Labor & Delivery RN
Sacramento, CA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 4, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Labor & Delivery position in a high-volume Family Birthing Center (LDRP unit) in Sacramento, CA, requiring AWHONN Advanced Fetal Monitoring certification and the ability to circulate C-sections.

Details

• Acute care hospital setting in a Family Birthing Center (LDRP) unit managing Labor & Delivery, postpartum, and OB patients
• 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 averaging 140–165 births per month
• Common diagnoses include preterm labor, bleeding, inductions, cesarean sections, and hypertension
• Nurse-to-patient ratios follow AWHONN guidelines: 1:3–4 couplets, 1:1–2 in L&D, and 1:1–3 for antepartum patients
• RNs are required to titrate drips, including Pitocin
• EFM system: GE Corometric monitors with Fetalink surveillance
• RNs are required to read and interpret EKG strips for patients in PACU
• OB surgical techs are present on the unit; OB hospitalist is in-house 24/7; neonatology is on-call 24/7 with daily rounding; anesthesia is in-house 24/7
• Charting system: Cerner
• 12-hour night shifts, with shift start at 6:45 AM (report at bedside)
• Every other weekend (EOW) required
• First to float; floating to other Sacramento-area facilities is possible mid-shift, though rare
• On-call response time requirement of 30 minutes
• Scrubs are provided by the facility

Requirements

• Active CA RN license currently in hand — pending licenses will not be accepted
• Minimum 2 years of L&D RN experience required
• Required certifications (all must be active, no pending accepted): BLS, ACLS, NRP, and AWHONN Advanced Fetal Monitoring
• STABLE certification is 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
• Ability to read and interpret EKG strips (required for PACU patients)
• Cerner EMR experience preferred
• A copy of a valid driver's license is 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 (must include dates of employment and eligibility for rehire)
• Candidates must not have been directly employed (FT, PT, or PRN) by any CommonSpirit, CHI, or Dignity-affiliated facility within the past year (candidates employed PRN through outside staffing firms may be considered)

Additional Information

• This is a high-risk LDRP unit requiring candidates who are comfortable managing patients across the full continuum — from labor through delivery, recovery, and postpartum
• The NRP 'Baby Catcher' role may be assigned for an entire shift, staffed by either L&D or NICU RNs depending on availability
• A charge nurse/house supervisor is on the unit and generally does not take a patient assignment but provides break relief
• Candidates must pass a Relias Dysrhythmia exam (basic or advanced) prior to offer confirmation
• A pass/fail sterile technique test (Foley catheter insertion and central line dressing changes) is administered on the first day of orientation
• Holiday rotation is required, shared with the regular staff
• Rotate on holidays with staff