L&D / Med-Surg Registered Nurse
Holdrege, NE
Access Healthcare
3x12 hrs, Nights

Registered Nurse - Labor & Delivery / OB & Med-Surg

Location: Holdrege, Nebraska
Employment Type: Contract
Contract Length: 13 weeks
Shift: 5:45 PM – 6:00 AM

• 2 out of 3 weekends required
• Block scheduling available
• 3 shift call off with no charge based on patient census
  Hours per Week: 36

Job Summary

The Registered Nurse provides nursing care for patients of all ages, primarily in Labor and Delivery as well as Obstetrics and Medical-Surgical units. The role involves assessment, planning, implementation, and evaluation of patient care under physician supervision, ensuring compliance with all applicable laws and policies.

Essential Functions

• Assess physical, psychological, social, cultural, and spiritual needs of patients.
• Document symptoms, reactions, and changes in patient condition.
• Develop, implement, and revise formal plans of care using the nursing process.
• Administer medications following the "Five Rights of Medication Administration."
• Educate patients and families with age-appropriate information.
• Maintain a safe and comfortable environment for patients, families, and visitors.
• Prioritize daily assignments to optimize patient care.
• Demonstrate annual competency in assigned work areas.
• Maintain patient and employee confidentiality.
• Comply with professional code of conduct.

Charge Nurse Responsibilities (if applicable):

• Assign staff based on patient needs and staff skill levels.
• Coach staff in problem-solving and decision-making skills.
• Lead or participate in performance improvement initiatives.
• Recognize and respond immediately to life-threatening patient situations.
• Foster cooperative relationships with physicians and staff.

Physical Demands

• Frequent use of hands and arms; talking and hearing required.
• Frequent sitting, standing, and walking.
• Occasional stooping, kneeling, crouching, crawling, climbing, balancing.
• Frequent lifting/moving up to 40 pounds; occasional lifting/moving over 100 pounds.
• Vision requirements include close, distance, color, peripheral vision, depth perception, and focus adjustment.

Work Environment

• Frequent exposure to moving mechanical parts, fumes, airborne particles, and electrical shock risk.
• Occasional exposure to explosive, toxic, or caustic chemicals.
• Moderate noise level.
• Classified as Risk Level I for exposure to blood borne pathogens.

Required Qualifications

• Valid Registered Nurse (RN) license in Nebraska.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN) from an accredited program.
• Minimum of 1 year of Labor and Delivery experience within the last year.
• Current certifications in:

  • Basic Life Support (BLS)
  • Advanced Cardiovascular Life Support (ACLS)
  • Pediatric Advanced Life Support (PALS)
  • Neonatal Resuscitation Program (NRP)
• Experience in Charge Nurse roles.