Labor and Delivery RN
Nampa, ID
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (RN) - Women's Services (LDRP)

Location: Nampa, Idaho
Specialty: Women's Services (Labor & Delivery, Postpartum, OR Circulation/Triage)
Contract Length: 13 weeks (travel assignment)
Shift Length: 12-hour shifts (7a-7p and 7p-7a)
Schedule:

• No guaranteed block scheduling; travelers fill in schedule gaps
• Weekend shifts as needed, no minimum requirement
• No call or standby required
• Floating required to multiple sites within the region (L&D, Postpartum, Antepartum, or sitter roles)

Experience & Requirements

• Years of Experience: Minimum 3 years in Labor & Delivery (L&D), Postpartum, and OR Circulation/Triage
• Additional Experience:

  • Must be able to attend deliveries and provide 1 hour of newborn care
  • Experience with magnesium sulfate administration
  • Mother-baby experience preferred (at least 1 year)
  • Charge nurse experience preferred
• Prior Travel Experience: Not required; first-time travelers are accepted

Certifications Required

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

Unit Details

• 14 LDRP beds (patients stay in the same room)
• 2 OR suites for C-sections (RNs circulate and recover)
• 4 triage beds staffed by travelers
• Approximately 90 births per month (1200 per year)
• Staffing ratios follow AWHONN guidelines:

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

Patient Population & Care

• Common diagnoses:

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

Clinical Responsibilities

• Attend deliveries and provide newborn care
• Circulate in C-sections and provide postpartum couplet care
• Titrate drips including Pitocin, magnesium sulfate, and occasionally insulin
• Charge nurses do not take patient assignments; resource and triage nurses assist with breaks and deliveries
• Stabilize newborns, perform physical assessments, and provide care within the first 2 hours
• Collaborate with OB hospitalists and Neonatal Nurse Practitioners available 24/7
• Anesthesia available 24/7
• Respiratory therapy available for troubleshooting

Orientation & Policies

• 4 shifts of unit-specific orientation covering C-section, labor, and postpartum care
• Compliance and EPIC Curio assignments must be completed before starting
• Hospital-issued scrubs required; must change in and out at beginning and end of shift
• No fingernail polish, acrylic, or gel nails allowed due to embedded NICU within LDRP rooms
• Travel duos require separate cars due to floating between sites
• Floating to multiple sites within the region (Meridian, Nampa, Boise) is required

Additional Notes

• Charge nurse preferred but not mandatory
• Resource nurse acts as a "baby catcher" and second sign-off on medications
• Telemetry capability available but no tele/monitor techs on unit; RNs read their own strips
• No minimum holiday or weekend requirements for travelers; regular staff have holiday rotations
• CNA and surgical tech support available but may vary due to staffing

This position is ideal for experienced RNs specializing in Women's Services who are comfortable with a fast-paced, diverse patient population and flexible scheduling across multiple sites.