Labor & Delivery RN
Williston, North Dakota
CHI St. Alexius Health Williston Medical Center

Registered Nurse (LDRP)

Location: Williston, North Dakota
Contract Length: 13 weeks
Shift: Days
Hours per Day: 12
Hours per Week: 48

Unit Overview

• Labor, Delivery, Recovery, Postpartum (LDRP) unit with 15 beds total (7 L&D, 8 Postpartum)
• 1 OR suite on the unit for C-sections
• Approximately 58 births per month
• Patient mix mainly obstetric/neonates, including hypertension and gestational diabetes mellitus (GDM)
• Aim to avoid deliveries before 36 weeks gestation
• No in-house OB/Neonatologist or anesthesia coverage 24/7
• Respiratory therapy equipment available (vents, CPAP, BiPAP, high flow), but RNs are not required to operate beyond troubleshooting
• Telemetry monitors: Philips; Electronic Fetal Monitoring (EFM) system: Traceview/PIP
• Electronic Medical Record (EMR): Meditech

Scheduling & Orientation

• Shifts: 06:45–19:15 and 18:45–07:15
• Block scheduling only; no self-scheduling
• Weekend requirement: every other weekend
• Holiday requirement: every other holiday
• Call/standby requirements depend on staffing
• Unit-specific orientation: 3 shifts

Responsibilities & Skills

• Must be able to read and interpret fetal heart rate strips independently
• RNs are required to titrate drips such as pitocin, insulin, and magnesium
• Follow AWHONN guidelines for nurse-to-patient ratios: 1:1 for pitocin, magnesium, or insulin drips; 1:3 for couplet care
• Float to Medsurg and ER as needed
• Charge nurse present each shift and takes an assignment
• Collaborate with nurse aides and surgical techs who assist with vitals, transfers, ambulation, and desk coverage due to locked unit status
• Adaptability, critical thinking, and strong communication skills are essential for success

Required Certifications & Qualifications

• Valid Registered Nurse (RN) license in North Dakota
• Minimum 2 years of Labor, Delivery, Recovery, and Postpartum (LDRP) experience, with recent experience within the last year
• Basic Life Support (BLS) certification
• Intermediate Fetal Monitoring certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Previous travel nursing experience
• Ability to titrate drips including pitocin, insulin, and magnesium

Additional Information

• Scrub color: maroon; scrubs provided and changed into surgical scrubs on unit
• Floating required within skillset; permanent staff usually float first
• Radius rule: candidates must be located within 50 miles and may not have worked full-time, part-time, or PRN with certain affiliated health systems in the past 12 months
• Return to office (RTO) needed upfront; no additional RTO approvals after submission