Labor and Delivery Registered Nurse (RN)

General Information

This position involves working in a hospital setting with the following unit specifications:

• Labor and Delivery (L&D): 10 beds
• OB Emergency Department (Triage): 4 beds
• Antepartum Rooms: 4
• Operating Rooms: 2
• Mother/Baby Unit: 20 beds (encourages couplet care)

Minimum Experience Requirement

Candidates must have a minimum of 2 years of experience in Labor and Delivery or Postpartum/GYN.

Patient Types

The unit sees a variety of patients, including:

• High-risk patients with complications (e.g., pre-eclampsia, hypertension)
• Low-intervention laboring patients
• Postpartum patients needing couplet care
• Simple gynecological surgical patients (e.g., hysterectomy, ovarian cysts)

Patient Ratios

Staffing ratios in the unit are as follows:

• Antepartum: 1:3
• Inactive Labor: 1:2
• Active Labor: 1:1
• Postpartum/Couplet Care: 1:3 couplets, flexing to 1:4 when necessary
• NICU Feeder/Grower: 1:3
• Pediatrics: up to 1:5

Required Licenses and Certifications

Candidates must hold the following:

• Required: BLS, NRP
• Preferred: Stable, CBC
• PREFERRED certifications include: ACLS, certification in inpatient obstetrics, electronic fetal monitoring, or inpatient antepartum.

Skills Required

Candidates should possess the following skills:

• Ability to care for couplets and manage gynecological surgical patients
• Level 2 nursery experience (e.g., bilirubin management, NAS scoring, blood sugar monitoring)
• IV starts, phlebotomy, magnesium sulfate administration, blood administration, insulin gtts
• For L&D trained nurses: Experience with circulating C-sections, post-operative care, and cervical checks

Education Requirements

Candidates must complete a nursing education program approved by a board of nursing and be licensed as a Registered Nurse (RN).

Support on the Unit

The unit offers support through various team members, including:

• Nurse Aides
• IBCLC Lactation Nurses
• Charge Nurses
• Vascular Access Team
• Respiratory Therapists (available 24/7)
• OB Physician Team
• Anesthesia/CRNAs
• Scrub Technicians that support L&D RNs

Charting System and Equipment

• Electronic Medical Record (EMR): EPIC
• IV Pumps: Baxter
• Medication Dispensing: Omnicell

Floating

Candidates should be prepared to float to other units as needed, potentially including L&D, NICU, Pediatrics, or PICU.

Orientation

Orientation will consist of 2 days of training.

Scheduling

• Shift Times: 12-hour shifts (0630-1830 and 1830-0630), with variable shifts required
• Shift Rotation: Must work a combination of nights and days throughout the contract
• Weekend Rotation: Every other weekend, with flexibility
• Holiday Expectations: Work required on holidays as needed
• Time Off: Subject to approval by the Manager

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