LDRP Registered Nurse
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 population mainly obstetric/neonates, including hypertension and gestational diabetes mellitus (GDM)
• Typically avoid delivering babies less than 36 weeks gestation
• Follow AWHONN guidelines for nurse-to-patient ratios:

  • 1:1 for pitocin, magnesium, or insulin drips
  • 1:3 couplet care

Required Qualifications

• Current RN license
• BLS certification required
• Intermediate Fetal Monitoring certification required
• Preferred certifications: ACLS, NRP, STABLE
• Ability to read and interpret fetal heart rate strips independently
• Critical thinking skills and ability to follow quality metrics
• Prior travel nursing experience required
• Experience titrating drips such as pitocin, insulin, and magnesium
• Ability and willingness to float to Medsurg and ER units as needed

Clinical and Operational Details

• RNs titrate drips and read their own fetal monitoring strips
• Telemetry monitors used: Philips
• Electronic Fetal Monitoring (EFM) system: Traceview/PIP
• Electronic Medical Record (EMR) system: Meditech
• Respiratory therapy equipment present (vents, CPAP, BiPAP, high flow), but RNs are not required to operate beyond troubleshooting
• No in-house OB/Neonatologist or anesthesia 24/7 coverage
• Charge nurse present on each shift and takes patient assignments
• Nurse aides (CNAs) assist with vitals, transfers, ambulation, and desk coverage due to locked unit status

Scheduling and 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 or standby requirements vary depending on staffing
• Unit-specific orientation: 3 shifts

Additional Information

• Floating required within the hospital based on need, primarily to Medsurg and ER; permanent staff usually float first
• Scrub color: maroon surgical scrubs provided on unit
• Successful nurses are adaptive to change, strong critical thinkers, and effective communicators
• Radius rule: candidates must live within 50 miles and may not have worked full time, part time, or PRN for any related health system facility in the past 12 months
• Return to office (RTO) required upfront; no additional RTO approvals after submission