Provides comprehensive specialized nursing care to complicated and routine antepartum, intrapartum, postpartum, and perioperative obstetric patients and their neonates. - Assesses, plans, implements, and evaluates complicated and routine obstetric and neonatal patients who require close observation for subtle changes in condition. Consistently utilizes advanced assessment skills to identify difficult patient care problems, formulates plans to meet complex patient care needs, and continually revises goals and objectives according to changes in maternal/fetal status. - Monitors, evaluates, and documents the status of laboring patients through frequent checks of blood pressure, heart rate, respiratory rate, oxygen saturation, and fetal monitor patterns and reports findings to the provider as appropriate. Recognizes the stages of labor and notifies the appropriate provider when delivery is imminent. Assists with precipitous deliveries. - Administers medications, including high risk medications, as ordered within the guidelines of nursing practice. Monitors patient response to medications, documents and adjusts therapy according to provider order and relevant policies. The incumbent has knowledge of adverse effects and precautions and initiates remedial measures as necessary. Monitors patients with epidurals in place, documents findings, and reports to anesthesia provider. Is responsible for the security of narcotics, high risk medications, and other controlled substances. - Assist physicians and nurse midwives in examination and treatment in the delivery room. Delivers babies in emergency situation. Confers with providers concerning instruments, sutures, special equipment and procedures unique to vaginal /instrument/cesarean delivery. Responsible for the setup of the delivery room and handles supplies and equipment including delivery lights, oxygen, suction machines, and maternal and fetal monitoring equipment. In accordance with command and unit policy, provides primary operating room circulating duties for Cesarean Sections and tubal ligations, and initiates and/or assists with operating room circulating duties for emergency obstetric surgeries including hysterectomy, dilation and curettage, and exploratory laparotomy following Cesarean delivery. - Provides post anesthesia care. Assesses and cares for obstetric patients that receive epidural, spinal, or general anesthesia. Has knowledge of common obstetric anesthetic agents including actions and adverse reactions in order to recognize positive and negative effects and respond appropriately. Must be able to recognize and respond to anesthetic complications and emergencies including, but not limited to, malignant hyperthermia, laryngospasm, bronchospasm, and cardiac arrhythmias. - Teaches patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative care, pre and post diagnostic procedures; expected and possible adverse reactions to medications; health promotion. Initiates discharge planning / teaching upon admission of each patient. Actively participates in multidisciplinary discharge planning. Provides emotional support to patients, family members and significant others. Provides comprehensive nursing care to patients / families experiencing perinatal and neonatal loss. Coordinates follow-up care for patients and family members who have experienced perinatal or neonatal loss. Performs other duties as assigned.