Travel Nurse RN - Labor and Delivery
Sacramento, CA
First Connect Health
3x12 hrs, Days
Referral Bonus

Registered Nurse (RN) – Labor & Delivery / LDRP

Department: Family Birth Center (FBC) – OB / Labor & Delivery / Postpartum
Position: Registered Nurse (RN)
Specialty: L&D / LDRP
Assignment: Travel RN

Position Overview

We are seeking an experienced Labor & Delivery Registered Nurse (RN) to join a high-risk Family Birth Center providing comprehensive care across Labor & Delivery, Obstetrics, and Postpartum (LDRP). This role requires an RN who is confident managing patients throughout the entire birth process, including high-risk pregnancies, inductions, preterm labor, cesarean sections, and postpartum care.

The ideal candidate must be comfortable with couplet care, circulating C-sections, floating to Mother-Baby (MB), and managing patients from admission through delivery and postpartum recovery.

Unit Details

• L&D Beds: 10
• Postpartum Beds: 12
• OR Suites for C-Sections: 2
• Triage Beds: 3
• OB-ED / Antepartum Testing: 3 additional beds used for OB-ED overflow
• Birth Volume: Approximately 140–165 births per month
• Electronic Fetal Monitoring: GE Corometrics / Fetalink surveillance
• Patient Population: High-risk obstetric patients

Patient Ratios

• Labor & Delivery: 1:1–1:2
• Couplet Care: 1:3–1:4
• Antepartum: 1:1–1:3
• Ratios follow AWHONN guidelines

Common Patient Conditions

RNs may care for patients experiencing:

• Preterm labor
• Vaginal bleeding
• Labor inductions
• Cesarean sections
• Hypertension and pregnancy-related complications
• High-risk pregnancies
• Antepartum and postpartum conditions

Key Responsibilities

• Provide comprehensive nursing care throughout Labor, Delivery, Recovery, and Postpartum
• Manage high-risk obstetric patients in a fast-paced Family Birth Center
• Perform continuous maternal and fetal assessments
• Interpret fetal monitoring and recognize changes requiring intervention
• Circulate C-sections independently — required for all RNs
• Provide couplet care and postpartum nursing care
• Float to Mother-Baby when required
• Administer and titrate Pitocin
• Participate in emergency obstetric interventions and deliveries
• Provide care in accordance with AWHONN standards and facility protocols
• Collaborate closely with OB providers, anesthesia, neonatology, NICU, and the interdisciplinary care team

Required Certifications

• BLS – Required
• ACLS – Required
• NRP – Required
• AWHONN Advanced – Required
• STABLE – Preferred

Required Experience & Skills

• Previous Labor & Delivery experience required
• Strong experience with LDRP/Family Birth Center environments
• Must be comfortable caring for high-risk OB patients
• C-section circulating experience required
• Must be able to float to Mother-Baby/Postpartum
• Must be comfortable providing couplet care
• Ability to manage and titrate Pitocin
• Strong fetal and maternal assessment skills
• Ability to read and interpret EKG strips on mothers in PACU

Staffing & Clinical Support

• Charge RN/House Supervisor: Generally does not take a patient assignment but provides break relief
• OB Surgical Technicians: Available on the unit
• OB Hospitalist: In-house 24/7
• Neonatology: On call 24/7 and rounds daily
• Anesthesia: In-house 24/7
• Respiratory Equipment: No ventilators on the unit
• Telemetry: RNs must interpret maternal EKG strips in PACU

Schedule

• 12-hour shifts
• Shift begins at 6:45 AM/PM
• Bedside report
• Every other weekend required
• Holiday rotation with staff
• Additional shifts and overtime may be available
• If placed on call, 30-minute response time is required

Floating Requirements

• No routine in-house floating
• Travelers may be required to float to other Sacramento-area facilities
• Mid-shift floating to another facility is rare but may occur

Scrubs

• Scrubs provided by the facility

Additional Role Information

The “Baby Catcher”/NRP role may be assigned for the entire shift. This responsibility may be covered by NICU or L&D staff depending on staffing availability.

Submission & Compliance Requirements

• 2 supervisory references required at submission
  • 1 reference within the last 12 months
  • 1 reference within the last 3 years
  • Charge RN references are accepted
• Copy of driver's license required at submission to verify legal name
• Travelers will be scheduled to work 2 of the 3 major holidays: Thanksgiving, Christmas, and New Year's
• Holiday RTO may be considered but is not guaranteed
• Candidates must not have been directly employed (FT, PT, or PRN) by a facility affiliated with CommonSpirit, CHI, or Dignity within the past 12 months
• Candidates previously employed PRN through an outside staffing firm may be considered
• Position may be prescreened/auto-offered, with final approval subject to manager review; manager may rescind an offer within 24 hours

Akshay #1175357