General Summary

The Neonatal Escalation Safety Telemetry (NEST) program is a 24/7 remote operation that is staffed with experienced labor & delivery RNs and provides remote monitoring of fetal tracings for obstetric patients across all UMMS hospitals. Under the direction of the Nurse Manager, the RN will work in conjunction with the bedside team at all UMMS L&D units to provide additional observation of fetal tracings and early identification and escalation of concerning tracings. He/she advances evidence-based practices, and mentors others to achieve and grow in the role of the professional nurse. As a member of the NEST team, he/she serves as a leader, change agent, and coordinator of patient care services within the obstetric service line. Takes a leadership role in the overall design and implementation of a patient-centered care delivery system that facilitates achievement of patient outcomes, supports continuity of care and patient flow between care delivery sites, and enhances patient safety and caregiver satisfaction. Is accountable to patients and families for the processes and outcomes of care during an episode of care. Is accountable to peers for the advancement of group practice, and to the Nurse Manager for the totality of work performance. This role is aimed at the nurse who is a clinical and professional leader at the unit level. He/she advances evidence-based practices, leads unit governance initiatives, and mentors others to achieve and grow in the role of the professional nurse.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

Clinical Practice/Care Delivery

1. Monitors tracing for fetal physiological parameter abnormalities. Assesses individual fetal monitoring tracings and documentation of interventions done by the care team when abnormalities are identified by the NEST nurses.

2. Notifies the primary registered nurse or charge nurse of concerning electronic fetal heart rate and uterine activity tracing findings, poor-quality signal, etc. Follows the established chain of command for escalation of concerning fetal tracings.

3. Utilizes Electronic Medical Records to validate findings from remote fetal monitoring station.

4. Serves as a professional resource for L&D nurses; mentors others to achieve and grow in the role of the professional nurse. Communicate in an efficient and effective manner with all members of the care team.

5. Advances evidence-based clinical practice within the NEST; consistently integrates evidence into practice and uses this as a firm foundation for the NEST.

6. Utilizes clinical expertise to teach other nurses. Role models Patient-Centered Care and mentors others in their growth.

Practice Focus Areas:

Focus on the use of National Institute of Child Health and Human Development (NICHD) fetal monitoring terminology in the interpretation and communication of fetal heart tracing in a timely manner.

Professional Development

1. Serves as preceptor, coach, and mentor to new nurses and students. Contributes to ancillary personnel skills and development, attends educational offerings and in-services independently.

2. Contributes to the development of unit-based peer review processes; actively participates in individual peer review feedback

3. Actively engages in advancing own practice. Mentors and coaches others to achieve/maintain competency required for the patient population served.

4. Lead unit processes for the development of ancillary personnel’s skills and development.

Practice Focus Areas:

A. Leads unit-based Professional Development governance activities; participates actively in divisional and organizational efforts.

B. Coordinates unit-level education appropriate for the patient population.

C. Oversees program-based competency validation processes.

D. Oversees unit orientation program.

E. Provides health-related contributions through community services, such as health fairs.

Service Quality/Safety

1. Models customer service behaviors and service recovery skills.

2. Leads efforts to address unit-based Nursing Sensitive Quality Indicators (NSQI) improvement opportunities; develops/implements and evaluates action plans.

3. Leads unit-based performance improvement initiatives by designing, implementing, evaluating, and disseminating results.

4. Monitors patient safety standards; actively contributes to the development and implementation of improvement plans.

5. Participates in some or all elements of research.

Practice Focus Areas:

A. Identifies and integrates “Best practices” for communication.

B. Trends quality data on a consistent basis and leads efforts to address deficiencies. 

C. Oversees Joint Commission and other regulatory site visits (mock and actual); helps prepare unit and staff on an ongoing basis.

Unit Operations

1. Performs charge role as scheduled; mentors new charge nurses. Assists with orientation of newly hired RNs and supporting those newly off orientation.

2. Serves as a liaison for L&D units.

3. Roles models and holds peers accountable for maintaining AACN guidelines for Healthy Work Environment (communication, collaboration, effective decision-making, recognition, leadership, staffing).

Practice Focus Areas:

A. Leads unit-based governance initiatives.

B. Leads unit-based efforts addressing elements of Healthy Work Environment.

C. Leads unit-based Reward and Recognition activities.

D. Leads unit-based operations efforts, such as equipment maintenance, scheduling, supply utilization monitoring etc.

E. Leads unit-based peer review processes.

All your information will be kept confidential according to EEO guidelines.

Compensation:
Pay Range: $39.00 - $56.18
Other Compensation (if applicable):
Review the 2025-2026 UMMS Benefits Guide

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.