L&D/Postpartum RN - LDRP & OR Circulation/Triage
Nampa, ID
Access Healthcare
3x12 hrs, Nights

Registered Nurse – Women's Services (L&D, Postpartum, OR Circulation/Triage)

Location: Nampa, Idaho
Assignment Length: 13 weeks (travel assignment)
Shift: Nights (7pm–7am)
Shift Length: 12-hour shifts
Hours per Week: 48 hours

Unit Overview

• Unit type: LDRP (Labor, Delivery, Recovery, Postpartum) with 14 LDRP beds (patients stay in the same room)
• 2 OR suites for C-sections where RNs circulate and recover patients
• 4 triage beds staffed by travelers
• Approximately 90 births per month (1,200 per year)
• Follow AWHONN staffing standards:

  • Labor: 1:1 ratio unless 2 cervical ripening patients paired
  • Postpartum: 1:3 couplets care
  • Triage: 1:3 ratio, with resource nurse support if 4 patients present
• Diverse patient population including antepartum, 32+ week gestation, hypertensive patients on magnesium, BACs, TOLACs, gestational diabetes, and patients referred from home birth midwives
• Does not accept placenta previa or placenta accreta cases

Required Qualifications

• Minimum 3 years of experience in Labor & Delivery (L&D)
• Experience with Postpartum mother-baby care preferred (at least 1 year)
• Experience in OR circulation and triage required
• Ability to attend deliveries and provide 1 hour of newborn care
• Experience with magnesium sulfate management
• Ability to titrate drips (Pitocin, Magnesium, Insulin occasionally)
• Charge nurse experience preferred
• Certifications required:

  • Neonatal Resuscitation Program (NRP)
  • Basic Life Support (BLS)
  • Advanced Cardiovascular Life Support (ACLS)
  • STABLE certification
• Must be able to stabilize newborns, perform physical assessments, and provide care within the first 2 hours of life
• Prior travel experience is not required; first-time travelers are welcome

Orientation & Scheduling

• Unit-specific orientation: 4 shifts covering C-section, labor, and postpartum care
• Compliance and EPIC Curio assignments must be completed before starting
• Scheduling:

  • Shifts: 7am–7pm and 7pm–7am (travelers primarily nights)
  • Resource and charge nurse shifts: 6:45am–6:45pm and 6:45pm–6:45am
  • Travelers fill scheduling gaps; preference considered but no guaranteed block scheduling or working 6 shifts in a row
• Weekend and holiday work: No minimum weekend requirement; holiday shifts may be assigned based on unit needs
• No call or standby requirement

Additional Unit Details

• Charge nurses do not take patient assignments; an administrative supervisor is present every shift
• Resource and triage nurses may start shifts without patients and assist with breaks and deliveries
• One Certified Surgical Tech (CST) and one Certified Nursing Assistant (CNA) per shift, though CNA coverage may vary due to sick calls
• OB hospitalist and Neonatal Nurse Practitioner available 24/7
• Anesthesia available 24/7
• Respiratory therapy available for troubleshooting vents, CPAP, BiPAP, and high flow devices
• Telemetry capability present but no dedicated telemetry techs; RNs rarely need to read their own strips
• Electronic Fetal Monitoring system: Centricity

Floating & Dress Code

• Floating required to other regional sites within primary skill set (L&D, Postpartum, Antepartum) or as a sitter
• Hospital-issued scrubs required; must change into and out of scrubs at beginning and end of shift
• No acrylic, gel, or fingernail lacquer allowed due to embedded NICU proximity

Patient Care & Work Environment

• Common diagnoses: hypertensive disorders on magnesium, gestational diabetes, trial of labor after cesarean (TOLAC), antepartum patients
• Unit serves a diverse community with many home birth midwife referrals
• No placenta previa or placenta accreta patients accepted
• Nurses expected to titrate drips and manage complex maternal-newborn care

Notes

• Travel duos must have two vehicles due to floating and multiple site coverage
• Radius restriction: candidates must live outside a 50-mile radius from the facility to be eligible for this travel assignment