Labor & Delivery RN – LDRP & OR Circulation
Nampa, ID
Access Healthcare
3x12 hrs, Nights

Women's Services RN - Travel Assignment (LDRP Unit)

Location: Nampa, Idaho
Contract Length: 13 weeks
Shift: 12-hour shifts (7a-7p and 7p-7a)
Unit: LDRP (Labor, Delivery, Recovery, Postpartum)

Job Overview

• Seeking an RN with 3+ years of experience in Women's Services, specifically Labor & Delivery (L&D), Postpartum, and OR Circulation/Triage.
• Ideal candidates must be able to attend deliveries, provide 1 hour of newborn care, circulate C-sections, and provide postpartum couplet care.
• First-time travelers are accepted.
• Float to multiple sites within the St. Lukes Treasure Valley system (Meridian, Nampa, Boise) in primary skill set or as a sitter.

Unit Details

• LDRP Beds: 14 (patients stay in the same room throughout stay)
• OR Suites for C-Sections: 2 suites (RNs circulate and recover)
• Triage Beds: 4 (travelers will staff)
• Birth Volume: Approximately 90 births/month, 1200/year
• Staffing Ratios (AWHONN guidelines):

  • Labor: 1:1 (except 2 cervical ripening patients paired)
  • Postpartum: 1:3 couplets
  • Triage: 1:3 (up to 4 patients with resource nurse support)

Required Certifications

• NRP (Neonatal Resuscitation Program)
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• STABLE certification

Patient Population & Common Diagnoses

• Gestations 32 weeks and greater
• Hypertension requiring magnesium sulfate
• Blood alcohol content (BAC) monitoring
• Trial of labor after cesarean (TOLAC)
• Gestational diabetes
• Antepartum patients (no placenta previa or accreta)
• Diverse patient population, including many referred from home birth midwives for medical intervention and pain control

Skills & Experience Required

• Minimum 3 years L&D experience
• Mother-baby experience preferred (at least 1 year)
• Ability to attend deliveries and provide newborn care
• Experience with magnesium sulfate administration
• Charge nurse experience preferred
• Ability to titrate drips (Pitocin, Magnesium, Insulin occasionally)

Staffing & Support

• Charge RNs do not take patient assignments
• Admin supervisor on every shift
• Resource RN assists with breaks, attends deliveries, stabilizes newborns, and provides second sign-off on medications
• Triage RN manages triage beds, which fill quickly
• 1 CST (Certified Surgical Technologist) per shift
• 1 CNA per shift (may be reassigned to other roles if needed)
• OB hospitalist and Neonatal NP available 24/7
• Anesthesia available 24/7
• Respiratory therapy available for troubleshooting
• No tele/monitor techs; RNs read their own strips
• EFM system: Centricity

Scheduling & Orientation

• Shifts: 7a-7p and 7p-7a
• Resource and Charge shifts: 6:45a-6:45p and 6:45p-6:45a
• Travelers fill in schedule gaps; preference considered after initial placement
• No guaranteed block scheduling or working 6 shifts in a row
• No minimum weekend requirement; based on unit needs and requests
• No call or standby requirement
• Floating required to other sites within the system in primary skill set or as sitter
• Orientation: 4 shifts on unit covering C-section, labor, and postpartum care
• Compliance and EPIC Curio assignments must be completed before start

Additional Notes

• Hospital-issued scrubs required; must change in and out at start/end of shift
• No fingernail polish, acrylic, or gel nails allowed due to NICU proximity
• Travel duos require 2 cars due to floating between sites
• This is the only LDRP site within the system
• Facility enforces a 50-mile radius rule for candidates

This position offers a dynamic environment with a diverse patient population and strong interdisciplinary support, ideal for experienced Women's Services RNs seeking a travel assignment.