Lamb Company, Inc.
RN - Labor & Delivery/Postpartum
● ABOUT FACILITY:
o Examples:
▪ How many licensed beds? 101
▪ Trauma Designation? No
▪ Teaching Hospital? No
▪ Chest Pain Center? No
▪ Stroke Center? Yes
▪ RADIUS RULE: Traveler’s permanent address must be 50 miles outside of home unit
● UNIT INFORMATION:
o Beds: 10 LDRP, 2 OBs, 2 Triage
▪ Census? Average patients/day? 7
o Minimum Years of Experience required? 2 years LDRP exp
o Will you accept a first-time traveler? Yes, if necessary
● PATIENT TYPES/COMMON DIAGNOSES:
o Labor, Triage, Postpartum, Newborn
● PATIENT RATIOS:
o RN: Use AWHONN Staffing Guidelines
▪ 1:2 INACTIVE LABOR; 1:1 ACTIVE LABOR; 1:3-4 COUPLETS
● REQUIRED LICENSURE & CERTIFICATIONS:
o BLS, ACLS, NRP, EFM – CERTIFICATION REQUIREMENTS ARE THE SAME FOR ANY OF THE ABOVE POSITION TYPES
● SKILLS REQUIRED:
o Management has approved to accept Postpartum only, L&D or LDRP experience until specified otherwise.
o Labor and Delivery Nurse skills - labor management, circulate cesarean sections, Pre-op, PACU, triage, resuscitation of newborns, Pitocin management, epidural management
o Ability and willingness to work LDRP setting
● SUPPORT WITHIN THE DEPARTMENT:
o Scrub tech: set up delivery trays, assist with sections, stock OR, Clean OR, help with charges, equipment cleaning, newborn baths
o Receptionist/HUC? No
o Charge nurse? Yes
o Phlebotomy: Nurses as well as lab draw blood
o IV/VAT Team? NA
o Resource Nurse? No
o RT, 24/7
o OB MD
o Anesthesia/CRNA team
o Telemetry monitoring: Monitor/recover sections in room unless under general anesthesia
● TECHNOLOGY/EQUIPMENT:
o EMR: Epic
o IV Pump: Alaris
o Med dispensing: Omnicell
o Monitors: Phillips
o Unit specific equipment: bladder scanner, IV pumps, fetal monitoring, HUGGS system
● FLOATING:
o Within region and scope of practice
o WILL BE REQUIRED TO FLOAT PER REGION NEEDS – WILL REQUIRE FLOATING TO ALL FACILITIES LISTED BELOW, AS NEEDED, WITHIN SCOPE OF PRACTICE – DECLINE IF NOT AGREEABLE
▪ REGION 3 - CLEVELAND, KINGS MTN, LINCOLN, CENTRAL DIVISION (CMC MAIN + MERCY + LCH)
▪ _If floating mid-shift, Traveler will be paid for the time traveling between facilities (will remain on the clock)_
● ORIENTATION (facility and unit):
o NEO
o 2 days departmental
● SCHEDULING:
o Weekend rotation: every other
o No call
o Holiday Expectations: Travelers will work 75% of holidays
o RTO: Can approve up to 6 days off, excluding holidays – must add time to the end of the contract if unable to meet contracted hours
o Schedule cycle: every 6 weeks
● OTHER NOTES:
o Scrub Color: Scrubs provided
o Parking: Free
o Unit Culture: positive culture, family oriented