RN - Labor & Delivery/Postpartum
● About Facility:
o 637 licensed beds
o Level 1 Trauma Designation
o Teaching Hospital
o Chest Pain Center
o Stroke Center
● Unit Information:
o Beds: 9 Labor Beds, 3 ORs, 4 PACUs, 11 Antepartum, 4 triage, 27 Postpartum,
▪ Census? 2-14 L&D
o Minimum Years of Experience required? 2 years L&D RN experience., 1 year OB Surg Tech experience
o Will you accept a first-time traveler? Yes
● Patient Types/Common Diagnoses:
o Laboring patients, Antepartum patients, a triage area, PACU and OR
● Patient Ratios:
o RN: Follow AWHONN Guidelines
o OB Tech: 2-3 per shift
● Required License, National Certification, Certs (BLS, ACLS, etc.):
o RN: BLS, ACLS, NRP, Fetal Monitoring required. BCR (Basic Cardiac Rythm) required - meaning traveler will be required to pass an EKG competency exam as part of Compliance
o Surg Tech: BLS, CST
● Skills required:
o RN : Strong clinical assessment and L&D skills for Level 1 Trauma Hospital, IV insertion and care, central line management, Care coordination with interdisciplinary teams
o Surg Tech: scrub surgeries, c-sections, set up tables for vaginal deliveries, stock the unit
● Support within the Department:
o 2 OB Surg Techs per shift
o CNA? Duties? Yes - assist with VS, Glucose Checks, baths, feeding, ambulating patients, assisting turning patients, hourly rounding, transporting patients as needed (Hospital has designated Transport Team); obtain blood from blood bank
o Receptionist/HUC? Unit secretary on unit 7a-11p; then house wide call secretary 11p-7a
o Charge nurse – may have patients
o IV/VAT Team? Not an IV team - do have a PICC team
o RT 24/7? yes
o Hospitalist 24/7? yes
o Intensivist 24/7? Yes
o OB Physicians, 24/7
o Bedside and Nursing Station Tele/Fetal monitoring
● Technology/Equipment:
o EMR: EPIC
o IV Pump: Alaris
o Med dispensing: Pyxis
o Monitors: Phillips
o Unit specific equipment:
▪ VS3 vital sign monitors, Nova Glucose Stat Strips Cardiac Telemetry monitoring
▪ Portable vital signs monitors (Dynamapp)
▪ PCA pain management
▪ Bladder scanners, IV pump, portable oxygen system
▪ Glucommander
▪ Suction machine
▪ Use of admission/ discharge protocol for rapid turnover
● Floating: If yes, where?
o RN: All adult med surg / telemetry units in house
o Surg Tech: none
● Orientation (facility and unit) :
o 1 day orientation with work on educational modules
o 2 days departmental
● Scheduling:
o Weekend rotation: 5-6 weekend shifts out of 12 (on a 6-week schedule)
o On call? If so, what is that schedule? No call
o Holiday Expectations: work one shift of each major holiday (Thanksgiving Day or day after + 12/24 or 12/25 + 12/31 or 1/1
o RTO Requests: Manager approval
o Shift times: 12-hour shifts 7A-7P or 7P-7A
o Schedule cycle: every 6 weeks
● Other notes:
o Scrub Color: RN- Navy; LPN- Ceil Blue; L&D surgical green w/ scrub exchange system
o Parking: Free? Have free parking around campus or can pay to park in parking decks
o Unit Culture: busy but work as team
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