Labor & Delivery RN
Seguin, Texas
Guadalupe Regional Medical Center

Job Opportunity: Registered Nurse - Labor & Delivery

Location

• Seguin, Texas

Contract Length

• 13 weeks

Unit Details

• Labor & Delivery (L&D) with 9 private L&D beds (each with private bathroom and sofa sleeper)
• 2 C-Section Operating Suites
• 4 Triage beds
• 12 private Postpartum beds
• Approximately 2-6 deliveries per day, 900+ births per year
• Neonatologist on staff Monday-Friday during the day
• OB provider available nearby during the day (not in-house 24/7)
• Respiratory Therapy available 24/7
• Pharmacy hours limited evenings and weekends; pharmacist on-call as needed

Shift & Schedule

• Night shift: 7:00 PM – 7:00 AM
• 36 hours per week
• Weekend requirement: every other weekend (Nights on Fri/Sat/Sun; Days on Sat/Sun)
• No call required
• Holidays covered by permanent staff rotation

Patient Care & Responsibilities

• Circulate in C-sections, tubal ligations, and DNCs (C-section experience required)
• Care for L&D patients 35 weeks and above, including multiples and twin vaginal deliveries
• No serious high-risk or VBAC patients
• Postpartum and nursery care required; no GYN patients except rare overflow
• Floating required within the Birthing Center and occasionally to other units (non-infectious patients only)
• Nurse-to-patient ratios: L&D 1:2 (1:1 for high risk or active labor), Postpartum 1:2-3 couplets
• Hourly rounding on days; every 2 hours on nights
• Bedside report policy being implemented hospital-wide

Orientation & Support

• Floor-specific orientation includes 1 shift with a preceptor
• Charge nurse available (may take patients if needed)
• OB Techs assist as nurse aides and function as CNAs when no C-sections
• Scrubs provided for OR (pink color, any shade)

Required Certifications & Skills

• Current RN license
• BLS, ACLS, and NRP (Neonatal Resuscitation Program) certifications required
• Intermediate Fetal Heart Monitoring (FHM) certification required
• STABLE certification highly preferred (required for permanent staff)
• Must be able to circulate in the OR for C-sections
• Experience in MedSurg or other units helpful for floating assignments

Work Environment & Culture

• Birthing Center is a secure, locked unit
• Digital care boards used for patient information and care plans
• Positive, professional attitude required; no tolerance for tardiness, laziness, or excessive phone use
• Lactation support offered in-room and post-delivery
• Recognized with 5-Star rating for vaginal deliveries by Healthgrades for 4 consecutive years

This position is ideal for experienced L&D nurses comfortable with C-section circulation and nursery care, seeking a supportive and well-equipped hospital environment.