Labor and Delivery Nurse
Monroe, Michigan
ProMedica Monroe Regional Hospital

Job Opportunity: Labor and Delivery Nurse (Travel/Contract)

Location: Monroe, Michigan
Employment Type: Travel/Contract
Shift: Night (3 shifts per week, 12 hours each; 18:45 - 7:15)
Contract Length: 13 weeks
Minimum Experience Required: 2 years in specialty
Accepts First-Time Travelers

Unit and Patient Details

• Unit Size: 17 rooms, 17 beds
• Patient Age Groups: Neonates, Adolescents, Adults, Geriatrics
• Patient Diagnoses: C-sections (scrub and circulate), vaginal deliveries, operative vaginal births, stabilize neonates, postpartum care, newborn care, antepartum, intrapartum, post-delivery D&C, fetal monitoring (EFM, FSE, IUPC), use of Ram Cannula
• Special Care Nursery: Stabilize and transfer out; magnesium drips started before transfer
• Staffing Ratios (AWHONN guidelines):

  • 1:1 for laboring patients
  • 1:3 couplet care
  • 1:3 mother/baby care
  • Includes triage and special care nursery

Required Certifications

• Michigan RN License (must have license in hand)
• ACLS (AHA provider, instructor, or RQI accepted)
• BLS (AHA provider, instructor, or RQI accepted)
• NRP (AAP only)
• EFM (Electronic Fetal Monitoring) - must be updated every 2 years

Required Skills and Competencies

• Epic electronic health record experience required
• Medication system: Pyxis
• Ability to float to Hickman unit as needed
• Use of interpretation services, pharmacy, phlebotomy, physical therapy, radiology, rapid response team, respiratory services, social services, transportation, unit secretary support (no HUC at night)
• Care and procedures in antepartum, intrapartum, postpartum, newborn, and neonatal care settings
• Labor and delivery management including:

  • Amnioinfusion
  • Assist with high-risk and vaginal deliveries
  • Circulate for C-section and recover C-section patients
  • Hemorrhage/shock management
  • Sterile vaginal exams
• Neonatal care in delivery room: APGAR scoring, neonatal resuscitation, radiant warmers, ID/security banding
• Newborn care: Circumcision assistance and care teaching, car seat education, cord care, metabolic screening, neonatal abstinence syndrome care, phototherapy, thermoregulation
• Cardiac monitoring and emergency care: Adult and infant/neonatal arrest response, telemetry interpretation, use of rapid response team
• IV therapy and phlebotomy: Blood and blood product administration, peripheral IV start and maintenance, infusion pumps/drips/IV monitoring
• Medication administration: Antihypertensives, magnesium sulfate therapy, Pitocin (oxytocin), prostaglandins, terbutaline
• Pain management: Epidural anesthesia, general anesthesia, opioids, pain assessment and management
• Postpartum care: Breastfeeding/lactation support, episiotomy/incisional care, Foley catheter insertion, fundus/lochia/perineum care, use of breast pumps, wound assessment and care
• Management of conditions such as diabetes mellitus, HELLP syndrome, malpresentations, multiple gestation, placenta previa/abruptio, pre-eclampsia/eclampsia, premature rupture of membranes, preterm labor, substance abuse, uterine rupture, VBAC management/trial of labor
• Professional skills: Isolation precautions/PPE, vaccine administration
• Surgical procedures: Cervical cerclage, D&C, tubal ligation

Workload and Environment

• Facility births per month: 200-300+
• Work settings include antepartum, community level experience, Level I nursery, LDRP, mother/baby units
• Scrubs provided (green)
• Every other weekend schedule

Required Background and Compliance

• 7-year background check within 12 months of start, updated annually
• EPLS/GSA/SAM and HHS/OIG checks required annually
• Education verification required (highest level)
• Fingerprinting: Michigan LARA fingerprint results required for psych positions; other fingerprinting requirements vary by unit and state
• Drug testing: Negative 10-panel drug screen within 12 months of start (instant acceptable unless on prescription)
• Physical exam: Physician statement within last 12 months (latex-free PPE available)
• N95 Fit Test: Required within 12 months of start and updated annually; onsite exceptions possible with approval
• Immunizations and Titers:

  • Tdap within 10 years or TD with proof; declination accepted except for certain units
  • Negative TB test (PPD, QGold, or TSPOT) within 3 months; annual updates required
  • MMR (measles, mumps, rubella) positive titer, 2 vaccines, or approved exemption required
  • Varicella positive titer, 2 vaccines, or approved exemption required
  • Hepatitis B series, positive titer, or declination accepted
  • Seasonal flu vaccine or approved exemption required during flu season (10/1 - 3/31); declinations not accepted during flu season
• References: Two professional references within 2 years, including at least one from a leader (Charge RN or above)
• Skills checklist required for all candidates

Additional Notes

• Dysrhythmia/EKG competency exam required annually for RNs, with remediation and retake process
• Crisis Prevention Institute (CPI) training may be required and can be obtained onsite after start with approval
• Medication/pharmacology competency exams required as applicable
• Radiation badges issued by facility if applicable (not recruiter responsibility)
• Jot Form (facility-specific onboarding form) must be completed at least 10 days prior to start
• Return to work period: 7 days excluding holidays

Requirements/Qualifications

• Valid RN license in Michigan
• Minimum of 2 years of Labor and Delivery nursing experience
• Labor and Delivery experience within the last year
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• BLS - Basic Life Support issued by American Heart Association
• NRP - Neonatal Resuscitation Procedure certification
• EFM - Electronic Fetal Monitoring certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Antepartum nursing experience
• Experience with Epic electronic health record system

This position offers a comprehensive Labor and Delivery nursing experience with a focus on high-acuity maternal and neonatal care in a well-supported hospital environment. It is suitable for RNs with at least 2 years of experience in the specialty and who hold a valid Michigan nursing license. First-time travel nurses are welcome to apply.