Labor and Delivery RN
Bismarck, North Dakota
CHI Saint Alexius Health

LDRP RN

Location: Bismarck, North Dakota Contract Length: 13 weeks Shift: Nights, 12 hours per day, 36 hours per week Hiring Process: Profile review, then manager interview

Required Qualifications

• BLS, NRP, AWHONN Intermediate Fetal Monitoring, and STABLE certifications
• 3 years of experience in LDRP
• Ability to titrate drips (RNs are required to titrate drips)

Preferred Qualifications

• AWHONN Advanced Fetal Monitoring certification
• Ability to scrub (RNs are preferred to scrub)

Unit Details

• Labor & Delivery: 7 beds
• Postpartum: 12 Postpartum beds and 8 Surgical beds
• Surgical: 1 dedicated C-Section OR and 2 GYN surgical ORs
• Triage: 3 bay triage (averages 17 patients per month). Travelers may triage based on experience.
• Volume: 643 births annually
• Telemetry: Remote tele-capable unit with infrequent telemetry patients. If remote telemetry is used, a monitor tech is assigned. RNs should be able to place patches correctly. RNs are expected to read telemetry in Phase 1 recovery for C-sections only (not a hard stop).
• EFM Equipment: GE/Corometrics 8 of the 129, 5 of the 259 CA-X series, and 2 older 128 series (no material ECG)
• Staffing Ratios (AWHONN guidelines): L&D 1:1-2; Postpartum 1:2-3 couplets; 1:3-4 surgical/medical

Patient Profile

• Common diagnoses and patient types: Obstetric, L&D, antepartum, triage, and postpartum patients; MgSO4 postpartum; preeclampsia; gestational hypertension; gestational diabetes; postpartum vaginal and C-section deliveries; hysterectomy; bladder repairs; mastectomies
• Gestational age: Accepts patients at 23+ weeks
• Risk level: No cardiac interventions, but occasional higher-risk patients are accepted
• Travelers: Open to first-time travelers, who are expected to jump right in

Clinical Responsibilities

• Titratable and set-rate drips: Pitocin, magnesium, and occasional insulin drips
• Other common medications: Procardia, labetalol push, TXA (hemorrhage), Methergine, Hemabate, Cytotec, Cervidil
• Respiratory equipment: RNs manage supplemental oxygen PRN in addition to troubleshooting
• Charge nurse: A charge nurse is on every shift. The charge nurse takes an assignment and attends deliveries for APGARs. Travelers would not serve as charge nurse.
• Anesthesia and physician coverage: Anesthesia is in house 24/7. OB is on call 24/7. Neonatology is on call 24/7, and an NNP is in house overnight.

Support Staff

• 1 OB scrub tech scheduled Monday through Friday, days
• Unit clerk
• Occasional nurse techs (nursing students)

Schedule

• Shifts: Rotational 7a-7p and 7p-7a, with schedules posted 6 weeks in advance. Sleep schedules are considered, and block scheduling is used.
• Weekends: Every third weekend
• Holidays: As needed
• Call or standby: None. Optional overtime is available.
• RTO: Up to 7 days off per 13-week contract, requested upfront. Additional RTO will not be approved, including after submission.

Floating

• Float pool: Peds Med/Surg and NICU (feeder-growers)
• Possible float units: Med/Surg, PCU, ICU, ED, and Psych, as a 1:1 sitter or helping hands

Other Details

• Orientation: 2 x 12-hour shifts on the unit
• Attire: Surgical scrubs provided
• Patient satisfaction: The department has high patient satisfaction.
• Radius rule: Candidates must live within 50 miles. Candidates may not hold full-time, part-time, or PRN positions with any affiliated facility in the health system.