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Job Summary
The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The Fetal Care Program RN provides comprehensive, patient-centered nursing care for families facing fetal anomalies or high-risk pregnancies. This role supports multidisciplinary collaboration and coordination of care across both internal teams and partner institutions. Responsibilities span clinical care, patient education, procedural support, and administrative coordination to ensure continuity and excellence in care delivery.Key Responsibilities
1. Clinical Safety & Preparedness
• Check and sign the code cart daily to ensure readiness for clinical emergencies.
2. Triage and Assignment of Fetal Messages
• Monitor CFM RN pool inbox; identify fetal-related messages and assign them appropriately to the fetal care RN.
3. Care Coordination for Patients with Fetal Anomalies
• Input and update patient data in REDCAP in collaboration with the Fetal Coordinator.
• Collect, review, and transcribe prenatal records; obtain external documentation as needed.
• Conduct scheduled patient intakes and support providers during consultation visits.
• Provide clinical oversight and ensure timely follow-up for patients requiring urgent/emergent care.
• Collaborate with nursing, social work, neonatology, genetics, and the BCH Fetal Care Surgical Center (FCSC) to ensure comprehensive service offerings.
• Maintain communication with referring providers and coordinate care milestones, including delivery.
• Provide resources and help with transfer of records as indicated for out-of-state terminations.
4. Postpartum Follow-Up
• Participate in multidisciplinary reviews with the BCH team post-delivery.
• Update maternal OB history as needed.
• Conduct follow-up calls within 10–14 days postpartum to assess well-being and coordinate services.
5. Fetal Clinic Support
• Assist providers during fetal clinic sessions.
• Review charts, place lab orders per nurse driven protocols, and ensure clinical readiness.
• Deliver patient education on labor induction, cesarean birth, and available resources.
6. Fetal Surgery and Intervention Coordination
• Collaborate with BWH Financial Services to provide letters of medical necessity.
• Partner with the coordinator and provide clinical guidance for insurance inquiries.
• Facilitate the scheduling of fetal interventions, including coordination of BWH OR and provider availability. Assist with case scheduling and pre-op appointments.
• Perform patient intake and collect required documentation.
7. Procedural Support
• Provide emotional and logistical support to patients facing unexpected or sensitive diagnoses.
• Assist with scheduling, patient education, and coordination of care, including medication distribution, for procedures including:
o Selective reduction
o Second-trimester induction of labor
o D&E procedures through Family Planning
o Pregnancy terminations (Fetal RN role)
8. Fetal Care Surgical Center (FCSC) Referrals
• Review clinical indications and supporting diagnostics.
• Complete and submit FCSC referrals with all necessary documentation.
• Review diagnostic results, collaborate with providers on findings to determine appropriate plan of care
• Maintain patient data accuracy in REDCAP in collaboration with the Fetal Coordinator.
9. Program Development and Innovation
• Contribute to innovations and quality improvements in the Collaborative Fetal Care Program.
• Support the development of patient-specific support programs and resource navigation.
10. Preparation and Administration of Medications
• Administer medications using bar-code scanning and WOW computer, including, but not limited to:
o Rhogam
o Mifepristone / Misoprostol
o Betamethasone
11. Faxcom Management
• Review and upload incoming documents to patient records in collaboration with the Consult Coordinator.
• Serve as backup for document processing during coordinator absences.
12. Ultrasound Emergency
• Communicate pertinent patient information to coordinator to call OB admitting.
• Assist staff and transport patient to L&D.
13. Cross-Coverage for CFM Consult Nurse
14. NST Emergency Backup
• Serve as an emergency back-up for NST unit coverage.
Qualifications
Education: Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
Licenses and Credentials
Current MA RN License required
Experience:
A minimum of 3 years of clinical nursing experience is required.
L&D nursing experience is required.
Fetal Medicine nursing experience is required.
Nursing experience in an ambulatory clinic/practice setting is required.
Bilingual is preferred.
Other:
Membership in professional organizations is recommended and certification in a specialty area is preferred.
Able to work weekend rotation per the MNA contract.
Knowledge, Skills and Abilities
- The RN must show evidence of the basic analytic thinking necessary to care for a group of patients.
- Must demonstrate observational skills and the ability to set priorities.
- Must be able to function under stress with good interpersonal and communication skills.
- Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority management.
Additional Job Details (if applicable)
Remote Type
Onsite
Work Location
45 Francis Street
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$40.49 - $100.13/Hourly
Grade
MNA333
EEO Statement:
The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
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