RN – Labor & Delivery

Specialty: Labor & Delivery
Facility: CHI St Alexius Health Bismarck Medical Center
State License: ND
Certs/Licenses:
Years of Experience: 3 year(s)
Shift: 12H Nights EOW, nights, first to float
Guaranteed Hours: 48 hours per week
Description: Specialty: L&DFacility: CHI St Alexius Health Bismarck Medical CenterState License: NDCerts/Licenses: Years of Experience: 3 year(s)Shift: 12H Nights EOW, nights, first to floatGuaranteed Hours: 48 hours per weekDescription: Unit Notes:Department: LDRP RN*Certifications Required: BLS, NRP, AWHONN intermediate (advanced preferred), STABLE*PROFILE REVIEW+MANAGER INTERVIEW*Must have 3 years of experience in LDRP*- # of L&D Beds: 7 L&D- # of Postpartum beds: 12 Postpartum, 8 Surgical- # of OR Suites on the unit for C-Sections: 1 C-Section dedicated OR, 2 GYN surgical OR- # of Triage beds: 3 bay triage (avg 17 patients/ month) allow travelers to triage based on experience – # of Births per day? Month? Year?: Annually 643- Do you follow AWHONN guidelines for ratios? L&D: 1:1-2, Postpartum: 1:2-3 couplets, 1:3-4 surgical/medical- Common diagnoses/Types of patients: Obstetric, L&D, antepartum, triage, postpartum MgSo4, pre E Pregnancy, accept 23+ weeks; Gestational hypertension, Gestational diabetes, No cardiac intervention- they will take occasional higher risk patients, Post partum vaginal and c-section deliveries, hysterectomy, bladder repairs, mastectomies- Experience or ‘Must have’ skills: 3yrs experience, OK with first time travelers, do expect them to jump right in, must be able to titrate drips- Are RNs required to titrate drips?: Yes- Common titratable &/or set rate drips: pitocin, mag, occasional Insulin drips- Commonly seen other medications: procardia, labetolol push, TXA- hemorrhage, methergine, hemabate, cytotec, cervidil- Is there a Charge Nurse on each shift?: Yes- Does the charge nurse take an assignment?: Charge nurse will take an assignment and goes to deliveries to do APGARS – Travelers would not be charge- Are there nurse aids/surgical techs on this unit? Duties?: 1 OB scrub tech scheduled M-F on Days, will also have a unit clerk and occasional nurse techs that are nursing students- Do RNs scrub? Yes, prefer if they are able to scrub- OB/Neonatologist in house 24/7?: OB On call 24/7, Neo on call 24/7 NNP here overnight- Anesthesia in house 24/7?: In house 24/7- RT Equipment? Are RNs required to do anything with these besides trouble shoot?: supplemental oxygen PRN- Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors?: Remote tele capable unit- infrequent tele patient, (if remote tele they will have a monitor tech)- should be able to place patches in correct places. RN would be expected to read tele in Phase 1 recovery for c-section only (not a hard stop).- EFM System: GE/Corometrics 8 of the 129 & 5 of the 259 CA-X series & 2 of older 128 series (No material ECG)- Shifts & Scheduling: Rotational 7a-7p, 7p-7a, done 6 weeks in advance, cognizant of sleep schedules. Manager to make the schedule, will work with block scheduling.- Weekend Requirements: every third- Holiday Requirements: as needed- Is there a call or standby requirement?: n/a, optional overtime opportunities- Floating Requirements: Peds MS, NICU- feeder-growers or could float to med/surg, PCU, ICU, ED, Psych units as 1:1 sitter or helping hands- Scrub Color/Dress code: surgical scrubs provided- How many shifts of unit/department specific orientation?: 2x12hr shifts on the unit- Additional QuestionsHigh patient satisfaction in departmentRadius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with CommonSpirit, including CHI and/or Dignity.RTO needed upfront (7 or less days per 13 week contract). Additional RTO will not be approved, including after submissions.Updated: 9/19/24 Cancellation Policy:4 shifts per contract; 3 shifts if contract is under 13 weeks Charting System:EPIC BSN Required:False License to Submit:Yes Trauma Level:2 Care Setting:Acute Division:Nursing Shift Notes:EOW, nights, first to float Required Certifications:AWHONN Intermediate Fetal Monitoring, BLS