Registered Nurse - Labor and Delivery

Registered Nurse Labor/Delivery/Recovery/Postpartum

Shift: 13 weeks, 3 x 12's, nights 7:00 p - 7:00 a

Ratios: 1: 1-3 Years of experience required: 3 years, community hospital experience preferred

First-timers accepted: No

Holiday shifts and charge RN assignments as needed per unit

Weekend rotation: 4-6 weekend shifts (Sat/Sun) and 2 Fridays per 6-week schedule

Holiday requirements: 1 major holiday (Thanksgiving or Christmas) and 1-2 minor holidays (New Years Day, Memorial Day, 4th of July, or Labor Day)

Certifications required: BLS, FHM, NRP

AWHONN Advanced AWHONN Intermediate preferred

Skills required: IV therapy/phlebotomy: administration of blood & blood products, drawing venous blood, start & maintain peripheral IV, use of infusion pumps / drips / IV monitoring

Labor and delivery management: amnioinfusion, assist with vaginal delivery, circulate for c-section, forceps/vacuum extraction, hemorrhage/shock, recover c-section, sterile vaginal exam

Work settings: antepartum, community level experience, facility births/month <100, LDRP, level I nursery, mother/baby

Medication & administration: antihypertensives, magnesium sulfate therapy, pitocin (oxytocin), prostaglandins, terbutaline

Neonatal care in delivery room: collect cord samples, ID/security banding

Newborn care: assist with circumcision/assess site post-op, car seat education, cord care, discharge teaching to parents, infant identification, metabolic screen, newborn assessment, newborn hypoglycemia, phototherapy, teach circumcision care to parents, thermoregulation

Antepartum care and procedures: NST (non stress tests), reflex checks / edema assessment / clonus, sterile vaginal exam, triage of obstetrical patients, use of EFM (external fetal heart monitoring)

Postpartum care and procedures: baby friendly protocols, breastfeeding support/lactation support, episiotomy/incisional care, foley catheter insertion, fundus/lochia/perineum care, use of electric/manual breast pump, wound assessment and care

Postpartum care of the patient with: bladder distension, cesarean section, couplet care, multiple births, postpartum hemorrhage, pregnancy induced hypertension, vaginal delivery

Surgical case/procedures: D & C, tubal ligation

Pain management: epidural anesthesia, general anesthesia, opioids, pain assessment & management, use of PCA (IV)

Professional topics and skills: isolation precautions/PPE, vaccine administration

Fetal monitoring: recognition and treatment of abnormal fetal heart rate patterns, spiral electrode placement, use of external fetal monitoring, use of internal fetal monitoring, use of IUPC (intrauterine pressure catheter) placement and calibration

Additional skills: post operative gynecology (hysterectomy) care

Skills preferred: labor and delivery management n; assist with high risk delivery, scrub for c-section

Work settings: low risk

Medication & administration: anticoagulants, anticonvulsants

Neonatal care in delivery room: APGAR scores, neonatal resuscitation, radiant warmers/thermoregulation

Antepartum care and procedures: assist with sterile speculum exam (effacement, dilation, station, presentation)

Surgical case/procedures: cervical cerclage

Cardiac monitoring and emergency care: infant / neonatal arrest, use of rapid response team

Is on-call required? Yes. 2 mandatory on call shifts each 6-week schedule period

Will clinician float within scope to meet facility needs? RN is expected to care for any patient assignment within the LDRP unit (triage, c-section case, including circulating, antepartum, intrapartum, and postpartum)

Full couplet care is required. Regular floating may be required between departments, units and facilities as needed

Open to accommodating block schedule? No

Locals accepted: No. Home address must be at least 75 miles from the facility

Pending license accepted: No

RTO restrictions: None

Guaranteed hours: 3 shifts per 13 weeks. The cancelled shifts must be the regular shift length to which the contractor personnel is assigned

Special procedures/unit details: vaginal birth, c-sections, postpartum care- LDRP model, antenatal testing (NSTs, BPP on unit by radiology), post op GYN, external cephalic version, antepartum patients

Type of facility: acute care/hospital

Total staffed beds: 74

Scrub color: navy

Charting: epic