LDRP RN
Winnemucca, Nevada
Humboldt General Hospital

Registered Nurse (LDRP - Labor, Delivery, Recovery, Postpartum)

Location: Winnemucca, Nevada
Contract Length: 8 weeks

Job Overview

Seeking experienced L&D nurses for night shifts at a Critical Access Hospital in Northern Nevada. The role involves working in the Labor, Delivery, Recovery, Postpartum (LDRP) unit with responsibilities across labor and delivery, postpartum care, and the sick-baby nursery.

Unit Details

• 4 LDRP beds, 2 postpartum beds, 1 exam room convertible to LDRP
• Approximately 20 births per month (~200 per year)
• No designated triage area; triage done in all rooms
• OR team handles C-sections; OB nurse receives the baby
• Staff 2 nurses per shift, following AWHONN staffing guidelines
• No charge nurse on unit; team approach with charge nurse support from ER/ICU if needed
• Occasional nurse aide support for non-patient care tasks
• OB physician on call with ~30-minute response time; no neonatologist on site
• High acuity babies stabilized and transferred out (transfer can take ~3 hours)
• Anesthesia on call with quick response (~20 minutes)
• Respiratory therapy equipment includes T-pieces for PPV and Vapotherm for high flow
• Nurses read their own fetal monitoring strips; MDs can view remotely
• Electronic Fetal Monitoring (EFM) system: Fetal Link & Cerner EMR

Schedule

• 3 shifts per week, 12 hours each (start 7:00-7:30 AM/PM)
• Modified self-scheduling with some flexibility required
• Weekend requirement: Every other weekend
• Holiday rotation may apply
• No call or standby requirements
• Possible floating to other departments (Medical-Surgical, ER, LTC) as needed

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 administer Cytotec)
• STABLE certification preferred

Experience Requirements

• Must have LDRP experience with ability to function in Labor & Delivery, Postpartum, and Sick-Baby Nursery
• Minimum 1 year of true LDRP experience required (higher experience value applied)
• Comfortable caring for sick babies prior to transport
• First-time travelers are acceptable

Clinical Details

• Common patient diagnoses: low-risk labor, antepartum testing, postpartum couplets, well nursery, stabilization and transfer of sick nursery patients
• IV drips managed via infusion devices
• Common drips: Pitocin, Magnesium Sulfate, antibiotics; rare insulin use
• C-section involvement limited to receiving the baby; OR team handles scrubbing, circulating, and recovery

Orientation

• 1 day general orientation plus 1-2 shifts on unit with preceptor
• Orientation shift scheduled on the nurse’s assigned shift

Dress Code

• Navy blue scrubs for unit
• Hospital scrubs provided for C-section OR

This position offers an opportunity to work in a supportive, team-oriented environment in a scenic Northern Nevada location with a manageable patient census and a variety of OB nursing experiences.