RN (Registered Nurse)

Family Birthing Center/LDRP

Med Sol prescreens need two supervisor references (charge accepted) at submittal; one within 12 months and one within three years worked. Candidates may not have been directly employed (full-time, part-time, or per diem) by any facility associated with CommonSpirit, including CHI and/or Dignity within the last 12 months. Family Birthing Center/LDRP—Can your candidate "catch the baby?" Please confirm before submitting. OB beds 2; 7 LDRP beds; 4-8 overflow postpartum beds; 1 OR suite for C-sections. NICU with 2 beds for newborn stabilization. 70-80 births a month and NST antepartum testing (averaging 60-70 per month). Do you follow AWHONN guidelines for ratios? No. Labor 1:2, 1:1 at delivery. 1:4 Mother/Baby couplets. Required Certifications: ACLS, BLS, NRP, AWHONN Adv EFM. Common diagnoses/Types of patients: 35 weeks and above, may do twin deliveries, preterm patients less than 35 weeks transferred to higher level of care. 'Must have' skills: Must have at least 1 year of LDRP experience; prefer 3 years of experience in this setting. Will take L&D only with OR circulating experience, but will not accept a candidate who only has postpartum experience. RN must be comfortable with NRP at delivery, no in-house pediatric coverage. Are RNs required to titrate drips? Yes. Common titratable &/or set rate drips: Titrate pitocin and very occasionally insulin. Charge Nurse/House Supervisor? Charge nurse or Nurse Shift Manager on every shift. Does the charge nurse take an assignment? Preferably not, but will take an assignment if required by staffing needs. Are there nurse aids/surgical techs on this unit? No CNAs, one OB Tech scheduled each shift. OB/Neonatologist in house 24/7? OB is in house 24/7. They have a perinatal specialist to improve neonatal complications. Anesthesia in-house 24/7? Anesthesia not in house 24/7, but on-call. If there are no patients there is not an anesthesiologist in house, they would be on call with a 20 minute response time. If any patients have an epidural, anesthesia remains in house and would stay for the entirety. RT Equipment (vents, CPAP, BiPap, etc): RT attends every delivery and will assist in providing respiratory support and manage equipment when needed. Equipment: Ventilator, CPAP, bubble CPAP machine. Are there Tele/Monitor Techs on this unit? No. GE fetal monitors can record maternal heart rhythm. Nurses required to take ACLS, but if a patient receives general anesthesia they will be recovered in the Main PACU. EFM System: Fetalink. Weekend Requirements: 2 weekend shifts per 4 week schedule, Nights - Fri/Sat, Days - Sat/Sun. Holiday Requirements: Rotate in with core staff. Is there a call or standby req? May be placed on-call/standby on scheduled shifts and expected to present within 30 minutes of call back. Floating Requirements? All other Sacramento facilities.