General Practitioner - Labor and Delivery

Job Description

General Practitioner - Labor and Delivery - (22000001)Description

• ORGANIZATIONAL STRUCTURE:

• REPORT TO : Charge Midwife

• AREA : Labor Ward

• RESPONSIBLE FOR : Ward Attendants, Attenders

• LIAISES WITH : Nursing Staff, Nursing Supervisor, Medical Staff,

Infection Control Nurse, Support Services, Other healthcareProviders, Patients, husbands and Families, Visiting doula,Allied workers

• JOB SUMMARY:

Assesses triages, monitors patients throughout labour and assists physicians with deliveries and patient care as per scope of practice. Provides antenatal, postnatal care, breastfeeding advice and support to women, their babies, their partners and families. Works within a team of professional and medical staff that includes doctors, nurses, other healthcare providers and visiting doulas. Rotates shifts to meet patient care requirements.

• DUTIES AND RESPONSIBILITIES (Scope of Practice as per HAAD Regulations, Jan 23 2008)

Clinical activities:

• • Assesses, plans, implements, and evaluates nursing care given to patients in an effective and organized manner in Labor and Delivery unit.

• • Performs initial assessment and reassessment of patients in Labor and delivery

• • Demonstrates sound knowledge of electronic fetal monitoring using CTG and central monitoring system (i.e.OB TV)

• • Initiates Intravenous Therapy as per Doctor?s orders

• • Demonstrates skills in receiving the newborn immediately after delivery

• • Facilitates medical assistance and provides patient care in emergency situations.

• • Participates in code drills as per requirement, is a member of the code blue team and assists with code purple (Obstetric Emergencies) as required.

• • Acts as Team Leader in the absence of the Charge Midwife and is able to delegate tasks as per skills and scope of practice.

• • Monitors progress of laboring mothers, interprets fetal heart rate and notifies primary Physician/physician on call when appropriate for progress or problems.

• • Assists laboring patient with breathing exercises, pain management techniques and provides pain medication as per Dr?s orders.

• • Prepares birthing room for delivery using sterile technique.

• • Assists Physician with initiation of oxytocin inductions and monitors progress of labor accordingly

• • Follows IV protocols as per hospital policy/guidelines

• • Assists Physician with artificial rupture of membranes, performs sterile vaginal examinations or other procedures.

• • Performs immediate post-delivery care of mother, performs fundal massage and monitors vital signs, blood loss as needed and promotes newborn/parent bonding

• • Performs deliveries in the absence of the Doctor in emergency situations as per scope of practice.

• • Performs the Appropriateness review of medications before preparing and administering medications as required.

• • Assesses, examines and triages walk in patients who are directed to L&D assessment room from either outside or from OPD Doctors and coordinates appropriate care and medical intervention

• • Responsible for coordinating with the Obstetrician, Neonatologist / Pediatrician and other allied workers to provide comprehensive care to mother and child.
  • Prepares mothers for cesarean sections as well as assist doctors with the administration of medication as per scope for practice.

• • Actively promotes breastfeeding, skin to skin bonding after delivery
  • Is knowledgeable regarding Stem cell collection

• • Assists in receiving newborns in emergency caesarians where required in the absence of the NICU nurse.

• • Identifies high risk pregnancies and communicates with doctors and other medical specialists as required

• • Knowledge on collection of specimens, bloods for diagnostic testing and critical values

• • Knowledge on ordering blood products and monitoring patients when receiving blood products.

• • In depth knowledge of Obstetric emergencies, nursing management and care as per protocols.

• • Encourages participation of family member/partner in the birth to support the mother and enhances both mother/baby bonding and family relationships.

• • Provides appropriate health education to patients and their family.

• • Offers support and advice following events such as miscarriage, stillbirth, neonatal abnormality and neonatal death.

• • Demonstrates competency in the skills needed to support the woman during childbirth.

Keyskills :