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

RN – Women's Services L&D

Location: Nampa, Idaho (Southern Idaho) Contract Length: 13 weeks Shift: Nights, 12-hour shifts, 36 hours/week Shift Times: 7a–7p and 7p–7a; Resource and Charge 0645–1845 and 1845–0645

Unit Details

• Labor & Delivery unit with 14 beds; patients stay in the same room
• 2 OR suites for C-sections, where RNs circulate and recover
• 4 triage beds, staffed by travelers
• Approximately 90 births per month (1,200 per year)
• NICU embedded within 7 L&D rooms
• Admin supervisor on every shift; charge RNs do not take an assignment
• Resource RN and triage RN each shift; the resource nurse helps with breaks and attends all deliveries
• 1 CST per shift; 1 CNA scheduled per shift, but the CNA may be pulled to cover a HUC sick call
• OB hospitalist 24/7, Neonatal NP 24/7, and anesthesia in house 24/7
• RT available for troubleshooting equipment
• No tele techs; telemetry capability on the unit is rarely needed, and patients are typically transferred to a higher level of care

Patient Population

• 32 weeks gestation and greater; some antepartum patients
• HTN on magnesium, BACs, TOLACs, some gestational diabetes
• Many patients come in for medical intervention and pain control
• Does not take placenta previa or placenta accreta
• Very diverse population

Clinical Responsibilities

• Ratios follow AWHONN Staffing Standards: labor 1:1 unless pairing 2 cervical ripening patients; postpartum 1:3 couplets; triage 1:3, with a resource nurse added if up to 4 patients
• Required to titrate drips: Pitocin protocol, magnesium protocol, and insulin drips (occasionally)
• Resource nurse must stabilize, perform physical assessment and cares within the first 2 hours, and provide a second sign-off on meds

Required Qualifications

• 3+ years of L&D experience
• Mother-baby experience
• Magnesium experience
• Experience attending deliveries and completing 1 hour of newborn care, triage, circulating C-sections, and providing postpartum couplet care
• Certifications: ACLS, AWHONN Advanced Fetal Monitoring (AFM), BLS (AHA), NRP, STABLE

Preferred Qualifications

• Mother-baby experience: 1 year (preferred)
• Charge nurse experience (preferred, not required)

Scheduling and Float

• Block scheduling is not guaranteed; cannot work 6 shifts in a row
• Weekends as needed based on unit needs
• Holidays: no set requirement for travelers; may work a holiday if there is a need
• No call or standby requirement
• Floats to other facilities in the system within the primary skill set (L&D/Mother Baby) or as a sitter; all sites are within 15 minutes of each other
• Floats are for full shifts only; notice is given before shift start
• Travelers may extend and return
• Travel duos need 2 cars

Orientation and Other Requirements

• 4 shifts of unit orientation covering C-section, labor, and postpartum
• Compliance assignments must be completed before start
• Hospital-issued scrubs, changed into and out of at the start and end of each shift
• No acrylic or gel nails in the department