Job Summary:
The Registered Nurse in Labor and Delivery provides specialized nursing care to high-risk perinatal patients at a Level III facility. This role involves managing labor, delivery, antepartum, and postpartum care in a comprehensive maternity setting with a Level II NICU. The nurse collaborates closely with multidisciplinary teams to ensure safe and effective patient outcomes, requiring strong clinical skills and experience in high-volume delivery environments. At least 2 years of relevant experience is required, with certifications in BCLS, ACLS, NRP, and fetal monitoring.
Responsibilities:
- Provide 1:1 nursing care during labor and delivery and 1:3 care in postpartum with CNA support.
- Manage antepartum care with a 1:2-3 nurse-to-patient ratio.
- Perform patient assessments, fetal monitoring, medication administration, and treatment planning.
- Collaborate with delivering providers, CRNAs, surgical techs, and health unit coordinators to ensure comprehensive care.
- Support triage operations staffed with skilled RNs to assess and manage incoming patients.
- Maintain accurate documentation using EPIC electronic medical records.
- Ensure compliance with hospital policies, safety protocols, and infection control standards.
- Participate in float assignments to postpartum units as required.
Required Skills & Certifications:
- Active Registered Nurse license in the state of practice.
- Minimum of 2 years labor and delivery nursing experience, preferably in facilities with 100+ deliveries annually.
- Current certifications: BCLS, ACLS, NRP, and AWHONN Intermediate or Relias Fetal Monitoring.
- Strong clinical assessment and patient management skills in high-risk perinatal care.
- Ability to work effectively in a fast-paced, high-acuity environment.
Preferred Skills & Certifications:
- Experience in facilities handling 200+ deliveries annually.
- Prior experience working in Level II trauma or high-acuity hospital settings.
- Familiarity with EPIC charting system.
Special Considerations:
- Weekend work is required.
- Float assignments to postpartum units are expected.
- Call is not required for this position.
- Strict adherence to RTO policies; all RTO must be disclosed at time of application.
- Staffing ratios: 1:1 in labor, 1:3 in postpartum, 1:2-3 in antepartum.
- Facility prohibits reddish-orange scrub colors.
- Must be able to perform sterile vaginal exams (SVE) as a hard stop requirement.
Scheduling:
- 12-hour shifts with guaranteed hours, though one shift per two-week period may be called off.
- Schedule includes weekends and float coverage.
- Shift assignments coordinated to maintain unit staffing and patient care standards.