Labor & Delivery Nurse
Bakersfield, CA
TheraEX Staffing Services
3x12 hrs, Nights

Charting System:
Cerner

Unit Notes
**CERNER IS REQUIRED!**


- Unit: L & D
- Location: (BMH) Bakersfield Memorial Hospital
- # beds: 12 L & D and 6 triage beds (overflow area where can potentially have laboring patients--do not deliver in this area--moved to actual L&D bed)
- Ratios: Per ACOG Guidelines (2:1) - MUST BE COMFORTABLE TAKING 2 PATIENTS!!
- Certs: BLS & ACLS (MUST BE THROUGH AHA), NRP (Neonatal Resuscitation Program), & AWHONN-Advanced
- Licensure: Current CA RN License
- Doc System: CERNER preferred but not required
-Add'l Equipment: Pagers linked to call light system & internal spectralink phones
- Unit Orientation: 2 shifts on the unit. Will also meet with the educator, as they have 3 nurses who do 'file reviews' to ensure accurate documentation
- Nurse Aides: No nurse aides, but do have OB techs that help w/ C-sections & assist as needed with baby cares.
- Charge Nurse: Yes, have around the clock--does NOT take patients
- Shifts/Hours: 12 hours; 7a - 7p/7p - 7a
- Breaks: 1/2 hour break (clock-out); 3 - 15 min breaks per shift (CA Law)
- Weekends: Usually every other weekend (same as perm staff)
- Scrub Color: Provided by hospital
- Tele: Post-surgery only for the hour post-surgery C-section
- Vents: N/A
- IV Team: No
- RT 24/7: Yes
- Pharmacy 24/7: Yes
- Types of patients: High risk patients, some multiple births (up to triplets usually), run insulin gtts, run mag drips; for C-section will circulate and recover; no other surgeries on unit unless tubal or emergent hyster needed; no elective abortions; will recover babies (skin to skin) after delivery; have techs that help as well; make sure the nurses are true L&D as their Post-partum nurses are separate--need C-section experience; must be strong L&D! Have a lot of protocols in place to help with cares--try to give a couple days on the unit as orientation; please note the charting is NOT by exception only--they must chart everything!! Have level 3 almost level 4 NICU that attends high risk deliveries. Must be used to a fast, busy unit! Deliver over 300 per month!
- Floating: Closed Unit--No floating