Labor and Delivery RN
Lebanon, Pennsylvania
The Good Samaritan Hospital

Labor and Delivery Registered Nurse

Location: Lebanon, Pennsylvania
Employment Type: Per Diem
Contract Length: 13 weeks

Job Overview

• Work up to 40 hours per week (no overtime offered)
• Night shifts: 12 hours (1900-0730)
• Patient ratio: 1:4
• Patient age groups: Neonates and Adults
• Charting system: EPIC (experience required)
• Medication system: Pyxis
• Scrub color: Navy Blue

Required Qualifications

• Registered Nurse license valid in Pennsylvania
• Minimum 2 years of Labor & Delivery experience
• Current certifications:

  • BLS (Basic Life Support)
  • NRP (Neonatal Resuscitation Program)
  • AWHONN Intermediate (Electronic Fetal Monitoring)
• Epic experience required
• 2 clinical references and at least 1 leadership reference from assignments within the last year
• Separation period of 1 year from previous assignment at this facility
• Must be available and able to commit to 4 shifts per month
• Commitment to compliance process and deadlines required

Preferred Certifications

• ACLS (Advanced Cardiac Life Support)
• AWHONN Advanced

Required Work Settings

• Antepartum
• Labor & Delivery
• LDRP (Labor, Delivery, Recovery, Postpartum)
• Level I Nursery
• Community Level
• Low Risk
• Mother/Baby care
• Facility births fewer than 100 per month

Preferred Experience

• Previous charge nurse experience
• Community hospital experience

Required Skills & Clinical Competencies

• Assist with sterile speculum and vaginal exams (effacement, dilation, station, presentation)
• Perform NST (Non-Stress Tests) and OCT (Oxytocin Challenge Tests)
• Reflex checks, edema assessment, clonus
• Triage of obstetrical patients
• Use of Electronic Fetal Monitoring (EFM) and Intrauterine Pressure Catheter (IUPC) placement/calibration
• Management of various maternal and neonatal conditions including:

  • Asthma, cardiac disease, diabetes mellitus, HELLP syndrome, HIV, infectious diseases
  • Malpresentations (breech, face, brow), multiple gestation
  • Placenta previa/abruptio, pre-eclampsia/eclampsia, premature rupture of membranes
  • Preterm labor, RH incompatibilities, seizure disorder, substance abuse, uterine rupture
  • VBAC management/trial of labor
• Adult and infant/neonatal cardiac arrest response
• Use of rapid response/code teams
• Administration of blood and blood products
• Venous blood draws, central line maintenance (CVC/PICC), IV starts and maintenance
• Use of infusion pumps, anticoagulation therapy, antihypertensives, antiseizure meds, insulin drips
• Magnesium sulfate therapy, Pitocin, prostaglandins, terbutaline administration
• Assist with vaginal delivery, C-section circulation, forceps/vacuum extraction
• Management of hemorrhage/shock, postpartum hemorrhage, pregnancy-induced hypertension
• Neonatal care including:

  • APGAR scoring, baby nurse duties (“baby catcher”), cord sample collection, ID/security banding
  • Neonatal resuscitation, radiant warmers, thermoregulation
  • Circumcision assistance and post-op assessment, car seat education, cord care, discharge teaching
  • Infant identification, metabolic screening, neonatal abstinence syndrome, newborn assessment
  • Newborn hypoglycemia, phototherapy, breastfeeding/lactation support
• Pain management including epidural anesthesia, general anesthesia, IV conscious sedation, opioids, PCA use
• Episiotomy/incisional care, Foley catheter insertion/management, fundus/lochia/perineum care
• Use of electric/manual breast pumps, wound assessment/care
• Couplets care, multiple births, isolation precautions/PPE, vaccine administration
• Cervical cerclage, D&C procedures

Orientation

• 1 day of orientation (12 hours), scheduled based on availability
• Compliance items must be completed timely; no start date delays allowed
• Shifts access granted only after clearance post-orientation

Required Background and Compliance Checks

• 7-year criminal background check (including SS trace and county searches) within 30 days of start
• Pennsylvania State Police PATCH search (must be finalized prior to start)
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start
• PA FBI fingerprinting required within 1 year of start; candidate may start with results pending but must be finalized within 45 days
• Education verification of highest degree/diploma/transcripts
• Pennsylvania Child Abuse (Childline) search completed 3 business days prior to start and renewed every 5 years
• Drug testing: Negative 9-panel within 1 year of start (Aya requirement only)

Required Health Documents and Vaccinations

• Physical exam within 90 days of start, signed by MD, DO, PA, or NPT
• Fit mask testing within 1 year of start, updated annually (specific mask types required)
• TDAP vaccine within 10 years of start
• Negative QGold or TSpot TB test within 90 days of start (PPD not accepted)
• Measles (Rubeola), Mumps, Rubella, Varicella: Vaccines (2 doses) or positive titer required; boosters required if titers negative/equivocal
• Hepatitis B: Full vaccine series or positive titer preferred; declination form required for all candidates
• Seasonal flu vaccine or valid medical/religious exemption required during flu season (declinations not accepted)
• COVID-19 vaccine, medical/religious exemption, or declination accepted

Additional Requirements

• Professional references: 2 required within 3 years of start
• Most recent resume or employment application required
• Annual skills checklist required
• Completion of medication/pharmacology competency exam and dysrhythmia/EKG competency exam as applicable
• Facility-specific documents including badge photo, code of conduct, confidentiality agreement, and health & wellness commitments must be reviewed and signed
• Completion of assigned Learning Management System (LMS) modules on PC/laptop prior to start date

Notes

• This is a sensitive client; candidates must confirm availability for 4 shifts/month, no conflicting job searches that would interfere with commitment, and prioritization of compliance deadlines
• No overtime offered for this position
• Patient births per month at facility are less than 100 (low volume)

This summary provides the essential details for healthcare recruiters and workers considering this Labor and Delivery RN position.