Labor and Delivery Nurse
Carmichael, CA
TheraEX Staffing Services
3x12 hrs, Nights

Trauma Level:
2
Charting System:
Cerner

Unit Notes
Med Sol prescreens
need 2 sup refs from modality submitting to (charge accepted) at submittal; 1 w/in 12 mo. & 1 w/in 3 years worked

Candidates may not have been directly employed (full time, part time, or PRN) by any facility associated with CommonSpirit, including CHI and/or Dignity within the past year. Candidates who were employed PRN through outside firms will be considered.

**ASK YOUR TRAVELER IF THEY CAN CATCH THE BABY - NEEDED EXPERIENCE FOR THIS POSITION**
- Unit: Family Birthing Center - L&D and Mother Baby Ante/Post - all aspects of delivery
- WILL NOT CONSIDER 1ST TIME TRAVELERS
- Certs: BLS, ACLS, NRP, STABLE (preferred), Advanced Fetal Monitoring (NEED COPY AT SUBMITTAL),
- **HIGHLY PREFERS TRAVELERS THAT CAN WORK NRP ROLE; "CATCHING BABY" - this is very much preferred. Won't automatically redirect if they do not have this experience, however the unit wants this skillset for night shift
- 2 RNs to -OR for C-section, 1 for mom, 1 for baby. Both RNs circulate. 1 OR suite, 1 recovery room.
- Ratios: 1:2 L&D, 1:1 delivery. 1:4 Mother/Baby couplets.
- EMR: Cerner
- Charge Nurse: Yes, generally does not take patients, but will do break relief.
- Nurse Aides: Yes as census and staffing dictates
- Weekend Requirement: Every other weekend
- Holidays Rotate in with core staff
- Scrub Color: Provided.
- Tele: Yes, must be able to read and interpret EKG strips.
- Vents: No
- Hospitalist or Intensivist in house: Yes, Hospitalist or Intensivist
- IV Team: No
- RT 24/7: Yes
- Pharmacy 24/7: Yes
- Shifts:12 hr shifts. Shift starts 645. Report is at the bedside. OT and extra shifts are available. Self-scheduling is used, but is not finalized until Manager balances it. Schedules are out 4 weeks. Travelers can access their schedules from home and make themselves "available" for extra shifts and make trades with other staff. Block scheduling is generally not available.
- if placed on call: 30 minute response time
- Floating: All other Sacramento facilities. Mid-shift float to another facility is rare, but can happen.
- Floor specific orientation: 1 - 2 days on the floor with preceptor.
- Common diagnosis / Types of patients: Term, preterm, some high risk. Also have antepartum population.
- Additional Notes: Hospital is designated "baby friendly". Excellent breast feeding support.


Scenario #1:
If a traveler is placed on call/standby for the first 4 hours and gets called in before the 4 hours are up, they receive CB pay up until the 4 hour mark (b/c that is the only time they were told they are on call/standby). The remaining 8 hours are paid & billable at regular pay. CB is part of the original 4 hours they are placed on call/standby and not past that time.
• If on call/standby is extended past the 4 hour mark then CB is extended as well and REG time would be adjusted. If on call/standby is extended the rest for the shift and they are called in it is coded with the CB code.
• Anytime they are placed on call for a portion of their shift it counts as a cancellation, regardless of getting called in. HOWEVER if they are on call/standby and come in shortly after, the unit may elect to pay (using 816 billable cancellation code) and save the cancel for a full 12 hour shift later on. If they work an extra day in the week, it may not count as a cancel if they have their 3 shifts already.

Scenario #2:
If a traveler is told they are being low censused/HC’d for the first 4 hours, the clinician is told to report at the end of the 4 hours (which is the new start time of their shift) unless notified otherwise. They will only receive notification if the HC (cancellation) is being extended and that notification is typically around 90 min before the new start time.
• If they do report after 4 hours of HC’d the time is paid at REG hours since on call/standby was not mentioned

Scenario #3:
If on call/standby only for first 4 hours of shift with no CB then reports for remaining 8 hours, this time will be coded as REG rate***
• Anytime there are on call/standby hours in combination with REG hours or CB – this is a cancellation if they have not worked their hours
• A full 12 hour shift is a cancellation and paid/billable at the on call/standby rate – until they hit max cancellation and then it’s billable at the REG rate***
• Once they hit max cancels for the contract and are put on call/standby or HC’d (cancelled) for a shift that makes them short a day, the shift will be coded as the 816 billable cancellation code