Labor and Delivery Registered Nurse (RN)

General Information

Seeking an experienced Labor and Delivery Registered Nurse with a minimum of 2 years in Labor & Delivery. The ideal candidate must have completed at least one assignment in a facility of similar size and acuity.

Unit Information

• Level III NICU and Newborn Nursery
• Approximately 1800 deliveries per year
• 4 scheduled events daily including C-sections and versions
• Total Beds:
• OBED: 2 Triage rooms
• Labor & Delivery: 7 labor rooms, 2 triage rooms, PreOp/PACU in Labor room
• OR suites: 2
• Postpartum/Antepartum/GYN/Mother-Baby: 25 beds
• Covers a large geographical area with significant referrals
• Rooming-in model for Mother-Baby care
• Labor & Delivery and Mother-Baby units are adjacent, locked, and circular

Patient Types/Common Diagnoses

• Pregnancy Induced Hypertension (PIH)
• Gestational Diabetes Mellitus (GDM)
• Pre-Eclampsia and Eclampsia
• HELLP syndrome
• Shoulder dystocia
• Postpartum hemorrhage
• Multiple gestations
• Fetal loss
• Drug addiction during pregnancy

Patient Ratios

• Cervical Ripening: 1:1-3
• Laboring: 1:1-3
• Active Labor: 1:1
• Couplet/Postpartum/Antepartum: 3 Mother-Baby couplets or 3 Antepartum/NICU moms

Minimum Staffing

• 6 RNs for day and night shifts, with a possible minimum of 5 RNs during call outs

Required Certifications

• BLS, ACLS, NRP, Intermediate or Advanced FHM, MOAB

Skills Required

• Titration of Pitocin and management of insulin and magnesium drips
• Fetal scalp electrode placement and cervical exams
• Assisting CRNA with epidural placements
• Neonatal resuscitation and monitoring of IUPC
• Lactation support and adherence to safe skin-to-skin protocols

Support on the Unit

• Unit secretary available during the day shift
• Bed Flow Facilitator available during the day shift
• CST available in-house 24/7
• Charge nurse covering 24/7
• Phlebotomist available for lab work
• Anesthesia support available 24/7
• RT available 24/7
• OB Provider on call 24/7
• Certified Midwife available, with backup for operative deliveries

Technology/Equipment

• EMR: Cerner; Fetal Link for monitoring
• IV Pumps: Alaris
• Medication Dispensing: Pyxis

Orientation

• 1 Day with HR/preceptor
• 1 Day of OR training/PACU
• 1 Day with a preceptor on night shift if contracted for nights

Scheduling

• Weekend rotation: Minimum of 4 out of 8 weekend shifts
• No on-call required; may opt to pick up shifts
• Holiday rotation required