ADVANCED PRACTICE NURSE - WEEKEND ONLY

Unit Notes

Department: OB- LDRP | RN

*Required Certifications: BLS, ACLS, NRP, Intermediate or Advanced Fetal Monitoring (in NV RN cannot place Cytotec without Advanced FHM). STABLE- preferred.*

HOUSING: Confirm the candidate has looked into housing in the area with the submittal. Leads available.

• # L&D Beds: 4 LDRPs, 2 PP, 1 Exam Room that can be an LDRP. Can be placed in all roles within the same shift.
• # OR Suites on the unit for C-Sections?: OR Team does scrubbing and circulating and recovery for C-Sections, it is

adjacent to our unit. OB nurse receives the baby.

• # Triage beds: No designated triage area, done in all rooms.
• # Postpartum beds: 2 Bed (all rooms have monitors).
• # Births per day? Month? Year?: Approx 20/month, Approx 200/yr.
• Do you follow AWHONN guidelines for ratios?: Strive to follow AWHONN staffing guidelines; Staff 2 nurses per shift; they

only call in extra if multiple labors are occurring or there is a sick baby.

- Required Certifications: BLS, ACLS, NRP, Intermediate or Advanced Fetal Monitoring (in NV RN cannot place Cytotec

without Advanced FHM). STABLE- preferred.

- Common diagnoses: Low risk labor (rare high risk OB- to stabilize and transfer), antepartum testing, PP couplets, well

nursery, stabilize and ship out sick nursery. Could have a postpartum couplet, triage and labor patient. RN should be

comfortable caring for sick babies prior to transport (it can take transport 3 hours to get the patients).

- Experience: MUST have LDRP experience and the ability to function in L&D, PP, and Sick-Baby Nursery. Okay with 1 year

of experience in true LDRP. Ok with first time travelers. C-sections: OB RN Only received the baby- OR does scrub

circulate and recovery.

• Are RNs required to titrate drips?: All IVs and IV drips are run thru infusion device.
• Common titratable &/or set rate drips: Pitocin, Mag Sulfate, Antibiotics (rare Insulin - usually with induction, on days if

done).

- Charge Nurse/House Supervisor: We do not have a charge nurse on the unit; Take a team approach as each nurse may

have a patient assignment; Charge nurse available in the ER/ICU if assistance is needed- help with transfer process.

- Nurse Aides/Surg Techs: Rare N couple days a week to assist with with department tasks like stocking, and not patient

care.

- OB/Neonatologist in house 24/7?: OB on call, 30 min response time, and No neonatologist; Transfer contact for consult;

high acuity babies stabilized and transferred out (3 hours roughly for transfer). 1 OB or FPOB on at a time, 1 Pediatric

FPOB and Hospitalists cover Nursery. If used to having NICU and all OBGYNs do not want them to be surprised.

• Anesthesia in house 24/7?: On call in the after hours; quick response time 20 minutes or less.
• RT Equipment: T-pieces for PPV & Vapotherm for high flow.
• Tele/Monitor Techs: RNs read their own EFM tele strips- asked to be able to identify major rhythms and life-threatening

rhythms; MDs have the ability to view strip off-site and in the office; Use Corometric monitors. Rare, if mom requires tele

they would loop in ICU RN for tele needs.

• EFM System: Fetal Link & Cerner Community Works EMR.
• Shifts & Scheduling: 3- 12 hr shifts, start time 7-730, with 30 minute lunch. Modified Self Schedule; Management will try

to accommodate scheduling requests, but ask that travelers are flexible and help to fill gaps in permanent staffing. Try

not to do every other, but will accommodate blocks scheduling if able, but cannot guarantee.

• Weekend Requirements: EOW.
• Holiday Requirements: May be asked to go in the Holiday Rotation.
• Is there a call or standby requirement?: None
• Floating Requirements: With low census in OB- try to have nurses stock or find things to do around the department, if

not needed in unit. Travelers may be asked to float to be helping hands in MS, ER, LTC as a sitter or helping hands. RN to

come back to the unit for laboring patients.

• Scrub Color: Navy Blue, Hospitals scrubs provided for c-sections in the OR.
• Unit Specific Orientation: 1 day of General orientation and 1-2 shifts on unit with preceptor, will have one orientation

shift on their scheduled shift.

Date Entered On: 8/27/2024

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