LDRP Nurse (Labor, Delivery, Recovery, Postpartum)
Winnemucca, Nevada
Humboldt General Hospital

Job Opportunity: LDRP - RN (Labor, Delivery, Recovery, Postpartum Nurse)

Location: Winnemucca, Nevada
Contract Length: 13 weeks

Job Description

Seeking experienced L&D nurses for night shifts at a Critical Access Hospital in Northern Nevada. Must be able to work in LDRP (Labor, Delivery, Recovery, Postpartum) unit.

Unit Details

• Department: OB - LDRP | RN
• Beds:

  • 4 LDRP beds
  • 2 Postpartum beds
  • 1 Exam room convertible to LDRP
• OR Suites: Adjacent OR team handles C-sections (scrubbing, circulating, recovery); OB nurse receives the baby.
• Triage: No designated triage area; triage done in all rooms.
• Birth Volume: Approximately 20 births per month, 200 per year.
• Staffing Ratios: Strive to follow AWHONN guidelines; typically 2 nurses per shift, with extra called in for multiple labors or sick babies.

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NRP (Neonatal Resuscitation Program)
• Intermediate or Advanced Fetal Monitoring (Advanced FHM required in Nevada to place Cytotec)
• STABLE certification preferred

Experience & Skills

• Must have LDRP experience and ability to function in L&D, Postpartum, and Sick-Baby Nursery.
• Minimum 1 year of true LDRP experience accepted.
• Comfortable caring for sick babies prior to transport (transfers can take up to 3 hours).
• C-section experience: OB RN receives the baby only; OR team handles other roles.
• IV drips run through infusion devices; common drips include Pitocin, Magnesium Sulfate, and Antibiotics.

Clinical Environment

• Common diagnoses: Low-risk labor, antepartum testing, postpartum couplets, well nursery, stabilization and transfer of sick nursery babies.
• No charge nurse on unit; team approach with support from charge nurse in ER/ICU for transfers.
• Nurse aides available rarely for stocking and non-patient care tasks.
• OB physician on call with ~30-minute response time; no in-house neonatologist. High acuity babies stabilized and transferred out.
• Anesthesia on call after hours with quick response (~20 minutes).
• Respiratory therapy equipment includes T-pieces for PPV and Vapotherm for high flow.
• RNs read their own EFM tele strips; MDs can view remotely. Use of Corometric monitors.

Technology & Documentation

• EFM System: Fetal Link
• EMR: Cerner Community Works

Scheduling & Shifts

• 3 shifts per day, 12 hours each (start time 7:00-7:30 AM/PM) with 30-minute lunch.
• Modified self-scheduling; management tries to accommodate requests but flexibility required.
• Weekend requirement: Every other weekend.
• Holiday rotation participation may be required.
• No call or standby requirements.
• Floating: May be asked to assist in other departments (MS, ER, LTC) during low OB census but must return for laboring patients.

Orientation & Uniform

• Orientation: 1 day general orientation + 1-2 shifts on unit with preceptor (including one shift on scheduled shift).
• Scrub color: Navy blue; hospital scrubs provided for C-sections in OR.

Additional Notes

• Candidates should confirm housing arrangements in the area prior to submission.
• The hospital is located in a small mountain town in north central Nevada.

This position is ideal for nurses with LDRP experience looking for a supportive team environment in a rural hospital setting.