RN Hospital / Labor & Delivery - Night Shift

CLINICAL INTERVIEWING General Information:Beds: 25 LDRP, 3 Obstetrical emergency room beds, 6 post-op/antepartum beds (4 rooms double occupancy)Will you accept a first-time traveler? 2# of deliveries a month? About 200Patient Types:Antepartum, Laboring, post-partum. We have a level 3 NICU so take patients that require a higher level of care.Patient Ratios:Labor: 1:1-2 (dependent on stage of labor and acuity)Mother Baby: 1:3 couplets (dependent on patient acuity)Required Licensure & Certifications:Licensure: RN, CSTL&D: ACLS, NRPALSO preferredMB: NRP, BLSTele Exam required?Labor and Delivery: Independent IV starts and lab draws from IV start, accurate vaginal exams, provide labor support, fetal monitor strip interpretation according to NICHD guidelines, strong ability to multi-task, communicate, comfortable with asking questions, and easily adapts to a new unit. Can be 2nd RN in OR if they have experience and are comfortable with OR.Typically 6-8 RNs on Nights with 1-2 on callMother Baby: Assessment of postpartum patients both vaginal and post-op c-section, & antepartum. Will occasionally have women post-surgical patients i.e., Strong ability to multi-task, communicate, comfortable asking questions, and easily adapts to new unitMother Baby Staffing: Typically 7 RNs on Days and 7 on NightsSupport on the Unit:CNA: 1-2 per shift. RN primary careReceptionist/HUC: 1-2 each shift, varies on time of dayCharge nurse: 1 for L&D and 1 for Mother Baby each shiftPhlebotomy: L&D RNs draw labs with IV starts and can perform phlebotomy if they are comfortableIV/VAT Team: L&D starts their own IVs but we do have IV therapy if needed for difficult startsResource NurseRT: in house and attend deliveries with NICUHospitalist: OB and Peds Hospitalist coverage 24/7Anesthesia: CRNA in house 24/7, Anesthesiologist called in for C-section/emergenciesTelemetry monitoring: remoteAre RNs required to read/measure tele strips? No, but should recognize when there is a need to call a rapid response and/or for anesthesia support.Technology/Equipment:EMR: EPICIV pumps: L&D floats to Mother Baby. Mother Baby floats off the unit if needed.Orientation:Hospital NEOWith preceptor on unit depends on experienceScheduling:Weekend rotation: Every other weekend as neededOn call? L&D takes 24 hours of call per 4 week schedule periodHoliday Expectations: depends on shift, 1 summer holiday and 1 winter holidayRTO: As part of our program, we approve up to 7 days of RTO, would you like us to text you if any additional days are requested? Scrub Color: provided scrubs are navy blue, but Mother Baby is permitted to wear their own scrubs. L&D is expected to change into scrubs at the hospital. May wear their own or hospital provided if on the floor but must wear hospital laundered in the ORParking: FreeStaffing typically 6-8 RNS on nights with 1-2 on call for L/D
typically 6-7 RNS scheduled on nights for Mother/Baby.
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Registered Nurse, LD SSN Required DOB Required References: 1 Reference in the last 12 months skills checklist within 12 mos ref within 12 mos for job within l 5 yrs plus if Labor and Delivery: Independent IV starts and lab draws from IV start, accurate vaginal exams, provide labor support, fetal monitor strip interpretation according to NICHD guidelines, strong ability to multi-task, communicate, comfortable with asking questions, and easily adapts to a new unit. Can be 2nd RN in OR if they have experience and are comfortable with OR. or if Postpartum order:Mother Baby: Assessment of postpartum patients both vaginal and post-op c-section, & antepartum. Will occasionally have women post-surgical patients i.e., Strong ability to multi-task, communicate, comfortable asking questions, and easily adapts to new unit
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