Labor & Delivery (LDRP) Registered Nurse
Winnemucca, Nevada
Humboldt General Hospital

LDRP - RN Opportunity in Winnemucca, Nevada

Job Overview

• Position: Labor, Delivery, Recovery, Postpartum (LDRP) Registered Nurse (RN)
• Location: Northern Nevada, Critical Access Hospital
• Shift: Nights
• Contract Length: 13 weeks

Department Details

• Unit: OB - LDRP
• Beds: 4 LDRP beds, 2 Postpartum beds, 1 Exam room convertible to LDRP
• OR Suites: Adjacent OR team handles C-sections; OB nurse receives the baby
• Triage: No designated triage area; triage done in all rooms
• Birth Volume: Approximately 20 births per month, 200 per year
• Staffing: Strive to follow AWHONN guidelines; typically 2 nurses per shift, extra called in for multiple labors or sick babies

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NRP (Neonatal Resuscitation Program)
• Intermediate or Advanced Fetal Monitoring (Advanced FHM required in Nevada to administer Cytotec)
• STABLE certification preferred

Experience & Skills

• Must have LDRP experience with ability to function in Labor & Delivery, Postpartum, and Sick-Baby Nursery
• Minimum 1 year of true LDRP experience acceptable
• Comfortable caring for sick babies prior to transport (transport can take up to 3 hours)
• Experience with C-section newborn care (OB RN receives baby; OR team handles scrubbing, circulating, recovery)
• Ability to titrate IV drips using infusion devices (common drips: Pitocin, Magnesium Sulfate, Antibiotics; rare insulin use)
• Ability to read and interpret EFM (Electronic Fetal Monitoring) strips and identify major/life-threatening rhythms

Patient Population & Common Diagnoses

• Low risk labor (rare high-risk cases stabilized and transferred)
• Antepartum testing
• Postpartum couplets
• Well nursery and sick nursery stabilization prior to transfer

Support & Resources

• No charge nurse on unit; team approach with support from charge nurse in ER/ICU for transfers
• Nurse aides available occasionally for stocking and non-patient care tasks
• OB physician on call with ~30 minute response time; no in-house neonatologist
• Anesthesia on call after hours with quick response (~20 minutes)
• Respiratory therapy equipment available: T-pieces for PPV, Vapotherm for high flow
• Tele/Monitor techs not present; RNs read their own EFM strips; MDs can view remotely
• EMR system: Cerner Community Works; EFM system: Fetal Link

Scheduling & Work Environment

• Shifts: 3 x 12-hour shifts (start 7:00-7:30 PM) with 30-minute lunch
• Scheduling: Modified self-schedule; flexibility required to fill staffing gaps; weekend every other week; holiday rotation possible
• No call or standby requirements
• Floating: May be asked to assist in other departments (Medical-Surgical, ER, LTC) when OB census is low, but must return for laboring patients
• Scrub color: Navy blue; hospital scrubs provided for OR cases
• Orientation: 1 day general orientation plus 1-2 shifts with preceptor on unit (including one shift on scheduled shift)

Additional Notes

• Housing: Candidates should research housing options in the area prior to submission
• The hospital is located in a small mountain town in north central Nevada