Labor and Delivery Nurse
Sacramento, CA
American Traveler
3x12 hrs, Nights

Job Description

American Traveler is seeking an experienced RN for a Labor & Delivery position in a high-acuity Family Birthing Center requiring full LDRP capability including C-section circulation and advanced fetal monitoring certification.

Responsibilities

• Acute care hospital setting in Sacramento, CA within a Family Birthing Center (LDRP) unit
• Unit includes 10 L&D beds, 2 OR suites for C-sections, 3 OB-ED triage beds, 3 antepartum testing beds used for OB-ED overflow, and 12 postpartum beds
• High-risk unit providing couplet care — nurses are expected to manage patients from labor through postpartum
• Patient population includes preterm labor, bleeding, inductions, cesarean sections, and hypertension cases
• Volume of approximately 100–150 births per month
• Staffing ratios follow AWHONN guidelines: 1:3–4 couplets, 1:1–2 in L&D, and 1:1–3 antepartum
• RNs are required to titrate drips, including Pitocin
• GE Corometric monitors with Fetalink surveillance used for EFM; RNs must read and interpret EKG strips for mothers in PACU
• OB surgical techs available on the unit; no ventilators on unit
• OB hospitalist in house 24/7; neonatologist on call 24/7 with daily rounding; anesthesia in house 24/7
• Charting via Cerner EMR
• 12-hour night shifts, with shift start at 6:45 AM (nights)
• Every other weekend (EOW) required; holiday rotation with staff required
• First to float; floating to other Sacramento facilities is possible mid-shift, though rare
• Scrubs are provided by the facility
• If placed on call, a 30-minute response time is required
• RNs are responsible for the full continuum of LDRP care, including labor support, delivery, postpartum, and C-section circulation
• The 'Baby Catcher' (NRP) role may be assigned for an entire shift and is filled by either L&D or NICU staff depending on availability
• Bedside shift report is standard practice on this unit
• A charge nurse/house supervisor is generally available and does not take a patient assignment but will provide break relief
• Candidates must pass the Relias Dysrhythmia exam before an offer can be confirmed; contact your recruiter to arrange the exam
• On the first day of orientation, RNs will be given a pass/fail test on sterile technique for Foley catheter insertion and central line dressing changes
• Overtime and extra shifts are available

Requirements

• Active CA RN license required; pending licenses not accepted
• Minimum 2 years of RN experience required
• Required certifications (all must be active; pending not accepted): BLS, ACLS, NRP, and AWHONN Advanced Fetal Monitoring
• STABLE certification preferred
• Must be able to circulate C-sections and feel comfortable in all aspects of LDRP care
• Must be able to float to Mother/Baby (MB) unit
• Must be able to read and interpret EKG strips
• Driver's license required for consideration
• 2 professional references required: one supervisor from within the last 12 months worked, and one peer or supervisor from within the last 3 years worked — both must include dates of employment and eligibility for rehire
• Candidates must not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity facility within the past year; those employed PRN through outside staffing firms will be considered

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts