Labor & Delivery RN
Kearney, NE
Malone Healthcare - Nursing
3x12 hrs, Nights
Referral Bonus

🏥 Unit Overview

• Beds/Rooms:
  • 10 private LDRP rooms
  • 2 antepartum rooms
  • 1 OR suite
  • 2 on-call rooms for physicians
• Birth Volume: ~50/month (~600/year)

📋 Certifications Required

• Required: BLS, ACLS, NRP
• Preferred: FHM

👩‍⚕️ Staffing & Ratios

• Couplet Care: 1:3
• Laboring Patients: 1:1
• Support Staff:
  • 1 Charge RN
  • 1 Lactation Counselor
  • 1 Unit Secretary/Notary
  • 1 Maternity Educator
  • Nurse Aides / OB Techs (Day & Night based on census)

🕒 Schedule & Requirements

• Shift: 12 hours (6:00 – 6:00)
• Weekend: Every 3rd weekend (may increase based on need)
• Holidays: 1 major + 1 minor

🏥 Systems & Equipment

• Fetal Monitoring: OBIX
• EMR: MediTech
• Telemetry: GE (centrally monitored)
• Vents: Not available

👨‍⚕️ Coverage & Support

• OB/Neonatologist: On-call (not in-house)
• Anesthesia: On-call (20-min response time)
• Respiratory Therapy: 24/7
• Pharmacy: On-call after 9 PM (moving to 24/7 soon)
• IV Team: Not available → strong IV skills required

🩺 Clinical Experience Required

• C-section experience (circulating required)
• NICU Floating: Only for feeders & growers

📚 Patient Population & Cases

• 32+ weeks (earlier gestation transferred out)
• No VBAC
• Common cases include:
  • Magnesium sulfate
  • Insulin-dependent patients

💖 Unit Highlights

• LDRP model: Moms labor, deliver & recover in same room
• No nursery → newborns stay with mothers at all times
• Strong focus on skin-to-skin care
• Highly collaborative, team-oriented environment
• Recognized as “Safe Sleep Champion” (DHHS, April 2018)