Amanda Meshaw

• Manage labor inductions and augmentations, including cervical ripening and oxytocin titration, with vigilant monitoring and documentation.
• Conducted ongoing maternal–fetal assessments, promptly identifying subtle changes and escalating concerns through standardized communication (SBAR) to enhance patient safety.
• Delivered evidence-based nursing care to laboring patients in low- and high-risk intrapartum settings, ensuring optimal outcomes.
• Provide trauma-informed, culturally sensitive, family-centered care; educate and advocate for patient preferences and informed consent.

Promote skin-to-skin, breastfeeding initiation, and mother–baby bonding while maintaining safety and monitoring.

• Directed operational and clinical functions within Women’s & Children’s Services, supporting high-risk obstetrics, transitional newborn care, and NICU collaboration.
• Designed and implemented Master Staffing Plans aligned with Staffing Effectiveness Guidelines and patient acuity.
• Led implementation of evidence-based initiatives improving breastfeeding rates, discharge efficiency, and maternal-newborn outcomes.
• Strengthened the mother–baby dyad model through family-centered care, breastfeeding advocacy, and standardized education processes.
• Developed and monitored departmental budgets (salary and non-salary), evaluating workload, revenue, productivity, and expenses to ensure fiscal accountability.
• Allocated resources strategically to meet departmental goals while maintaining cost-effective, high-quality care delivery.
• Served as liaison to Neonatology Services and established collegial partnerships with OB/GYN physicians and pediatric specialists.
• Presented quality and financial data to Performance Improvement committees with actionable recommendations.
• Built and mentored leadership teams, fostering engagement, retention, and shared governance participation.

• Partnered with executive leadership to oversee daily operations, optimize staffing, steward resources, and support budget accountability to meet quality and productivity targets.
• Designed and led in-services and leadership development sessions to strengthen clinical excellence, build bench strength, and support career advancement.
• Ensured delivery of safe, high-quality patient care by reinforcing evidence-based preventive and rehabilitative nursing practices and monitoring clinical outcomes.
• Managed nursing performance through clear expectations, rounding, real-time prioritization support, and review of documentation/report quality to ensure reliable care and strong communication.
• Functioned as a clinical resource and mentor to nurses and students, providing coaching on critical thinking, crisis response, and appropriate interventions in high-acuity situations.
• Recruited, interviewed, hired, onboarded, and coached staff while promoting a culture of accountability, teamwork, and patient-centered care.
• Provided 24/7 leadership coverage by participating in an on-call rotation, rapidly addressing staffing, patient safety, and operational issues after hours.
• Led onboarding for the Women’s Pavilion by facilitating orientation, competencies, and skills validation to ensure readiness, standardization, and safe practice from day one.

· Led patient care team and functioned as charge nurse.

· Developed Nursing Diagnosis plan of care and implemented nursing care

· Provided Care for patients with high-risk deliveries

· Prepared operating room and assisted providers during cesarean deliveries

· Monitored the mom and infant, providing postpartum care

· Precepted new staff nurses, providing education on hospital policies and procedures, patient care skills, medical procedures and techniques, and patient assessments and interventions

· Facilitated and maintained strong working relationships between the nursing department and other disciplines

· Established strong rapport with patients and families, fostering trust and effective communication

• Performed continuous maternal–fetal assessments, trending vital signs and fetal heart rate patterns to identify changes early and escalate concerns promptly.
• Recognized and responded to obstetric complications, initiating timely interventions and facilitating rapid team response to enhance patient safety.
• Coordinated interdisciplinary care with physicians, anesthesia, NICU, and nursing team, ensuring timely decision-making and safe handoffs for optimal patient flow.
• Managed inductions and labor progressions, providing clear patient education on the plan of care, pain-management options, and what to expect during delivery.
• Completed required diagnostics and administered medications/IV therapies per protocol, maintaining high-alert safety practices and accurate documentation.
• Delivered calm, compassionate, family-centered support to patients and support persons throughout labor, birth, and immediate postpartum transition.
• Educated and coached families on newborn care and maternal recovery, reinforcing bonding and safety to build confidence during transition home.

• Performed rapid OB triage assessments for walk-ins, ED transfers, and direct admits to determine maternal–fetal stability and level of urgency.
• Evaluated pregnancy complications (HTN/preeclampsia symptoms, decreased fetal movement, PPROM, abruption concerns, fever, trauma, hyperemesis, etc.) and initiated standing orders.
• Assessed labor progression: cervical exams as indicated, contraction pattern, ROM evaluation, and signs of infection or preterm labor.
• Initiated fetal surveillance (NST/EFM), assessed uterine activity, and interpreted/documented fetal heart rate patterns; escalated nonreassuring tracings per protocol.
• Coordinated bedside ultrasound and biophysical profile requests; communicated findings promptly to the provider team.
• Determined disposition in collaboration with provider: discharged with instructions, observation, admission to LDRP, transfer to higher level of care, or OR preparation.
• Provided patient education and clear return precautions (labor signs, ROM, bleeding, decreased fetal movement, preeclampsia symptoms) using teach-back.