Labor & Delivery RN
Folsom, CA
TNAA TotalMed RN
3x12 hrs, Nights
Referral Bonus

Family Birthing Center (L/D, Mother/Baby) - Must be able to "Catch the baby" Active CA license - ACLS, BLS, NRP, AWHONN Advanced EFM - 3+ years LD experience. Will take L&D only but will not accept a candidate who only has postpartum experience, Prefer scrub experience for c-sections. Will accept first time travelers. They will also be expected to circulate in the OR, but we can orient to that if needed NO NICU in house, RN must be comfortable with NRP.

NICU with 2 beds for newborn stabilization
70-80 births a month & NST antepartum testing (averaging 60-70 per mo)
Do you follow AWHONN guidelines for ratios? NO Labor 1:2, 1:1 at delivery. 1:4 Mother/Baby couplets.
Required Certifications: ACLS, BLS, NRP, AWHONN Advanced EFM
Common diagnoses/Types of patients: 35 weeks and above, may do twin deliveries, preterm patients less than 35 weeks transferred to higher level of care
Experience or 'Must have' skills: Must have at least 1 years of LDRP experience; prefer 3 years of experience in this settings.
Will take L&D only with OR circulating experience, but will not accept a candidate who only has postpartum experience
RN must be comfortable with NRP at delivery, no in-house pediatric coverage
Are RNs required to titrate drips? Yes
Common titratable &/or set rate drips: Titrate pitocin and very occasionally insulin
Charge Nurse/House Supervisor? Charge nurse or Nurse Shift Manager on every shift
Does the charge nurse take an assignment? Preferably not, but will take an assignment if required by staffing needs
Are there nurse aids/surgical techs on this unit? No CNAs, one OB Tech scheduled each shift
OB/Neonatologist in house 24/7? OB is in house 24/7
They have a perinatal specialist to improve neonatal complications.
Anesthesia in-house 24/7? Anesthesia not in house 24/7, but on-call.
If there are no patients there is not an anesthesiologist in house, they would be on call with a 20 minute response time. If any patients have an epidural, anesthesia remains in house and would stay for the entirety.
RT Equipment (vents, Cpap, BiPap, etc): RT attends every delivery and will assist in providing respiratory support and manage equipment when needed. Equipment: Ventilator, CPAP, bubble CPAP machine
Are there Tele/Monitor Techs on this unit? No. GE fetal monitors can record maternal heart rhythm. Nurses required to take ACLS, but if but if a patient receives general anesthesia they will be recovered in the Main PACU
EFM System Fetalink
Weekend Requirements: 2 wkend shifts per 4 week schedule, Nights - fri/sat, Days - Sat/Sun
Holiday Requirements: Rotate in with core staff
Is there a call or standby req? May be placed on-call/standby on scheduled shifts and expected to present within 30 minutes of call back
Floating Requirements? All other Sacramento facilities. Mid-shift float to another facility is rare, but can happen.
Scheduling is 4 wks in advance