Labor & Delivery RN
Seguin, Texas
Guadalupe Regional Medical Center

Registered Nurse (L&D) - Texas, Seguin

Job Overview

• Location: Seguin, Texas (San Antonio area)
• Specialty: Labor & Delivery (L&D)
• Contract Length: 13 weeks
• Shift: Nights (7 PM - 7 AM)
• Hours per Week: 36 hours (12-hour shifts)
• Unit: Birthing Center with 9 L&D beds (all private), 4 triage beds, 12 postpartum beds (all private)
• Operating Rooms: 2 C-Section OR suites within L&D
• Patient Volume: 2-6 deliveries per day, 900+ births per year
• Nurse-to-Patient Ratios:

  • L&D: 1:2 (1:1 for high risk or active labor)
  • Postpartum/Mother-Baby: 1:2-3 couplets
• Call: No call required
• Weekend Requirement: Every other weekend
• Holidays: Work integrated into permanent staff rotation

Responsibilities

• Circulate in C-sections, tubal ligations, and DNC procedures
• Provide care in L&D, Postpartum, and Nursery areas
• Float within the Birthing Center and occasionally to other units (non-infectious patients only)
• Perform hourly rounding on day shifts and every 2 hours on night shifts
• Participate in bedside report policy (moving toward hospital-wide implementation)
• Support lactation in-room and post-delivery
• Handle patients 35 weeks gestation and above, including multiples and twin vaginal deliveries (no serious high-risk or VBACs)
• Nursery care required; GYN patients only rarely as overflow

Required Qualifications

• Current RN license
• C-section experience required (must be able to circulate)
• Certifications: BLS, ACLS, NRP (Neonatal Resuscitation Program), Intermediate Fetal Heart Monitoring (FHM)
• STABLE certification highly preferred (required for permanent staff)
• Experience in L&D, Postpartum, and Nursery nursing

Work Environment & Support

• Birthing Center is a secure, locked unit
• Electronic Medical Records: MediTech Expanse
• Fetal Heart Monitoring System: Centricity (CPN/GE)
• Digital care boards in patient rooms
• Charge nurse available (may take patients if needed)
• OB/Neonatologist coverage: OB not in-house 24/7; clinic nearby during the day; Neonatologist on staff weekdays during the day
• Anesthesiology not available 24/7
• Respiratory Therapy available 24/7
• Pharmacy: Pyxis system; pharmacist on-call evenings and weekends
• Scrubs provided for OR (pink color, any shade)

Orientation & Culture

• Orientation includes a brief HR meeting and one shift with a preceptor within the department
• Emphasis on professionalism: no tolerance for tardiness, laziness, or excessive phone use
• Traveler-friendly environment
• Recognized with 5-Star rating for vaginal deliveries by Healthgrades for 4 consecutive years

Additional Notes

• No ventilator patients
• Nurses are not required to interpret telemetry strips (Neon Kohden system used)
• Floating to other units possible if prior MedSurg experience exists
• Staffed with 5 RNs on days and 4 on nights