1st TIME OK/2 YR EXP- L&D Nights
Call and Floating Required.
Floating to Post Partum
Weekends: every other required. additional weekend shifts if needed to support unit staffing. possibly every weekend
Patient Diagnoses:
Gestational Hypertension/Preeclampsia
Diabetes
PROM/PPROM
Fetal intolerance of labor/Fetal distress
PPH (Prevention & Management)
Unit Details:
Vaginal, C/S, TOLAC, IOL
D&C
QBL
Transports to HLOC
SUD
Unhoused
Community focused
Active Triage
L&D nurses routinely care for PP patients.
Certifications:
ACLS
AWHONN Advanced
BLS
FHM
NRP
Skills:
Labor & Delivery
LDRP
Mother/Baby
Assist with sterile speculum exam (effacement, dilation, station, presentation)
NST (Non Stress Tests)
OCT (Oxytocin Challenge Tests)
Reflex checks / edema assessment / clonus
Sterile vaginal exam
Triage of obstetrical patients
Use of EFM (External Fetal Heart Monitoring)
Asthma
Diabetes mellitus
HELLP Syndrome
Infectious disease
Malpresentations (breech / face / brow)
Multiple Gestation
Placenta Previa/Abruptio
Pre-eclampsia / eclampsia
Premature Rupture of Membranes
Preterm labor
RH incompatibilities
Substance Abuse
Uterine rupture
VBAC management / trial of labor
Adult cardiac arrest
Recognition and Treatment of abnormal fetal heart rate patterns
Use of External Fetal Monitoring
Use of Internal Fetal Monitoring
Administration of blood & blood products
Drawing Venous Blood
Starting and maintaining IVs
Use of infusion pumps / drips / IV monitoring
Anticoagulation therapy
Antihypertensives
Antiseizure
Magnesium Sulfate therapy
Pitocin (oxytocin)
Prostaglandins
Terbutaline
Amnioinfusion
Assist with high risk delivery
Assist with vaginal delivery
Circulate for C-section
Forceps/vacuum extraction
Hemorrhage/shock
Recover C-Section
Sterile vaginal exam
APGAR scores
Baby Nurse ( Baby Catcher )
ID/Security Banding
Neonatal Resuscitation
Radiant Warmers/Thermoregulation
Car Seat Education
Cord Care
Discharge teaching to parents
Infant Identification
Neonatal Abstinence Syndrome
Newborn Assessment
Newborn hypoglycemia
Thermoregulation
Epidural Anesthesia
General Anesthesia
Opioids
Pain assessment & management
Use of PCA (IV)
Breastfeeding Support/lactation support
Episiotomy/Incisional Care
Foley catheter insertion/management
Fundus / lochia / perineum care
Use of Electric/Manual breast pump
Wound assessment/care
Cesarean Section
Bladder Distension
Couplet Care
Multiple Births
Postpartum Hemorrhage
Pregnancy induced hypertension
Vaginal Delivery
Isolation Precautions/PPE
Vaccine Administration
D & C
Tubal Ligation
**Labor & Delivery nurses also routinely care for Post Partum patients. Both skill sets are required for the assignment. Post Partum has an average census of 6+ couplets per day. L&D and PP are part of the same unit.**
RTO MUST BE SUBMITTED UP FRONT
OvertimeOT after 8 (per CA law)OT after 40 or OT after 48 on 48 hour contracts
Call off Policy -3 call offs per 13 week assignment at no cost
Holiday, Overtime and Call Back1.5x1.4x