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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 27, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a high-acuity Labor & Delivery unit requiring couplet care skills and the ability to circulate C-sections.

Details

• Family Birthing Center covering L&D, Postpartum, and OB (LDRP model)
• 10 L&D beds, 2 OR suites for C-sections, 3 OB-ED/antepartum triage beds, and 12 postpartum beds
• Unit averages 140-165 births per month
• Follows AWHONN ratio guidelines: 1:3-4 couplets, 1:1-2 L&D, and 1:1-3 antepartum
• Common diagnoses include preterm labor, bleeding, inductions, cesarean sections, and hypertension
• RNs titrate drips including Pitocin
• Must be able to circulate C-sections and provide full-scope couplet care from start to finish
• Must be able to read and interpret EKG strips on moms in PACU
• OB hospitalist in house 24/7, Neonatologist on call 24/7 with daily rounds, and anesthesia in house 24/7
• Uses Cerner EMR and GE Corometrics fetal monitors with Fetalink surveillance
• 12-hour night shifts beginning at 6:45am with bedside report
• Every other weekend required, with holiday rotation among staff
• On-call response time of 30 minutes if placed on call
• Must be willing to float to all other Sacramento-area facilities, though mid-shift floats are rare and in-house floating is not required
• May be assigned as Baby Catcher (NRP role) for the full shift depending on staffing needs

Requirements

• Active CA RN license (Standard or Compact/NLC) required, pending licenses not accepted
• Minimum 2 years of experience required
• Required certifications: BLS, ACLS, NRP, and AWHONN-Advanced
• STABLE certification preferred
• Must pass the Relias Dysrhythmia exam (basic or advanced) prior to offer confirmation
• Must pass a sterile technique competency test for Foley catheter insertion and central line dressing changes on first day of orientation
• Two supervisor/peer references required: one supervisor reference from within the last 12 months worked and one peer or supervisor reference from within the last 3 years worked, including dates of employment and rehire eligibility
• Copy of driver's license required to validate legal name at time of consideration

Additional Information

• Provide comprehensive couplet care across L&D, postpartum, and OB, managing all aspects of LDRP care
• Circulate C-sections as part of routine responsibilities
• Charge Nurse/House Supervisor generally does not take patients but provides break relief
• OB surgical techs support the unit
• Scrubs are provided
• 13-week assignment with hospital reserving the right to cancel up to 4 shifts
• Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit-affiliated facility, including CHI and Dignity, within the past year; PRN employment through outside staffing firms is acceptable
• Failure of a second attempt at the Relias exam and/or sterile technique test results in a 6-month do-not-use status with CommonSpirit Sacramento region and Arizona facilities