Labor and Delivery Registered Nurse (RN)

General Information

Join a healthcare team dedicated to providing top-quality care to expectant mothers and their newborns. This facility features:

• 34 Labor and Delivery beds, including:
• 15 labor rooms
• 12 antepartum beds
• 4 OB emergency department beds
• 3 operating rooms
• 18 postpartum beds

Patient Types

Our patients include those with high acuity needs such as:

• Hypertension
• Magnesium administration
• C-sections (33% rate)
• Preterm labor
• Insulin drips (rarely used)
• Vaginal deliveries
• Epidurals and inductions
• Robust antepartum care
• Pre-labor rupture of membranes (PROM)
• Multiple births
• Post-partum hemorrhage

The unit handles up to 300 deliveries per month, with an expectation of full recovery for both mother and baby post-delivery.

Patient Ratios

In alignment with AWHONN guidelines, the patient care ratios are:

• 1:1 for active labor
• 1:2 for non-active laboring patients
• 1:2-3 for antepartum, depending on acuity

Required Certifications

• BLS (Basic Life Support)
• NRP (Neonatal Resuscitation Program)
• Intermediate FHM (AWHONN)

Skills Required

We are looking for candidates with high acuity experience and the following skills:

• Labor management and delivery of high-risk OB patients
• Triage ability for OB patients
• Circulating in the OR
• Cervical checks
• Reading/interpreting fetal monitoring strips
• Assisting in newborn care

Support on the Unit

The unit provides comprehensive support, including:

• Certified Nursing Assistant (CNA) for transport, restocking, and assistance in the OR
• Scrub Techs that are LPN and NRP certified
• Receptionist/Health Unit Coordinator (HUC)
• Free floating Charge Nurse
• Phlebotomy services
• Resource RN, depending on staffing
• Break Nurses scheduled for each shift
• Respiratory Therapy services available 24/7
• Laborist available 24/7, with additional physician and midwife support
• Anesthesia staff on days and shared after hours

Technology and Equipment

The unit is equipped with advanced technology and equipment, including:

• EMR: EPIC (required experience)
• IV pumps: Alaris CareFusion
• Medication dispensing: Pyxis
• Fetal Surveillance Monitors: Centricity/Qx
• Epidural Pumps: CAD Solaris
• Panda Warmers
• Coviden SCDs

Floating Policy

Floating may occur within the L&D and postpartum units, with no floating for Assistant Nurse Managers (ANM).

Orientation

Orientation includes a combination of hospital training and unit-specific onboarding:

• CAP ONLY: Preceptor with hospital orientation, including 2 weeks on unit and 1 week independently
• ANM: 6 shifts of unit orientation, paired with a Charge Nurse
• Traditional: 1