Registered Nurse - Labor and Delivery

Registered Nurse Labor/Delivery/Recovery/PostpartumShift: 13 weeks, 3 x 12's, nights 7:00 p - 7:00 aRatios: 1: 1-3 Years of experience required: 3 years, community hospital experience preferredFirst-timers accepted: NoHoliday shifts and charge RN assignments as needed per unitWeekend rotation: 4-6 weekend shifts (Sat/Sun) and 2 Fridays per 6-week scheduleHoliday 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, NRPAWHONN Advanced AWHONN Intermediate preferredSkills required: IV therapy/phlebotomy: administration of blood & blood products, drawing venous blood, start & maintain peripheral IV, use of infusion pumps / drips / IV monitoringLabor and delivery management: amnioinfusion, assist with vaginal delivery, circulate for c-section, forceps/vacuum extraction, hemorrhage/shock, recover c-section, sterile vaginal examWork settings: antepartum, community level experience, facility births/month <100, LDRP, level I nursery, mother/babyMedication & administration: antihypertensives, magnesium sulfate therapy, pitocin (oxytocin), prostaglandins, terbutalineNeonatal care in delivery room: collect cord samples, ID/security bandingNewborn 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, thermoregulationAntepartum 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 carePostpartum care of the patient with: bladder distension, cesarean section, couplet care, multiple births, postpartum hemorrhage, pregnancy induced hypertension, vaginal deliverySurgical case/procedures: D & C, tubal ligationPain management: epidural anesthesia, general anesthesia, opioids, pain assessment & management, use of PCA (IV)Professional topics and skills: isolation precautions/PPE, vaccine administrationFetal 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 calibrationAdditional skills: post operative gynecology (hysterectomy) careSkills preferred: labor and delivery management n; assist with high risk delivery, scrub for c-sectionWork settings: low riskMedication & administration: anticoagulants, anticonvulsantsNeonatal care in delivery room: APGAR scores, neonatal resuscitation, radiant warmers/thermoregulationAntepartum care and procedures: assist with sterile speculum exam (effacement, dilation, station, presentation)Surgical case/procedures: cervical cerclageCardiac monitoring and emergency care: infant / neonatal arrest, use of rapid response teamIs on-call required? Yes. 2 mandatory on call shifts each 6-week schedule periodWill 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 neededOpen to accommodating block schedule? NoLocals accepted: No. Home address must be at least 75 miles from the facilityPending license accepted: NoRTO restrictions: NoneGuaranteed hours: 3 shifts per 13 weeks. The cancelled shifts must be the regular shift length to which the contractor personnel is assignedSpecial 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 patientsType of facility: acute care/hospitalTotal staffed beds: 74Scrub color: navyCharting: epic