Unit Notes
Med Sol prescreens, unit will have 24 hours to rescind offer if necessary
need 2 sup refs (charge accepted) at submittal; 1 w / in 12 mo. & 1 w / in 3 years worked
Modules are required to be done before start of assignment. Modules take on average 3-4 hours to complete-this time is not billable
Travelers will work 2 of the 3 holidays (TG, X-mas, NYs). Holiday time off will be considered, however not GTD
Family Birthing Center : LDRP
7 LDRP beds
OBED 2
4-8 Maternal Newborn beds
8 PP beds
1 OR suite for C-Sections
We use our labor rooms for triage
70-80 births a mo and NST antepartum testing (averaging 60-70 per mo)
Do you follow AWHONN guidelines for ratios? 1 : 2 L&D, 1 : 1 delivery. 1 : 4 Mother / Baby couplets.
Required Certifications : ACLS, BLS, NRP, AWHONN Advanced EFM
Common diagnoses / Types of patients Low risk, 36 weeks and above, may do twin deliveries, any high risk transferred to higher level of care
Experience or 'Must have' skills Must have at least 1 years of LDRP or L&D experience; prefer 3 years of experience in these settings.
Will take L&D only but will not accept a candidate who only has postpartum experience, Prefer scrub experience for c-sections.
Will accept first time travelers
They will also be expected to circulate in the OR, but we can orient to that if needed NO NICU in house, RN must be comfortable with NRP
Are RNs required to titrate drips? Yes
Common titratable & / or set rate drips Titrate pitocin and very occasionally insulin
Charge Nurse / House Supervisor? Does the charge nurse take an assignment? Yes, generally does not take patients, but will take an assignment if needed
Are there nurse aids / surgical techs on this unit? No CNAs, but they have perinatal techs that can scrub in for c-sections, usually one on staff during shift
OB / Neonatologist in house 24 / 7? OB is in house 24 / 7
They have a perinatal specialist to improve neonatal complications.
NO NICU in house, RN must be comfortable with NRP
Anesthesia in house 24 / 7? Anesthesia not in house 24 / 7, but on-call.
If there are no patients there is not an anesthesiologist in house, they would be on call with a 20 minute response time.
If any patients have an epidural, they are in house and would stay for the entirety.
RT Equipment (vents, Cpap, BiPap, etc) RT attends every delivery and will assist in providing respiratory support and manage equipment when needed.
Equipment : Ventilator, CPAP, bubble CPAP machine
Are there Tele / Monitor Techs on this unit? Client monitors- nurses do take ACLS, but if but if a patient had general anesthesia they would be recovered in the Main PACU
EFM System Fetalink
Weekend Requirements 2 weekend shifts per 4 week schedule, Nights - fri / sat, Days - Sa / Sun
Holiday Requirements Rotate in with core staff
Is there a call or standby requirement? If on the schedule you may be placed on-call / standby
Floating Requirements? All other Sacramento facilities. Mid-shift float to another facility is rare, but can happen.
Scheduling is 4 weeks in advance