Registered Nurse/Labor and Delivery

*Every other weekend*

Avg Daily Census: 4
Rooms: 13
Beds: 10

Patient Age Group: Neonates, Infants, Adults

Staffing Ratio: 1:3 (Days, Nights, and Weekends)

Floating Required: within scope of practice

Medication System: Pyxis
Documentation System: Epic Required
Communication System: SBAR

Provider Support: Interpretation Services, Pharmacy, Phlebotomy, Physical Therapy, Radiology, Rapid Response Teams, Respirator Services, Social Services, Unit Secretary

Provider Coverage: NP, CRNA, Hospitalist, Anesthesiologist

Certifications Required: BLS, NRP

Work Settings Required: Antepartum, LDRP, Level 1 Nursery, Low Risk, Mother/Baby

Antepartum Care and Procedures Required: Assist with sterile speculum exam (effacement, dilation, station, presentation), NST, Reflex checks/edema assessment/clonus, Sterile vaginal exam, Triage of obstetrical patients, Use of EFM

Care of Patients with Required: Asthma, Cardiac disease, COVID, Daibetes mellitus, HELLP Syndrome, HIV, Infectious disease, HIV, Infectious disease, Malpresentations (breech, face, brow), Multiple Gestation, Neurological disease, Placenta Previa/Abruptio, Pre-eclampsia/eclampsia, Premature Rupture of Members, Preterm labor, RH incompatibilties, Seizure disorder, Substance Abuse, Uterine rupture, VBAC management/trial of labor

Cardiac Monitoring and Emergency Care Required: Adult cardiac arresst, Infant/neonatal arrest, Use of Rapid Response/Code teams

Fetal Monitoring Required:Recognition and Treatment of abnormal fetal heart rate patterns*** Use of External Fetal Monitoring, Use of Internal Fetal Monitoring, Use of IUPC

IV Therapy/Phlebotomy Required: Administration of blood & blood products, Drawing Venous Blood, Starting and maintaining IVs, Use of infusion pumps/drips/IV monitoring

Medication & Administration Required: Anticoagulation therapy, Antihypertensives, Antiseizure, Magnesium Sulfate therapy, Pitocin, Prostaglandins, Terbutaline

Labor and Delivery Management Required: Amnioinfusion, Assist with high risk delivery, Assist with vaginal delivery, Forcep/vaccum extration, Hemorrhage/shock, Recover C-Section, Sterile vaginal exam

Neonatal Care in Delivery Room Required: APGAR scores, Baby Nurse, Collect cord samples, ID/Security Banding, Neonatal Resusciation, Radiant Warmers/Thermoregulation

Newborn Care Required: Assist with Circumcision/Assess site post op, Car seat education, Cord care, Discharge teaching to parents, Infant identification, Metabloic Screen, Neonatal Abstinence Syndrome, Newbown Assessment, Newborn Hypglycemia, Phototherapy, Teach circumcision care to parents, Thermoregulation

Pain Management Required: Epidural Anesthesia, General Anesthesia, Nitrous Oxide, Opioids, Pain assessment & management, Use of PCA

Postpartum Care and Procedures Required: Breastfeeding Support/locatation support, Foley catheter inseration/management, Fundus/lochia/perineum care, Use of Electric/Manual breast pump, Wound case assessment/care

Postpartum Care of the patient with Required: CSection, Bladder Distension, Couplet Care, Multiple Births, Postpartum Hemorrhage, Pregnancy Induced Hypertension, Vaginal Delivery

Processional Topics and Skills Required: Isolation Precautions/PPE, Vaccine Administration

Years of Experience Required: 2

Scrubs: ProvidedFacility Name: ProMedica Defiance Regional Hospital

Unit: ***

Shift:Night 3x12-Hour (19:00 - 07:30)

Overtime Multiplier: 40 total hours in 1 week : 1.3%

Double Time Multiplier: None

Charge Nurse: ***

On Call: ***

Call Back: 1.3%

Holiday: 1.3%

Observed Holidays: New Year's Day: Falls Within: 12:00 AM day of - 12:00 AM day after
New Years Eve: Falls Within: 12:00 AM day of - 12:00 AM day after
Easter: Falls Within: 12:00 AM day of - 12:00 AM day after
Memorial Day: Falls Within: 12:00 AM day of - 12:00 AM day after
Independence Day: Falls Within: 12:00 AM day of - 12:00 AM day after
Labor Day: Falls Within: 12:00 AM day of - 12:00 AM day after
Thanksgiving: Falls Within: 12:00 AM day of - 12:00 AM day after
Christmas Eve: Falls Within: 12:00 AM day of - 12:00 AM day after
Christmas: Falls Within: 12:00 AM day of - 12:00 AM day after

Holiday Comments: None