Registered Nurse – Labor & Delivery

WALNUT CREEK L&D • ***MUST HAVE CURRENT CA LIC AT TIME OF SUBMISSION *** • L&D RN • Pt population : 321 beds in hospital, not teaching hosp, level II trauma Total # of Unit Beds/Suites/Deliveries: LDR = 10, OR’s & PACU’s = 2 Antepartum – 10 rooms 240 deliveries per month Level 3 exp needed. Fetal scalp electrodes and IUPCs high risk AP and high risk deliveries Patient Population (Diagnoses): 20% High Risk – Diabetics, Pre-Eclampsia, Advanced Maternal Age, low incidence of HIV & hard drug abuse. MUST BE competent & comfortable looking after high risk, MgSO4 infusions. IDDM, placenta Previa, maternal cardiac hx, twins, lupus. C-Sections, tubal ligations, D&C, post amnio. Level III NICU/ NICU nurses will attend high risk births Cesarean Section = 28% tEpidural = 90-95% Average length of patient stay: Vag delivery – 2 days C section – 3 or 4 days • RN’s circulate in OR but do not scrub • MUST BE AUTONOMOUS & ABLE TO DO VAG EXAMS • GOOD FETAL HEART MONITORING SKILLS • OK WITH HIGH RISK Advanced Practice on the unit: 3 - Nurse Midwives 24 hour in house Anesthesia & Pediatrician. Neonatologists present 7 days a week, on-call 24 hours/day. OB’s in house – 14hrs / day • Ratios : 1:1-4 based on acuity of patient. ratios are CA state mandated, will depend on patient acuity and census • Float requirements : will float as needed under same scope of skill may float to AP and MB units • Schedule/ Weekend requirements : typically every other weekend • Scrubs: any color no jeans, detailed info will be provided with first day info • EPIC is EMR preferred • 2 yrs exp is preferred; must have at least 16 months exp • Required upon Submission: Must have CA RN License, ACLS, NRP, Fetal assessment • At least 16mths strong L&D exp Preferred: • 2 yrs exp is preferred; Prior travel exp; EPIC exp [138684] Position Description Facility Name: John Muir Walnut Creek Total # of Facility Beds: 321 Unit Name: L & D Unit Specialty: Click or tap here to enter text. Total # of Unit Beds/Suites/Deliveries: LDR = 10, OR’s & PACU’s = 2, Antepartum = 10 rooms. 240 deliveries per month Teaching Facility: ? Y ? N Teaching Hospital Experience Required: ? Y ? N Trauma Level: 2 Prior Travel Experience Required: ? Y ? N Minimum # Years Clinical Experience Required: 3 Minimum # Years Clinical Experience in Specialty Required: 3 Certifications Required: ACLS, NRP, Fetal assessment Certifications Preferred: Click or tap here to enter text. Nurse Patient Ratio by shift: 1: 1-4 based on patient acuity Circulate/Scrub as applicable: Click or tap here to enter text. Ancillary Assistance: CNA/ PCT: ? Y ? N #staff per shift: Click or tap here to enter text. Unit clerk/Secretary: ? Y ? N #staff per shift: 1 each shift Other: OR scrub tech #staff per shift: 1 each shift Advanced Practice on the unit: 3 - Nurse Midwives (24 hour in house) Anesthesia & Pediatrician. Neonatologists present 7 days a week, on-call 24 hours/day. OB’s in house – 14hrs / day # Days of Orientation: 3 - 4 Specialty Testing for Unit/Facility: ? U ? F Patient Care Modality: Primary Dress Code Scrubs/color: Hospital provided scrubs, street clothes that come to work in have to be clean & respectful in appearance. Must arrive/leave in street clothes (can’t wear scrubs). Shoes: Non-skid, closed toe, athletic shoes are ok, must wear heel strap with clogs Jewelry: Professional, Minimal, No facial piercing other than ears Hair/Beard: Professional, hair shoulder length and longer must be pulled back, facial hair must be neat and trimmed Nail Polish: No gels, acrylics, or extensions. All polish must in good condition without chips or cracks Documentation System: Epic Medication System: Pyxis Floating Required: ? Y ? N To what units/facilities: Mother Baby if needed. Travelers could float to 1-2 units in a 12 hr shift. Describe the rotation: Travelers float first Charge required: ? Y ? N Scheduling: Click or tap here to enter text. Shift Hours: Click or tap here to enter text. Rotation Schedule: Click or tap here to enter text. Self-Scheduling No Weekend Requirements: RN will be required to work 4 out of the 8 weekend shifts per schedule. There are not ‘set’ weekends in L&D. Call Requirements: Click or tap here to enter text. Holiday Requirements: Must be available for 2 out of 3 major winter holidays and 2 out of 3 summer holidays. Winter holidays are Thanksgiving, Christmas, and New Years. Summer holidays are Memorial Day, 4th of July, and Labor Day. Patient Population (Diagnoses): 20% High Risk – Diabetics, Pre-Eclampsia, Advanced Maternal Age, low incidence of HIV & hard drug abuse. MUST BE competent & comfortable looking after high risk, MgSO4 infusions. IDDM, placenta Previa, maternal cardiac hx, twins, lupus. C-Sections, tubal ligations, D&C, post amnio. Age Range: Click or tap here to enter text. Special Equipment: (For example: IV Pumps: Type; Invasive Monitoring; Monitors: Type; ECMO; Ventilators: Type; ABG: Type) Fetal Monitors Used: HP Central Monitoring: Yes Maternal Adult Monitors: As needed in LDR– HP, on all recovery patients. Respiratory available 24/7 for support ? Y ? N Anesthesia available 24/7 for support ? Y ? N Who manages ventilators: RT Unit Specific Procedures and Protocols: (For example: Drips; Infusions; Phlebotomy; Starting IVs; EKGs; Transports; Weaning; Nebulizer to Inhaler; Starting IVs, performing venipuncture, Performing EKGs; Discontinuing sheaths) Click or tap here to enter text.