RN – Labor & Delivery

Specialty: Labor & Delivery
Facility: Tacoma General Hospital
State License: WA
Certs/Licenses:
Years of Experience:
Shift: 12H Days
Guaranteed Hours: 36
Description: Specialty: L&DFacility: Tacoma General HospitalState License: WACerts/Licenses: Years of Experience: Shift: 12H DaysGuaranteed Hours: 36Description: CLINICAL INTERVIEWING – MGR FINAL APPROVALGeneral InformationL D Beds: 3415 labor rooms, 12 antepartum, 4 OB ED, 3 ORPost Partum18 BedsWill you accept a traveler with 1 year experience?LD RN ANM: No, 3 years minimum, 5+ preferredPostpartum No, 2+ years for traditional travelerWill you accept a first-time traveler? LD RN: Upon review; ANM: yes, as long as they have solid Charge Nurse experience and 3 years of nursing experience.Patient Types:HIGH acuity: Hypertension, Mg administration, C-sections (33% c section rate), Preterm labor, Insulin drips (rarely- follow protocol), vaginal deliveries, epidurals, inductions, Robust antepartum, PROM, Multiple births, post-partum hemorrhageTransition post vaginal births and C-Section (mom and baby) Expectation is full recovery of birthing patient and baby; If there is a second set of hands to attend the birth and they will assign APGARS, but no guarantee they will be available after that to help care for the babyUp to 300 deliveries per monthPatient Ratios:Per AWHONN guidelines:1:1 active labor1:2 non-active laboring1:2-3 antepartum, dependent on acuityRequired Certifications:BLS, NRP, Intermediate FHM (AWHONN)Skills requiredLD RN: High acuity experience: labor management and delivery of high risk OB patients, ability to triage OB patients, circulate in OR, cervical checks, reading/interpreting fetal monitoring strips; second set of hands (receive and recover normal newborn as needed)ANM: Will function as a Charge Nurse for their shift, with occasionally taking patient assignments, so Charge experience is a must, will also help manage OB ED patients, and experience with the above patient types, must also be able to connect with staff, have strong interpersonal skills, willing to educate, staff rounding, help with conflictsEPIC experience is requiredSupport on the Unit:CNA 1, transports, restocking, assists in OR, room clean up; instrument careScrub Techs: LPN and are NRP certifiedReceptionist/HUC: YesCharge nurse: Free floatingPhlebotomy: Yes- RN are ultimately responsibleResource RN: Pending on staffingBreak Nurse: Scheduled 2 per shiftRT: Yes, 24/7. NICU RTs to attend high-risk deliveries and when the strip looks badLaborist: 24/7Residents/fellows in house. Additional physicians/midwivesCall schedule distributed nightly; ask charge if neededAnesthesia1 scheduled during days shift; shared after 1700Technology/Equipment:EMR: EPIC requiredIV pumps: Alaris CareFusionMedication dispensing: PyxisMonitors: Fetal Surveillance: Centricity/QxEpidural Pumps- CAD SolarisPanda WarmersCoviden SCD sFloating: If yes, where?Antepartum (within L D) , postpartum (4thfloor) (occasionally), additional assignments within scope and experienceNo floating for ANMOrientation:(facility and unit) CAP ONLYPreceptor- hospital orientation + 2 weeks on unit and 1 week independently. (Start 3 weeks before the residents hitting the floor)ANM: 6 shifts of unit orientation will be paired with a Charge NurseOrientation: TraditionalNEO x 1 day; 2 days on the unit. Orientation will be during the Days, even if position is for Nights.Cardiac rhythm interpretation exam will be taken online prior to arrivalScheduling:Weekend rotation: Every other, but can be variable based on needOn call? If so, what is that schedule?No mandatory call requirements (per mgr. 2/10/2025)May pick up available open shifts as needs ariseNo Call for ANMHoliday Expectations: Yes, fair and equitable; no holidays for ANM, but they may be able to pick up if neededApproval of time off: RTO requests prior to contract approvalIncidental days off (24-48 hr) discuss with CANM or ManagerShift times:0700-1930, 1900-0730ANM: 1900-0700CAP Only – Will switch from Days to Nights the last 4 weeksSchedule cycle: Self scheduling Group C last group to scheduleOther notes?Scrub Color: provided by facilityScrubs are not to be worn out of the facilityFree Parking? Free badge access parking in designated areas Program name:SimpliFi Travel