Labor & Delivery Registered Nurse
Milwaukee, WI
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: Labor & Delivery RN (Contract)

Location

• West Allis, WI

Unit

• Labor & Delivery (L&D) unit within House Supervisor department

Facility Overview

• Level IV Trauma Center
• Level III NICU
• Level III Perinatal Center (L&D & Postpartum)
• Primary Stroke Center
• 277 hospital beds total
• L&D Unit: 18 LDR beds, 3 triage rooms, 3 ORs for C-sections, 3 OB-ED rooms

Contract Length

• 13 weeks

Experience Requirements

• Minimum 2 years RN experience preferred
• First-time travelers accepted

Patient Population

• Gestational age starting at 18 weeks
• Intrapartum (labor, delivery, recovery)
• Antepartum patients 22 weeks and greater
• High-risk patients (e.g., preeclampsia, hyperemesis, diabetes)
• Scheduled and unscheduled C-sections, cerclage placement/removal, tubal ligation
• D&C procedures as needed for post-delivery bleeding control
• No OB triage assignments for travelers

Patient Ratios

• RN:

  • 1:1 for active labor, C-section, and recovery of mom/baby couplet after newborn stabilization
  • 1:2 for laboring patients
  • 1:2 for cervical ripening and early labor
  • 1:2-3 for stable antepartum patients
  • 2:1 care at delivery (1 RN for mom, 1 RN for baby until baby is stable)
• OB Tech:

  • 2 during day shifts
  • 1 during night shifts

Required Certifications

• RN: BLS, NRP, FHM
• CST: BLS

Required Skills for RN

• Delivery experience (must have)
• Catching babies
• Vaginal checks
• Assisting laboring mothers
• Recovery care for moms
• Antepartum care
• Intrapartum care (Labor, Delivery, Recovery of Room)
• Immediate post-delivery newborn care including stabilization monitoring (vital signs, hypoglycemia, thermoregulation)
• Management of non-obstetric co-morbidities (e.g., diabetes, hypertension)

Required Skills for OB Tech

• Scrubbing C-sections
• Assisting with deliveries
• Transporting patients

Unit Support Staff

• CNA support (ratio not specified)
• Receptionist/HUC 24/7 (patient admission/registration)
• Charge nurse (free floating, assists team as needed)
• Phlebotomy available
• IV/VAT team available
• Resource nurse (OB/Triage nurse, no patient assignment)
• Educator available during day shifts
• Respiratory Therapist (RT)
• OB Hospitalist 24/7 (additional support in triage)
• Neonatologist 24/7
• Anesthesiologist or CRNA on unit 24/7
• Telemetry monitoring available

Technology/Equipment

• EMR: EPIC
• IV pumps: Alaris
• Medication dispensing: Pyxis
• Sapphire Epidural PCEA pumps
• GE Fetal Monitors and GE Centricity Perinatal central monitoring

Floating Assignments

• Travelers float first to:

  • Postpartum
  • NICU (hold and feed)
  • Medical-Surgical Unit floors as helping hands
• No patient assignments when floating outside L&D

Additional Notes

• Scrub color provided