mag sulfate infusion, antibiotics), including indications, side effects and patient/family education.
    • Demonstrates ability to initiate education to include self-care and discharge planning.

Unit-Specific Competencies (OB)

• PCA Pumps
• Mixing of IV Medications
• Magnesium Sulfate: Management of the Patient
• Blood Transfusions
• Infant Security

• Minimum Education:
• Minimum Experience: One year acute care RN experience preferred.
• Required Certification/Registration: Current California RN License and BLS required.