RN - 19331796

Sierra Nevada Memorial Hospital • Grass Valley, CA

26d

About The Position

The Labor and Delivery Registered Nurse (RN) will join the Family Birthing Center team and provide care to patients in labor and delivery and postpartum settings. The role requires strong clinical skills, independent judgment, and the ability to respond effectively to emergencies, particularly during night shifts when resources are limited.

The unit has 4 labor and delivery beds and 8 Mother-Baby beds. Patient ratios are 1:2 in L&D, 1:1 during active delivery, and 1:4 for Mother-Baby couplets. The unit handles standard labor and delivery cases, term and preterm deliveries, couplets, and general gynecological patients, with approximately 45 deliveries per month.

The schedule consists of 12-hour shifts from 18:45 to 07:15. Nurses work every other weekend and rotate holidays with core staff, including working 2 of the 3 major holidays: Thanksgiving, Christmas, and New Year. Schedules are posted six weeks in advance, and self-scheduling is not available. Nurses do not float and are assigned to either L&D or Mother-Baby care. Floor-specific orientation lasts 2–3 days with a preceptor.

The unit uses Cerner electronic medical records. Pharmacy hours are 6:30 AM–10:00 PM, with an on-call pharmacist for orders and remote pharmacy services for deliveries if needed. There are no nurse aides or IV team; respiratory therapy is available 24/7. Two RNs and one RT work together during every delivery.

Requirements

• At least 2 years of Labor and Delivery nursing experience.
• ACLS certification.
• AWHONN Advanced Fetal Monitoring (AFM) certification.
• BLS (AHA) certification.
• NRP (Neonatal Resuscitation Program) certification.
• Strong clinical skills, independent judgment, and ability to manage emergency situations.

Nice To Haves

• STABLE certification.

Responsibilities

• Provide care to laboring mothers.
• Conduct patient assessments and monitor fetal heart rates.
• Work alongside two RNs and one respiratory therapist during every delivery.
• Act independently and manage emergency situations effectively, particularly during night shifts with limited resources.
• Provide care in either L&D or Mother-Baby, according to assignment; floating is not required.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed