Travel Nurse RN - LDRP - Labor Delivery Recovery & Postpartum
Bangor, ME
Talent4Health
3x12 hrs, Nights

7p-730a 

• General Information:
  • Minimum years of experience? at least 2 years in Labor & Delivery
  • Will you accept a first-time traveler? No, must have completed at least 1 assignment at a facility comparable in size and acuity
  • Level III NICU; Newborn Nursery
  • Goal designated safe sleep facility
  • Average # of deliveries per year? 1800
  • Typically, will do 4 scheduled events daily (c-sections, versions, etc)
  • Beds:
    • OBED: 2 Triage rooms
    • Labor & Delivery:
      • 7 labor rooms
      • 2 triage rooms
      • PreOp/PACU in Labor room (even pre-scheduled events)
    • OR suites: 2
    • Postpartum/Antepartum/GYN/Mother-Baby: 25 – could be overflow Antepartum that L&D RNs monitor
  • Covers a large geographical area – tons of referrals (anything that will require NICU – 1 of 2 NICU’s in Maine)
  • Not currently Baby Friendly designated – only pool lactation staff at this time; many CLC’s and IBCLC’s that will assist in labor room
  • Rooming in Model for Mother-Baby
  • Labor & Delivery and Mother-Baby are physically separate units right next to one another (locked, circular unit for the 2 areas)
• Patient Types/Common Diagnoses:
  • PIH, GDM, Pre-Eclampsia, Eclampsia, HELLP, Shoulder dystocia, postpartum hemorrhage (assessed on admission, intrapartum, & postpartum), multiples, fetal loss, drug addiction, cervical ripening
  • Newborn care: if mother stays on unit for continuous surveillance (Mag x 24hrs), labor nurse would be responsible for documenting feeds and vitals and assessment for baby.  Testing to be completed by Mother-Baby staff.  Istat or bridge milk (PHDM) on babies usually done by core staff.
• Patient Ratios:
  • Cervical Ripening: 1:1-3
  • Laboring: 1:1-3
  • Active Labor: 1:1
  • Couplet/Postpartum/Antepartum: 3 M/B couplets or 3 Antepartum/NICU moms
• Minimum staffing –
  • L&D: 6 RNs Day and Night (goal) – possibly 5, if there is a call out

• Required Certifications:
  • RN: BLS, ACLS, NRP, Intermediate or Advanced FHM, MOAB
  • CST: BLS, CST – nationally certified
• Skills required:
• RN: titrate Pitocin, Fetal scalp electrodes, cervical exams, helps CRNA with epidural placement, management of insulin drips, magnesium drips, Shoulder dystocia, circulating c-section and/or receive baby in OR, neonatal resuscitation, assist with placement and monitor of IUPC; Newborn care to include: ability to provide lactation support, safe skin to skin protocol
• Please ask all travelers about charge experience and include in the offer info if they have/have not worked in a CRN capacity
  
  Floating: If yes, where?
• Could float to Mother Baby, but would only Antepartum, Postpartum or occasionally Mother-Baby (Newborn Nursery RN would do 24 hr labs)
  
  Scheduling:
  • Weekend rotation:  out of 8 weekend shifts per schedule, will work at least 4 (could be back-to-back)
  • No call required; may be an option to pick up call
  • Holiday Expectations: will do a rotation
  • RTO Approval:
    • Manager approval required
  • Shift times:
    • 0700-1930
    • 1900-0730
• Other notes?
  • Scrub Color: Navy - provided on site
    • 6 credits for scrub machine allotted
    • obtained at start of shift (will wear street clothes in/out)
  • Free Parking on site