Cross Posting of Job ID: 3536012
REQUIRED SKILLS / CERTS / EXP:
Minimum Years of Experience: 2 years of high-risk Labor & Delivery experience required.
Traveler Experience: NOT REQUIRED
Locals Accepted / Rate Difference: Yes
REQUIRED SKILLS:
Work Settings: Antepartum, Labor & Delivery, high-risk L&D.
Antepartum Care: NST, OCT, reflex checks/edema assessment/clonus, sterile vaginal exams, external fetal monitoring.
Patient Care: Malpresentations, multiple gestations, placenta previa/abruption, preeclampsia/eclampsia, premature rupture of membranes, preterm labor, uterine rupture, VBAC management/trial of labor.
Emergency Care: Infant/neonatal arrest.
Fetal Monitoring: Recognition and treatment of abnormal fetal heart rate patterns*** external/internal fetal monitoring, IUPC placement and calibration.
IV Therapy: Administration of blood and blood products, starting and maintaining IVs.
Medications: Anticoagulation therapy, antihypertensives, antiseizure medications, insulin drips, magnesium sulfate therapy, Pitocin (oxytocin), prostaglandins, terbutaline.
Labor & Delivery: Amnioinfusion, assisting with high-risk deliveries, circulating for C-sections, hemorrhage/shock management, C-section recovery, sterile vaginal exams.
Neonatal Care: APGAR scoring, baby nurse/baby catcher, ID/security banding, neonatal resuscitation, radiant warmers/thermoregulation, infant identification, newborn assessment, newborn hypoglycemia.
Pain Management: Epidural anesthesia, general anesthesia, IV conscious sedation, nitrous oxide, opioids, pain assessment/management, IV PCA.
Postpartum Care: Baby-friendly protocols, breastfeeding/lactation support, fundus/lochia/perineum care, electric/manual breast pumps, cesarean section, bladder distension, couplet care, multiple births, postpartum hemorrhage, pregnancy-induced hypertension, vaginal delivery.
Additional Skills: Isolation precautions/PPE, vaccine administration, high-risk L&D, magnesium drip/high-risk care.
Certs: BLS, NRP, AWHONN Intermediate
PREFERRED SKILLS / CERTS / EXP:
Certifications: ACLS
Work Settings: Facilities with greater than 300 births/month, high-risk antepartum.
Antepartum Care: Sterile speculum exams, obstetrical triage.
Patient Care: Asthma, cardiac disease, COVID, diabetes mellitus, HELLP syndrome, HIV, infectious disease, neurological disease, Rh incompatibilities, seizure disorders, substance abuse.
Neonatal Care: Cord sample collections
Surgical Procedures: Cervical cerclage, D&C.
Documentation: Epic experience preferred.
JOB DETAILS:
Ratios: 1:2.
Shift: 12-hour nights; *36 or 48 Hours can be offered. 13-26 Weeks accepted
RTO: 7 days MAX
Float Requirement: Yes Mother/Baby care. Specific locations and distances not provided.
Weekend Requirement: Every third weekend.
PATIENT DIAGNOSES:
Preterm labor, preeclampsia with or without severe features, postpartum hemorrhage, Cytotec/Foley/Pitocin induction, intrauterine fetal demise, antepartum care (may have up to 5 patients per shift), laboring patients, primary and repeat C-sections.
SPECIAL PROCEDURES / UNIT DETAILS:
Women's Services Labor & Delivery.
Average Daily Census: 15.
Rooms: 14.
Approximately 350 deliveries/month; regional Level III care and fast-paced unit with 2 patient loads.
Circulate and recover C-sections REQUIRED.
D&C.
May be required to care for patients with COVID.
During times of increased census, typical ratios may be higher for teamwork. Contract staff will be equally assigned to the home unit staff to ensure patients are covered with an RN.
Contract staff will be assigned and expected to work Storm Team and/or Hurricane Team. Contract staff may be required to report to work during a catastrophic event, mass casualty, or disaster. Consolidation to the centralized office mid-contract may occur.
Contract staff may be reassigned to units as needed.
Hospitalist and anesthesia coverage in-house 24/7.
NP and CRNA coverage in-house 24/7.
Support services include interpretation, pharmacy, radiology, rapid response teams, respiratory services, social services, and unit secretary. MFM consults available.
SPECIAL EQUIPMENT:
Magnesium drips, insulin drips, Bakri balloon, Foley bulb, IUPC, internal and external monitoring.
UNIT SYSTEMS (Medication, Documentation, Communication):
Medication: Pyxis
Documentation: Epic
Communication: SBAR
UNIT ORIENTATION:
24 hours.
SCRUBS:
Ceil blue Provided.
*** INTERNAL NOTES ***
Please review against the UD.
2 years of high-risk L&D experience REQUIRED. Do not screen candidates with less than 2 years.