Labor, Delivery, Recovery & Postpartum RN
Dickinson, North Dakota
CHI St. Alexius Health Dickinson Medical Center

Job Opportunity: LDRP RN

Location: Dickinson, North Dakota
Facility: St Alexius Health Dickinson Medical Center
Contract Length: 13 weeks

Unit Information

• Department: Labor, Delivery, Recovery, Postpartum (LDRP)
• Beds: 4 Labor & Delivery beds, 7 Postpartum beds
• Patient Types: Mothers >35 weeks in labor, Mom/Baby couplets
• Common Diagnoses: Labor and postpartum care
• Guidelines: Follows AWHONN staffing ratios

  • Labor: 1:1-2 nurse to patient ratio
  • Postpartum: 1:2-3 nurse to patient ratio

Requirements & Certifications

• Experience: Minimum 2 years nursing experience required
• Certifications: BLS, ACLS, NRP required
• Clinical Involvement: No clinical involvement outside LDRP scope
• Fit Testing / Facial Hair Policy:

  • Must pass fit test for mask types (3M Aura 1860 or 1870+)
  • Facial hair may disqualify from passing fit test or PAPR use; inability to pass fit test due to facial hair will result in contract cancellation

Clinical Responsibilities

• RN Duties:

  • Titrate drips (e.g., Magnesium, Oxytocin, LR, Zofran) during antepartum/labor
  • Administer postpartum medications (Prenatal vitamins, Ibuprofen, Acetaminophen, Percocet, Toradol)
• Respiratory Equipment: Neonatal CPAP, BiPAP, high flow; RNs troubleshoot but do not manage beyond that
• Electronic Fetal Monitoring System: OB Trace Vue
• Charge Nurse: Present on each shift and takes patient assignments

Scheduling & Orientation

• Shift: 7am - 7pm, 12-hour shifts
• Scheduling: Block scheduling
• Weekend Requirement: Every third weekend
• Holiday Requirement: Based on availability
• Floating: May float to Medical-Surgical or Emergency Department for 1:1 patient care assistance
• Orientation: 3 shifts (12 hours each) of unit-specific orientation provided
• Scrubs: Provided

Additional Notes

• Rural hospital setting with limited services
• NICU is over 1 hour away
• Surgery team manages C-sections; LDRP nurses circulate for the baby
• Successful nurses demonstrate teamwork, provider consistency, knowledge, independence, and good communication
• Radius rule: Must live within 50 miles
• Candidates cannot be currently employed full-time, part-time, or PRN with any CommonSpirit-associated facility (including CHI or Dignity)
• Return to Office (RTO) required within 7 days of contract start; no additional RTO approvals

This position offers a unique opportunity to work in a rural LDRP unit with a supportive team environment and a focus on maternal and newborn care.