RN - Labor & Delivery/Postpartum

RN - Labor & Delivery/Postpartum

● About Facility:

o 637 licensed beds

o Level 1 Trauma Designation

o Teaching Hospital

o Chest Pain Center

o Stroke Center

● Unit Information:

o Beds: 9 Labor Beds, 3 ORs, 4 PACUs, 11 Antepartum, 4 triage, 27 Postpartum,

▪ Census? 2-14 L&D

o Minimum Years of Experience required? 2 years L&D RN experience., 1 year OB Surg Tech experience

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o Laboring patients, Antepartum patients, a triage area, PACU and OR

● Patient Ratios:

o RN: Follow AWHONN Guidelines

o OB Tech: 2-3 per shift

● Required License, National Certification, Certs (BLS, ACLS, etc.):

o RN: BLS, ACLS, NRP, Fetal Monitoring required. BCR (Basic Cardiac Rythm) required - meaning traveler will be required to pass an EKG competency exam as part of Compliance

o Surg Tech: BLS, CST

● Skills required:

o RN : Strong clinical assessment and L&D skills for Level 1 Trauma Hospital, IV insertion and care, central line management, Care coordination with interdisciplinary teams

o Surg Tech: scrub surgeries, c-sections, set up tables for vaginal deliveries, stock the unit

● Support within the Department:

o 2 OB Surg Techs per shift

o CNA? Duties? Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank

o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a

o Charge nurse – may have patients

o IV/VAT Team? Not an IV team - do have a PICC team

o RT 24/7? yes

o Hospitalist 24/7? yes

o Intensivist 24/7? Yes

o OB Physicians, 24/7

o Bedside and Nursing Station Tele/Fetal monitoring

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Pyxis

o Monitors: Phillips

o Unit specific equipment:

▪ VS3 vital sign monitors, Nova Glucose Stat Strips Cardiac Telemetry monitoring

▪ Portable vital signs monitors (Dynamapp)

▪ PCA pain management

▪ Bladder scanners, IV pump, portable oxygen system

▪ Glucommander

▪ Suction machine

▪ Use of admission/ discharge protocol for rapid turnover

● Floating: If yes, where?

o RN: All adult med surg / telemetry units in house

o Surg Tech: none

● Orientation (facility and unit) :

o 1 day orientation with work on educational modules

o 2 days departmental

● Scheduling:

o Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)

o On call? If so, what is that schedule? No call

o Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1

o RTO Requests: Manager approval

o Shift times: 12-hour shifts 7A-7P or 7P-7A

o Schedule cycle: every 6 weeks

● Other notes:

o Scrub Color: RN- Navy; LPN- Ceil Blue; L&D surgical green w/ scrub exchange system

o Parking: Free? Have free parking around campus or can pay to park in parking decks

o Unit Culture: busy but work as team