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RN - 19470416

HCA TriStar Horizon Medical Center TN•Dickson, TN

About The Position

The Registered Nurse works in the Labor and Delivery unit within Women's Services in Dickson, Tennessee. The unit includes nine LDRP beds, one OBED bed, four NICU beds, and one operating room suite. Care includes labor, delivery, recovery, postpartum, and neonatal services. Patient ratios are 1:1 for active labors, inductions, and C-sections; 1:3 for couplet care; 1:1 for newborns until stable; and 1:3 for intermediate NICU care. At least two NICU nurses must be in the unit when necessary. The unit has a central monitoring system, IV pumps, infant warmers, a telemedicine robot for neonatology, bili-blankets, and PCA pumps. Documentation and monitoring use Meditech and a central monitoring system. There are no unit secretaries or technicians. Staff may be expected to float within the facility when scheduled but not needed on the unit; some staff are cross-trained between LDRP and NICU. Daily patient rounding, including safety rounds, is expected. Full-time staff work three shifts per week, including rotating weekends and holidays. The team consists of six experienced registered nurses and provides a collaborative, supportive environment. New employees can gain experience in labor, delivery, postpartum, and neonatal care. The required uniform is pink and/or brown scrubs in accordance with the unit's infant security policy.

Requirements

  • Labor and delivery experience, including labor and recovery of mothers, assessment of newborns, and care transition.
  • BLS (Basic Life Support) certification.
  • NRP (Neonatal Resuscitation Program) certification.
  • Fetal monitoring training.
  • Fetal monitoring education and experience with inductions, including Pitocin and Cervidil.

Nice To Haves

  • Experience handling shoulder dystocia, postpartum hemorrhage, and other potential obstetric emergencies.

Responsibilities

  • Provide nursing care for patients in labor and delivery, including labor and recovery of mothers.
  • Assess newborns and support transitions in care.
  • Care for patients receiving inductions, including those using Pitocin and Cervidil.
  • Participate in care involving C-sections, circumcisions, intra-uterine monitoring, and vacuum- or forceps-assisted deliveries.
  • Respond to potential obstetric emergencies, including shoulder dystocia and postpartum hemorrhage.
  • Perform daily patient rounding, including safety rounds.
  • Float within the facility when scheduled and not needed in the unit, as required.
  • Work rotating weekends and holidays.

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