RN - Labor and Delivery (L&D)

RN - Labor and Delivery (L&D)

This is a high risk L&D unit with an average delivery volume of 2100 deliveries per year. We accept transfer ins as we have a MFM outpatient consultation, however the OB manages the patients. All OB practices and family practice doctors are private entities with delivery privileges. No hospital owned providers, no laborists. Only family practice will have midwife coverage. Level 3 NICU in hospital. Not LDRP. Must circulate for c-sections.

Required Skills / Certs / Exp:

• Minimum Years of Experience: 3 years experience preferred, will screen for 1-2 yrs exp
• Traveler Experience: Unit does NOT accept first time travelers
• Previous charge experience required
• Circulate REQUIRED
• Locals Accepted / Rate Difference: Travelers located within 50 miles will receive a $15 rate decrease

Job Details:

• Shift: 3x12 Nights 7a-7:30a, 36hrs only
• Call Requirement: None
• Float Requirement: Yes, Maternity/Mother-Baby
• Weekend Requirement: Every other weekend required
• Unit Systems (Medication, Documentation, Communication): Epic - Experience required
• Unit Orientation: 24hrs, one day for healthstream unit assignments, 2 days on unit orientation ideally for orientation
• Scrubs: Any color
• Travelers are not considered if they have ever been a former employee at any facility associated with Elliot Health System regardless of length of separation or duration of time worked at health system

Skills:

• Amnioinfusion
• Anticoagulation therapy
• Antihypertensives
• APGAR scores
• Assist with Circumcision/Assess site post-op
• Assist with high risk delivery
• Assist with sterile speculum exam (effacement, dilation, station, presentation)
• Assist with vaginal delivery
• Baby Nurse (Baby Catcher)
• Car Seat Education
• Cervical Cerclage
• Cesarean Section
• Circulate for C-section
• Collect cord samples
• Cord Care
• Couplet Care
• D & C
• Discharge teaching to parents
• Epidural Anesthesia
• Forceps/vacuum extraction
• General Anesthesia
• Hemorrhage/shock
• High Risk Antepartum
• ID/Security Banding
• Infant Identification
• Insulin drips
• Isolation Precautions/PPE
• Labor & Delivery
• Level I Nursery
• Magnesium Sulfate therapy
• Metabolic Screen
• Mother/Baby
• Multiple Births
• Neonatal Abstinence Syndrome
• Newborn Assessment
• Newborn hypoglycemia
• Nitrous Oxide
• NST (Non Stress Tests)
• Pain assessment & management
• Phototherapy
• Pitocin (oxytocin)
• Postpartum Hemorrhage
• Pregnancy induced hypertension
• Prostaglandins
• Radiant Warmers/Thermoregulation
• Recognition and Treatment of abnormal fetal heart rate patterns
• Recover C-Section
• Reflex checks / edema assessment / clonus
• Starting and maintaining IVs
• Sterile vaginal exam
• Teach Circumcision care to parents
• Terbutaline
• Thermoregulation
• Triage of obstetrical patients
• Tubal Ligation
• Use of EFM (External Fetal Heart Monitoring)
• Use of Internal Fetal Monitoring
• Use of IUPC (Intrauterine pressure catheter) placement and calibration
• Use of PCA (IV)
• Vaccine Administration

Unit Details:

• Staffing & Scheduling Scheduling Type: Other
• Patient Ratios Days: 2
• Patient Ratios Nights: 2
• Patient Ratios Weekends: 2
• Float Required: mother baby, postpart
• Will assist in being Floated to ICU and ED for helping hands Pt sitting 1:1 for SI
• You will not take a patient that does not match your clinical assignment or team
• Call Required: - Weekend Coverage: True
• Number of Weekend Shifts Per Contract: 6
• Interdisciplinary Support: IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Unit Secretary
• Patient Diagnoses: - Special Procedures/Unit Details: "Medication Conversion onto Subutex Cesarean SectionMassive Transfusion ProtocolHysterectomy**if indicated for PPHPostpartum Tubal LigationD&C **If indicated2 ORs within L&D staffed by labor staffCerclage placementOB in house 24/7"
• Special Equipment: "BakariFetal MonitorBelmont for Rapid TransfusionJADA and Triton"

Facility & Patient Care Details:

• Patient Age Groups: Neonates, Adolescents, Adults
• Daily Census: 8
• Number of Visits Per Day: 12
• Number of Rooms: 10
• Number of Beds: 10

Travel Compliance:

• #Tier2 Travel Compliance
• Former staff is not accepted for any travel roles regardless of time separated
• References are required, may be able to start with second pending
• Floating requirements vary per unit
• RTO: include upon submission
• # of jobs in system we can sub: unlimited
• All Allied Travelers must have a Valid NH state license
• Local Rules: travelers within 50 miles from the facility accepted at local rate
• Copy of Certifications: only AHA and red cross certs accepted
• Background Policy: license hits or background hits need to be approved by facility prior to offer
• Drug Screen: Facility required DS to be obtained within 14 days of start - IF YOUR CLINICIAN HAS A TRIP PLANNED PRIOR TO START THAT WILL MAKE THEM UNAVAILABLE TO OBTAIN DS WITHIN THE 14 DAY WINDOW PLEASE ALERT CDM/EC

Client Details:

Address 1 Elliot Way City Manchester State NH Zip Code 03103