Job Title: Registered Nurse - Labor and Delivery Profession: Registered Nurse Specialty: Labor and Delivery Duration: 26 weeks Shift: 12-Hour Days Hours per Shift: 12 Experience: 3 years License: Required Certifications: BLS Certification NRP Certification AWHONN Intermediate Fetal Monitoring (Advanced preferred) STABLE Certification Must-Have: 3 years of experience in Labor and Delivery. Ability to titrate drips. Experience with high-risk patients and triaging based on experience. Comfortable working with first-time travelers. Description: The unit has 7 Labor and Delivery beds and 12 Postpartum beds. There is 1 C-Section dedicated OR and 2 GYN surgical ORs. The unit also features a 3-bay triage area with approximately 17 patients per month. An average of 643 births occurs annually. The nurse-to-patient ratios are 1:1-2 for Labor and Delivery and 1:2-3 for Postpartum couplets, with 1:3-4 for surgical/medical cases. Common patient diagnoses include obstetric cases, and various high-risk conditions such as gestational hypertension and diabetes. Nurses are expected to handle postpartum vaginal deliveries, C-section deliveries, and other surgical procedures. Common titratable drips include Pitocin and Magnesium, along with occasional insulin drips. Other frequently administered medications include Procardia, Labetalol, TXA, Methergine, Hemabate, Cytotec, and Cervidil. There is a charge nurse on each shift who takes on an assignment and assists with deliveries. The team includes OB scrub techs and unit clerks, with occasional nursing students assisting. Registered Nurses are required to scrub during procedures. OB and Neonatologist coverage is available 24/7, along with in-house anesthesia. Nurses will be expected to troubleshoot Client oxygen equipment as needed. The unit is remote telemetry capable, and RNs may be required to read their own strips only in specific circumstances. Effective communication is encouraged for scheduling, with arrangements made 6 weeks in advance. Weekend requirements involve working every third weekend, with holiday shifts as needed. There is no call or standby requirement, though optional overtime opportunities may arise. Travelers may have floating requirements to pediatric medical-surgical, NICU, med-surg, PCU, ICU, or ED units as needed. Surgical scrubs are provided for all staff. High patient satisfaction is reported within the department. Candidates need to provide their requests for time off upfront, with standard policies in place regarding shift cancellations. Charting is performed using the EPIC system.
