Labor and Delivery RN
Bismarck, North Dakota
CHI Saint Alexius Health

LDRP RN

Overview

• Location: Bismarck, North Dakota
• Contract Length: 26 weeks
• Shift: Nights, rotational 7a-7p and 7p-7a, 12 hours per day, 48 hours per week
• Weekends: Every third weekend
• Holidays: As needed
• Call/Standby: None. Optional overtime is available.
• Schedule: Posted 6 weeks in advance, with block scheduling. The manager builds the schedule and considers sleep schedules.
• Orientation: 2 x 12-hour shifts on the unit
• Dress Code: Surgical scrubs provided

Required Qualifications

• BLS, NRP, and STABLE certifications
• AWHONN Intermediate Fetal Monitoring certification
• 3 years of experience in LDRP
• Ability to titrate drips (titration is required)

Preferred Qualifications

• AWHONN Advanced Fetal Monitoring certification
• Ability to scrub (preferred)

Unit Details

• Labor and Delivery Beds: 7
• Postpartum Beds: 12 postpartum and 8 surgical
• OR Suites: 1 dedicated C-section OR and 2 GYN surgical ORs
• Triage: 3 bay triage, averaging 17 patients per month. Travelers may triage based on experience.
• Annual Births: 643
• Staffing Ratios (per AWHONN guidelines): L&D 1:1-2; Postpartum 1:2-3 couplets; 1:3-4 surgical/medical
• Charge Nurse: Present on each shift. Travelers would not serve as charge. The charge nurse takes assignments and attends deliveries for APGAR scoring.
• Support Staff: 1 OB scrub tech on weekdays (days), a unit clerk, and occasional nursing student nurse techs
• Coverage: OB on call 24/7, neonatology on call 24/7 with an NNP on site overnight, and anesthesia in house 24/7
• Telemetry: Remote telemetry capable unit with infrequent telemetry patients. RNs place patches. RNs read telemetry in Phase 1 recovery for C-sections only (not a hard stop).
• EFM System: GE/Corometrics (8 of the 129, 5 of the 259 CA-X series, and 2 older 128 series)

Patient Population and Care

• Common Diagnoses: Obstetric, antepartum, triage, and postpartum patients; magnesium sulfate for pre-eclampsia; patients accepted from 23+ weeks; gestational hypertension and diabetes; postpartum vaginal and C-section deliveries; hysterectomy, bladder repairs, and mastectomies. Occasionally takes higher-risk patients. No cardiac interventions.
• Titratable and Set-Rate Drips: Pitocin, magnesium, and occasional insulin
• Other Common Medications: Procardia, labetalol push, TXA for hemorrhage, Methergine, Hemabate, Cytotec, and Cervidil
• Supplemental Oxygen: PRN

Float Scope

• Peds med/surg, NICU (feeder-growers), med/surg, PCU, ICU, ED, and psych units as a 1:1 sitter or helping hands

Additional Information

• First-Time Travelers: Accepted. Expected to jump right in.
• Radius Rule: 50 miles. Candidates may not work full-time, part-time, or PRN with any affiliated facility in the same health system.
• RTO: Must be requested upfront (7 or fewer days per contract). Additional RTO will not be approved, including after submission.
• Patient Satisfaction: High in this department