RN - Labor and Delivery

Unit Notes

Department: L&D | RN

- # L&D Beds: 9 LDR (procedure rooms)
- # OR Suites on the unit for C-Sections: 2 OR Suites; 1 PACU.
- # Triage beds: 6 L&D triage rooms (in addition, I like them to know that we have an 18 bed antepartum unit).
- # Postpartum beds: 36 private rooms with an average daily adult census of 18 and infant census of 14.
- Do you follow AWHONN guidelines for ratios?: 1:1 Pitocin Induction and active labor; 2 (RN):1(patient) at time of vaginal delivery
and cesarean section; 1:1 PACU; 1(RN):3(Patients) L&D Triage.
- Required Certifications: BLS; NRP; ACLS; must have completed advanced AWHONN EFM class.
- Common diagnoses/Types of patients: Pregnant patients/high risk pregnant patients; vaginal deliveries, cesarean deliveries,
cerclage placement.
- Experience or 'Must have' skills: Prefer a minimum of 2 years experience in L&D. We are a level 1 trauma center, level 3 perinatal
center and RNs must be proficient in care of the high-risk OB patient. Must have completed Advanced AWHONN EFM class. Must
be able to care for Magnesium drips and Insulin Drips. Must be able to circulate a cesarean section in OR and recover patient in
PACU. Must be proficient in baby care at both vaginal and cesarean delivery. Must have ACLS and NRP certifications.
- Are RNs required to titrate drips?: Yes
- Common titratable &/or set rate drips: Pitocin, Magnesium, Insulin.
- Is there a Charge Nurse &/or House Supervisor on each shift? Does the charge nurse take an assignment?: Yes, there is a charge
nurse 24/7 in L&D who does not take a team of patients. House supervisor 24/7.
- Are there nurse aids/surgical techs on this unit? Duties?: We have 1 PCT in L&D Triage; We have 2 -3 Surgical Techs per shift.
- OB/Neonatologist in house 24/7?: We have Labor hospitalist in house 24/7, Newborn hospitalists daily in house with NICU
coverage at night in house for emergencies.
- RT Equipment (Vents, Cpap, Bipap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot?: No vents
outside of L&D OR. Patients who require ventilatory support are transferred to ICU.
- Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors?: We
certification.
- EFM System: Epic Stork
- Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?): 12 hours shift on both day and night. We allow block
scheduling to the best of our ability or travelers.
- Weekend Requirements: Every 3rd weekend; Sat/Sun on dayshift; Fri/Sat on nightshift.
- Holiday Requirements Every other holiday, which is 3 per year for dayshift & 6 per year per nightshift. Dayshift- if it is not your
holiday, we ask that you work the day before or the day after unless you discuss arrangements to be off with unit leadership.
- Is there a call or standby requirement?: No call
- Floating Requirements: RNs float to Postpartum and Antepartum units only. On postpartum, RN will take a team of 5-6
postpartum patients. On antepartum, L&D RNs will take 3 high risk, intermittent EFM monitor pregnant patients.
- Scrub Color/Dress code: Surgical scrubs are provided on unit.
- Unit/Department specific orientation: Typically 3 shifts of orientation
- Additional Notes: We are a level 1 trauma center, level 3 perinatal center and RNs must be proficient in care of the high-risk OB
patient. Must have completed Advanced AWHONN EFM class. Must be able to care for Magnesium drips and Insulin Drips. Must
be able to circulate a cesarean section in OR and recover patient in PACU. Must be proficient in baby care at both vaginal and
cesarean delivery. Must have ACLS and NRP certifications.

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