Labor and Delivery RN
Williston, North Dakota
CHI St. Alexius Health Williston Medical Center

Job Opportunity: LDRP RN

Location: Williston, North Dakota
Contract Length: 13 weeks

Required Certifications

• BLS (required)
• Preferred: ACLS, NRP, STABLE
• Intermediate Fetal Monitoring

Experience Requirements

• Specialty: LDRP RN
• Years of Experience: Not explicitly stated, but must have prior travel experience (previous travel experience required)
• Prior Travel Experience: Required

Unit Details

• Department: LDRP RN - Float
• Number of L&D Beds: 15 total (7 L&D, 8 Postpartum)
• OR Suites for C-Sections: 1
• Births: Approximately 58 per month
• Nurse-to-Patient Ratios:

  • 1:1 for pitocin, magnesium, or insulin drips
  • 1:3 couplet care
• Common Patient Diagnoses: Obstetric/neonates, hypertension, gestational diabetes mellitus (GDM)
• Neonates: Try not to deliver anyone less than 36 weeks gestation

Skills and Responsibilities

• Must be able to read and interpret fetal heart rate strips (EFM System: Traceview/PIP)
• Critical thinking and ability to follow quality metrics
• RNs are required to titrate drips (pitocin, insulin, magnesium)
• Must be able to float to Medsurg and ER as needed
• Charge nurse present on each shift and takes an assignment
• RNs read their own fetal strips
• Use of Philips tele monitors and Meditech EMR system
• No clinical involvement outside of nursing duties specified

Staffing and Scheduling

• Shifts:

  • 06:45 - 19:15
  • 18:45 - 07:15
• Scheduling: Block scheduling only (no self-scheduling)
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Call or Standby: Depends on staffing
• Floating: Yes, to Medsurg, ER, or other hospital areas as needed (permanent staff usually float first)

Support Staff

• Nurse Aides/CNAs assist with vitals, transfers, paperwork, patient ambulation, and remain at desk when needed due to locked unit status
• No in-house OB/Neonatologist or anesthesia 24/7
• Respiratory therapy equipment available; RNs troubleshoot but do not manage RT equipment

Orientation and Dress Code

• Unit-specific orientation: 3 shifts
• Scrub color: Maroon surgical scrubs provided on unit

Additional Notes

• Successful nurses are adaptive to change, good critical thinkers, and effective communicators
• Radius rule: Candidates must be within 50 miles and not have worked full time, part time, or PRN with any associated facilities within the past 12 months
• Return to Office (RTO) needed upfront; no additional RTO approvals after submission

This position is ideal for experienced LDRP RNs with prior travel experience who are comfortable with high-acuity obstetric care and flexible floating assignments.