Labor and Delivery Registered Nurse (RN)

General Information

We are seeking a skilled Labor and Delivery Registered Nurse (RN) with at least 2 years of experience in a comparable facility. Candidates must have completed at least one prior assignment in a facility of similar size and acuity. This position involves providing care in a high-acuity Level III NICU and newborn nursery environment.

Unit Overview

• Average Deliveries: Approximately 1,800 deliveries per year.
• Labor & Delivery Units:
  • 7 labor rooms
  • 2 triage rooms
• Postpartum/Antepartum/GYN/Mother-Baby Beds: 25 beds, with capacity for overflow Antepartum monitoring.
• Staffing Goals: Minimum of 6 RNs per shift, with a potential for 5 if coverage issues arise.

Patient Types and Common Diagnoses

• Pregnancy Induced Hypertension (PIH)
• Gestational Diabetes Mellitus (GDM)
• Pre-Eclampsia and Eclampsia
• HELLP Syndrome
• Shoulder Dystocia
• Postpartum Hemorrhage
• Multiple Gestations
• Fetal Loss
• Substance Use Disorders

Patient Care Responsibilities

• Cervical Ripening: RN ratio of 1:1-3
• Active Labor: RN ratio of 1:1
• Postpartum: Couplet care at a ratio of 3 Mother-Baby couplets or 3 Antepartum/NICU mothers.

Required Certifications

• Basic Life Support (BLS)
• Advanced Cardiac Life Support (ACLS)
• Neonatal Resuscitation Program (NRP)
• Intermediate or Advanced Fetal Monitoring (FHM)
• Management of Aggressive Behaviors (MOAB)

Required Skills

• Titrate Pitocin
• Manage fetal scalp electrodes
• Perform cervical exams
• Assist with epidural placements and c-sections
• Manage insulin and magnesium drips
• Handle shoulder dystocia situations
• Provide neonatal resuscitation and support
• Facilitate skin-to-skin care and lactation support

Team Structure

• Unit secretary: Dayshift only
• Bed Flow Facilitator: Dayshift only
• CST: 1 on call 24/7
• Charge nurse: 24/7 coverage
• Anesthesia: Available 24/7
• House Supervisor: 24/7
• Respiratory Therapy: 24/7
• OB Provider: 24/7 on call coverage
• Certified Midwife: Available for support

Technology and Equipment

• Electronic Medical Records (EMR): Cerner
• IV Pumps: Alaris
• Medication Dispensing: Pyxis
• Fetal Monitoring: Fetal Link

Orientation and Training

The orientation process includes:

• 1 day with HR/preceptor
• 1 day of OR training/PACU
• 1 day with a preceptor on the scheduled night shift if applicable

Schedule and Weekend Rotation

Weekend rotation requires working at least 4 out of 8 scheduled weekend shifts. Holiday rotation also applies.

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