Labor & Delivery Registered Nurse
Hettinger, North Dakota
West River Regional Medical Center

Job Opportunity: RN - Labor & Delivery (LDRP)

Location: Hettinger, North Dakota
Contract Length: 13 weeks

Job Overview

• Work in a rural Critical Access Hospital (CAH) with a small Labor & Delivery unit (3 L&D beds, 3 Postpartum beds).
• Approximately 30 births per year.
• RNs provide couplet care, managing both mother and baby through labor, delivery, and postpartum in the same room.
• Common patient diagnoses include active labor, elective inductions, and low-risk pregnancies (37 weeks+).
• RNs will float to Med-Surg about 80% of the time when no laboring patients are present, taking a full patient assignment.

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NRP (Neonatal Resuscitation Program)

Clinical Responsibilities

• Titrate drips such as Pitocin and Magnesium according to policy (Magnesium only for send-outs).
• Use PRN nasal cannula during labor as needed.
• No tele/monitor techs; electronic fetal monitoring (EFM) uses paper charting.

Staffing & Support

• No charge nurse; collaborative RN team environment.
• No nurse aides or surgical techs on staff.
• OB/Neonatologist and anesthesia available with a 15-minute response time (not in-house 24/7).

Scheduling & Work Conditions

• Self-scheduling with managerial support from 7 AM to 7 PM.
• Weekend requirement: every other weekend, possibly every third weekend.
• Holiday requirement: every other holiday.
• May be placed on call/standby due to low census on additional shifts.
• Orientation includes 1 day and 1 night shift on the unit for acclimatization and training.

Uniform Policy

• Scrubs of any color or pattern allowed.
• Closed-toe shoes required.

Required Qualifications

• Registered Nurse (RN) license.
• Specialty: Labor & Delivery (LDRP).
• Years of experience: Not explicitly stated; assume minimum experience appropriate for LDRP role.
• Prior travel experience: Not required.

Additional Notes

• Must be able to float to Med-Surg and be primary L&D nurse when needed.
• Work environment is flexible with a great team atmosphere.