Labor and Delivery RN
Adrian, Michigan
ProMedica Bixby Hospital

Labor and Delivery

Overview

• Travel/Contract RN position in Adrian, Michigan
• Night shift: 3x12 hours, 18:30–7:00
• 36 hours per week
• 13-week contract
• Unit has 8 beds, 12 rooms, and an average daily census of 4
• Patient age group includes neonates, adolescents, and adults
• Every other weekend required
• Scrubs provided

Required Qualifications

• Valid RN license in Michigan
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• BLS issued by American Heart Association
• NRP - Neonatal Resuscitation Procedure
• EFM - Electronic Fetal Monitoring
• Advanced EFM or Intermediate EFM
• Labor and Delivery (2 years of experience)
• Labor and Delivery experience within the last year
• One completed travel assignment
• Experience working with High Risk patients
• Experience with IUPC and FSE placement
• Experience recognizing and treating abnormal fetal heart rate patterns
• Experience with use of IFM
• Experience with triage of obstetrical patients
• Experience with sterile speculum exams
• Proficiency in vaginal exams
• Experience administering antihypertensives
• Experience administering anticoagulants
• Experience administering anticonvulsants
• Experience with Epic
• Float within service line/scope of practice as needed
• May be required to float to other units and assist with tasks within scope of practice, including sitting with 1:1 confused patients

Preferred

• AWHONN Advanced if do not have NCC
• Advanced EFM or Intermediate with last 2 years
• STABLE certifications
• Charge experience
• Epic

Unit Details

• 8-bed labor, delivery, recovery, and postpartum unit
• 2 triage rooms for pregnant patients
• 2 rooms for antenatal testing
• Level 1 nursery
• All rooms are private
• Nurse-to-patient ratio: 1:3–4 for couplets or moms
• Nurse-to-patient ratio: 1:1 for laboring patients
• Nurse-to-patient ratio: 1:3 for gynecologic surgical patients

Core Clinical Experience

• Antepartum
• Facility births/month under 100
• Labor and Delivery
• High Risk Antepartum
• Level 1 Nursery
• LDRP
• Mother/Baby

Required Skills

• Assistant with sterile speculum exam, including effacement, dilation, station, and presentation
• NST
• Reflex checks, edema assessment, and clonus
• Sterile vaginal exam
• Triage of obstetrical patients
• Use of EFM
• Spiral electrode placement
• Use of IFM
• Use of IUPC
• Recognition and treatment of abnormal fetal heart rate patterns
• Administration of blood and blood products
• Drawing venous blood
• Start and maintain peripheral IV
• Anticoagulants
• Anticonvulsants
• Antihypertensives
• Magnesium sulfate therapy
• Pitocin
• Prostaglandins
• Terbutaline
• Pyxis
• Amnioinfusion
• Assist with high risk delivery
• Assist with vaginal delivery
• Circulate for C-section
• Forceps/vacuum extraction
• Hemorrhage/shock
• Recover C-Section
• Scrub C-Section
• APGAR scores
• Baby Nurse
• Collect cord samples
• ID/Security banding
• Radiant warmers/thermoregulation
• Assist with circumcision and assess site post-op
• Car seat education
• Cord care
• Discharge teaching to parents
• Infant identification
• Metabolic screen
• Neonatal Abstinence Syndrome
• Newborn assessment
• Newborn hypoglycemia
• Phototherapy
• Teach circumcision care to parents
• Thermoregulation
• Epidural anesthesia
• General anesthesia
• Nitrous oxide
• Pain assessment and management
• Baby friendly protocols
• Breastfeeding support/lactation support
• Episiotomy/incision care
• Foley catheter insertion
• Fundus/lochia/perineum care
• Wound assessment and care
• Postpartum care of patients with vaginal delivery, cesarean section, couplet care, multiple births, postpartum hemorrhage, and pregnancy induced hypertension
• Isolation precautions/PPE
• Vaccine administration
• Tubal ligation
• Circulate OR for C-sections

Documentation and Systems

• Medication system: Pyxis
• Documentation systems: Epic Stork, Inteillispac