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RN - L&D

Cynet Health • Bismarck, North Dakota • $78.19 / hour • 22h ago

RN - L&D

Profession: RN (Registered Nurse)

Specialty: Labor and Delivery

Duration: 26 weeks

Shift: 12H Nights

Hours per Shift: 12

Experience: Minimum of 3 years

License: Required

Certifications: BLS, NRP, AWHONN Intermediate (advanced preferred), STABLE

Must-Have:

3 years of experience in Labor and Delivery Ability to titrate drips Experience with high-risk patients

Description: The unit operates with 7 Labor and Delivery beds. There are 12 postpartum beds and 8 surgical beds available. One dedicated operating room is designated for C-sections, along with two GYN surgical operating rooms. The unit includes three triage beds, averaging 17 patients per month, allowing travelers to triage based on experience. Annually, the unit averages 643 births. The nurse-to-patient ratios follow established guidelines. For Labor and Delivery, the ratio is 1:1-2. Postpartum ratios are 1:2-3 for couplets and 1:3-4 for surgical or medical cases. Common diagnoses include obstetric conditions, antepartum, triage, and postpartum care. Patients may have conditions such as MgSo4, preeclampsia, gestational hypertension, and gestational diabetes. The unit accepts patients who are 23 weeks or greater into the unit. Postpartum care includes both vaginal and C-section deliveries, as well as hysterectomies and bladder repairs. Travelers are expected to acclimate quickly and join the team seamlessly. Nurses will be responsible for titrating drips such as pitocin, magnesium sulfate, and occasionally insulin. Other commonly administered medications include procardia, labetolol, TXA, methergine, hemabate, cytotec, and cervidil. A charge nurse is present on each shift and will take an assignment while participating in deliveries. Travelers will not be assigned as charge nurses. An OB scrub tech is scheduled Monday through Friday during day shifts. There will also be a unit clerk and occasional nurse techs. Nurses may be required to scrub for procedures. OB and neonatology services are available on call 24/7. Anesthesia services are also in-house 24/7. Nurses will troubleshoot RT equipment and provide Client oxygen as needed. The unit is equipped with remote telemetry capabilities. RNs are expected to read telemetry strips during specific recovery cases. The electronic fetal monitoring system includes various GE models. Shifts and scheduling are rotational, planned six weeks in advance to accommodate sleep schedules. Weekend commitments are required every third weekend. Holiday shifts are assigned as needed. Optional opportunities for additional shifts may be available. Floating requirements may include pediatric medical-surgical, NICU, or other units as necessary. Surgical scrubs are provided to all staff members. Unit-specific orientation consists of two shifts. Patient satisfaction is reported to be high within the department. Travelers should be aware of radius rules and prior commitments. Lengthy time off requests may not be approved post-submission. This position requires a proactive approach to patient care and collaboration within the healthcare team.

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