Lesslie Arevalo

Provides direct and individualized nursing care to patients based on the application of

scientific nursing principles. In addition to general nursing care, responsibilities includes:

* Consults and coordinates with health care team members to assess, plan, implement and evaluate patients’ (both mother and infant) care plans

*Maintains a comfortable, safe and clean environment for mother and infant

* Assists mother with her hygienic needs

* Checks mother for any post partum bleeding

* Examines mother’s fundus

*Inspects c-section incision (if applicable)

* Assesses mother’s pain, if any

*Performs emotional status checks on mother, recognizing symptoms such as those related to postpartum depression.

* Monitors bonding between mother and infant

* Takes mother’s and infant’s vital signs

* Measures input/output of mother and infant

* Monitors mother and infant and reports adverse reactions to any treatments or medications being given

* Provides mother with breast-feeding tips

*Educates mother on sore nipple management

* Teaches mother bathing tips for infant

*Instructs mother on diaper change

* Weighs infant

*Performs heel sticks for bg’s of infant

* Keeps track of all feeds and diapers

* Bathes infant

*Involves and educates family/significant others in implementing best practices for mother and infant care

* Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms

*Completes required orientation as directed by facility

*Follows facility and OSHA safety rules and procedures while on assignment

* Respects cultural and religious practices of patients

* Upholds HIPAA regulations

Reviews patients charts and using Milliman guidelines to determine level of care to qualify them for health insurance coverage. Primarily dealing with CCS cases and approval in a higher tier hospital like Lucille Packard Children’s hospital.

*Provides direct nursing care for the newborn in accordance with established policies, procedures and protocols of the healthcare organization.

*Knowledge of normal lab and ABG values for neonates.

*Performs clinical nursing duties for neonates and infants according to policy and procedures.

*Maintains patient individualized standards of care.

*Performs neonatal assessment and provides appropriate intervention.

*Recognized physiological changes in the newborn and responds appropriately.

*Notifies physician promptly of non-reassuring newborn status.

*Cares for patients requiring newborn care, feeding, IV, medications, respiratory care including stabilizing and preparing for transport.

*Performs routine newborn blood draws for laboratory tests

*Operates all nursery/NICU equipment

*Strong knowledge base of medications used in the newborn period.

*Administered medications following policy and procedure demonstrating the 5 rights and knowledge of pharmacokinetics.

*Recognizes the developmental stages of neonates and infants and provides appropriate support to maximize patient’s developmental outcome.

*Provides age and culturally appropriate care.

*Starts IV on infants.

*Performs central blood draws on infants for laboratory tests.

*Performs urinary catheterization on infants.

*Assists with the insertion of umbilical line or chest tube.

*Assists with a spinal tap or intubation.

*Draws ABG’s from a central line.

*Manages and assesses the patient’s pain.

*Monitors, records and communicates patient’s condition as appropriate utilizing computerized documentation systems.

*In accordance with hospital policy, may insert I.V.’s, administer I.V. medications, and begin blood product transfusion.

*Observes and records patient reactions to medication, I.V. therapy, blood transfusion, and treatment.

*Provides and documents patient and family education as needed.