Labor and Delivery Nurse
Folsom, California
Mercy Hospital of Folsom

Job Opportunity: Labor and Delivery Nurse

Location: Folsom, California
Specialty: Family Birthing Center (Labor & Delivery, Mother/Baby)
Contract Length: 13 weeks

Requirements

• Experience:

  • Minimum 2 years of Labor and Delivery nursing experience
  • Must have at least 1 year of LDRP (Labor, Delivery, Recovery, Postpartum) experience; 3 years preferred
  • Candidates with only postpartum experience will not be accepted
  • Prior travel experience is not explicitly required

• Certifications:

  • Active California RN License
  • BLS (Basic Life Support)
  • ACLS (Advanced Cardiovascular Life Support)
  • AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses)
  • NRP (Neonatal Resuscitation Program)
  • Advanced Fetal Monitoring

• Skills:

  • Comfortable with Neonatal Resuscitation Program (NRP) at delivery; no in-house pediatric coverage
  • Ability to titrate drips (e.g., Pitocin, occasional insulin)
  • Experience with OR circulating preferred if only L&D experience

Unit Details

• Family Birthing Center with:

  • 2 OB delivery beds
  • 7 LDRP beds
  • 4-8 Overflow postpartum beds
  • 1 OR suite for C-sections
  • NICU with 2 beds for newborn stabilization
• Approximately 70-80 births per month
• Antepartum NST testing averaging 60-70 per month
• Patient population includes pregnancies 35 weeks and above; preterm (<35 weeks) transferred to higher level of care
• May include twin deliveries

Staffing and Work Environment

• Nurse-to-patient ratios:

  • Labor: 1:2, 1:1 at delivery
  • Mother/Baby couplets: 1:4
• Charge nurse or Nurse Shift Manager on every shift (preferably not assigned a patient, but may be required)
• No CNAs; one OB Tech scheduled each shift
• OB physician in-house 24/7
• Perinatal specialist available to improve neonatal outcomes
• Anesthesia on-call with 20-minute response time; in-house if epidural present
• Respiratory Therapist attends every delivery and manages respiratory equipment (ventilator, CPAP, bubble CPAP)
• No Tele/Monitor Techs on unit; nurses monitor fetal heart rhythms using GE fetal monitors and Fetalink EFM system
• Patients receiving general anesthesia are recovered in the Main PACU

Scheduling and Other Requirements

• 12-hour shifts, days and nights (Friday/Saturday nights, Saturday/Sunday days)
• Weekend requirement: 2 weekend shifts per 4-week schedule
• Holiday rotation with core staff
• May be placed on-call/standby during scheduled shifts; must respond within 30 minutes
• Floating required to other Sacramento facilities
• Scheduling done 4 weeks in advance
• Candidates must not have been employed by any facility associated with CommonSpirit (including CHI or Dignity) within the last 12 months

Additional Notes

• Candidates must confirm ability to "catch the baby" before submitting
• Follow AWHONN guidelines for staffing ratios (though this facility does not strictly follow them)