RN (Registered Nurse)

Unit Notes
**Will take L&D, recovery, postpartum, women's health patients, recovering of babies. High risk OB. Transfer out for major maternal or fetal complications, if mom has major cardiac issue or baby needs surgery.**

- # beds: 18 LDRP rooms + 6 triage spaces + 8 beds shared w/ med surg that are women's care center overflow such as hysters, slings, etc, 2 OR rooms that nurses self circulate
- Certs: BLS, ACLS, NRP, AWHONN advanced fetal monitoring required
- Ratios: Follow CA state guidelines; 4 to 1 couplets 3 to 1 stable antepartums; 2 to 1 L&D; 1 to 1 for deliveries (a second NRP nurse is in every birth so nurse not only nurse in delivery)
- EMR: Cerner, fetal links, HUGS for infant security
- Charge Nurse: Nurse Manager is the supervisor who covers 24/7 (12 hr shifts) and then L&D and each has a resource nurse who is like a charge nurse who helps w/ breaks etc
- Nurse Aides: OB techs that scrub
- Weekend Requirement: 4 weekend shifts per every weeks (usually two days together and the other two spread apart)
- Holidays: Must work a major and a minor
- Scrub Color: L&D scrubs are provided, but they need to have navy blue scrubs as well and they want the nurses to wear navy scrubs to work each day to change out of
- Tele: remove fetal monitoring
- Vents: none
- OB and anesthesia: 24/7 in house coverage
- IV Team: Must be able to start own IV's
- RT 24/7: Yes
- Pharmacy 24/7: Yes
- Call: Can be placed on standby as needed, when census needs it. If on standby & called in, response time is 30mins.
- Shifts: 7a, 7p
- Floating: All nurses will do L&D, PP, C-section, women's health...not just one or the other
- Floor specific orientation: 3 shifts is baseline on the unit; GNOSIS is an online training for all OB nurses; will also train with the perinatology safety specialists
- Common diagnosis / Types of patients: Will take L&D, recovery, post partum, women's health patients; high risk OB, transfer out for major maternal or fetal complications if mom has major cardiac issue or baby needs surgery; recovering of babies
- Additional Notes: L&D nurses must do antepartum, L&D postpartum; approx 250 births per month; NICU charge nurse and RT attend all high risk deliveries; level 2 NICU in house; no block certifications; very strong perinatal safety initiatives; no elective deliveries less than 39 weeks; evidence based practice is huge, Pitocin checklists, maternal mental health screenings, reducing number of low risk primary C-sections; pre-eclampsia initiatives; unit does 100% chart audits; prefer CERNER charting experience; baby friendly hospital (immediate skin to skin and initiate breast feeding asap); have a lactation store on the campus; usually only perm staff do triage