RN (Registered Nurse)

Labor and Delivery RN

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, 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 utilize Obix for electronic fetal monitoring (Phillips monitors). RNs must have advanced AWHONN electronic fetal monitoring 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 for 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