Labor and Delivery Registered Nurse
Monroe, MI
Voca Healthcare
3x12 hrs, Nights

Shift: Night 3x12-Hour (18:45 - 07:15) 

MI license in hand**Every Other Weekend*17 Rooms17 BedsPatient Age Groups: Neonates, Adolescents, Adults, GeriatricsMedication System: PyxisEpic RequiredProvider Support: Interpretation Services, Pharmacy, Phlebotomy, Physical Therapy, Tadiology, Rapid Response Team, Respiratory Services, Social Servixes, Transportation, Unit Secretary (no HUC at night)Provider Coverage: CRNA, Hospitalist - Family Practice/Medical, Anesthesiologist, CNM, MD, FellowPatient Diagnosis: c/ sections- scrub and circulate, vaginal deliveries, operative vaginal births , stabilize neonates, Post partum care, Newborn care, Antepartum, intrapartum, post delivery D&C, fetal monitor, fse, iupc, Ram CannulaSpecial Procedures/Unit Details: We have a special care nursery - stabilize and transfer out. Mag drips will be started and then patient will be transferred to Toledo. We follow awhonn staffing guidelines: 1:1 for Laboring patients, 1:3 couplet, 1:3 MB, Triage, Special care nurseryCertifications Required: ACLS, BLS, NRP, MI licenseWork Settings Required: Antepartum, Community Level experience, Facility births/month 200-300, Facility births/month >300, Level I Nursery, LDRP, Mother/BabyAntepartum Care and Procedures Required: NST, Reflex checks / edema assessment / clonus, Sterile vaginal exam, Triage of obstetrical patients, Use of EFM (External Fetal Heart Monitoring)Care of Patient Required: Diabetes mellitus, HELLP Syndrome, Malpresentations (breech / face / brow), Multiple Gestation, Placenta Previa/Abruptio, Pre-eclampsia / eclampsia, Premature Rupture of Membranes, Preterm labor, Substance Abuse, Uterine rupture, VBAC management / trial of laborCardiac Monitoring and Emergency Care Required: Adult cardiac arrest, Infant / neonatal arrest, Use of Rapid Response team, Telemetry InterpretationFetal Monitoring Required: Use of External Fetal Monitoring, Recognition and Treatment of abnormal fetal heart rate patterns IV Therapy/Phlebotomy Required: Administration of blood & blood products, Start & maintain peripheral IV, Use of infusion pumps / drips / IV monitoringMedication and Administration Required: Antihypertensives, Magnesium Sulfate therapy, Pitocin (oxytocin), Prostaglandins, TerbutalineLabor and Delivery Management Required: Amnioinfusion, Assist with high risk delivery, Assist with vaginal delivery, Circulate for C-section, Hemorrhage/shock, Recover C-Section, Sterile vaginal examNeonatal Care in Delivery Room Required: APGAR scores, Baby Nurse ( Baby Catcher ), ID/Security Banding, Neonatal Resuscitation, Radiant Warmers/ThermoregulationNewborn Care Required: Assist with Circumcision/Assess site post-op, Car Seat Education, Cord Care, Discharge teaching to parents, Infant Identification, Metabolic Screen, Neonatal Abstinence Syndrome, Newborn Assessment, Newborn hypoglycemia, Phototherapy, Teach Circumcision care to parents, ThermoregulationPain Management Required: Epidural Anesthesia, General Anesthesia, Opioids, Pain assessment & managementPostpartum Care and Procedures Required: Breastfeeding Support/lactation support, Episiotomy/Incisional Care, Foley Catheter insertion, Fundus/lochia/perineum care, Use of Electric/Manual breast pump, Wound Assessment and CarePostpartum Care of Patient Required: Vaginal Delivery, Cesarean Section, Bladder Distension, Couplet Care, Multiple Births, Postpartum Hemorrhage, Pregnancy induced hypertensionProfessional Topic and Skills Required: Isolation Precautions/PPE, Vaccine AdministrationSurgical Case/Procedures Required: Cervical Cerclage, D & C, Tubal LigationEpic required2 Years Minimum Experience RequiredUnit Accepts 1st time travelersScrubs provided - Green 7 days of RTO excluding holidays 

m COVID-19 Vaccine: Required - Medical/Religious Exemptions Only Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:High Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : Preferred LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : AWHONN Advanced*, AWHONN Intermediate*, ACLS, BLS, NRP, Advanced EFM or Intermediate with last 2yrs*, Michigan license - needs to be current/activeSkills : Labor & Delivery*, HIV*, Infectious disease*, RH incompatibilities*, Seizure disorder*, Spiral Electrode Placement*, Use of Internal Fetal Monitoring*, Use of IUPC (Intrauterine pressure catheter) placement and calibration*, Drawing Venous Blood*, Maintain central lines (CVC / PICC)*, Anticoagulation therapy*, Antiseizure*, Insulin drips*, Scrub for C-Section*, Collect cord samples*, Use of PCA (IV)*, Baby friendly protocols*, Community Level experience, Antepartum, Facility births/month 200-300, Facility births/month >300, Level I Nursery, LDRP, Mother/Baby, NST (Non Stress Tests), Reflex checks / edema assessment / clonus, Sterile vaginal exam, Triage of obstetrical patients, Use of EFM (External Fetal Heart Monitoring), Diabetes mellitus, HELLP Syndrome, Malpresentations (breech / face / brow), Multiple Gestati