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RN - 19492055

CHI St Alexius Health Bismarck Medical Center•Bismarck, ND

About The Position

The L&D Registered Nurse provides care to obstetric patients in a Labor and Delivery unit, including labor, postpartum, and triage settings. The role involves working in a fast-paced environment and caring for high-risk obstetric patients. The department has 7 L&D beds, 12 postpartum beds, 8 surgical beds, and 1 dedicated C-section operating room suite. It averages 17 triage patients per month and 643 births annually. Staffing ratios are 1:1–2 in L&D, 1:2–3 couplets in postpartum, and 1:3–4 for surgical/medical patients. Shifts rotate between days and nights, with a requirement to work every third weekend. Two shifts of unit-specific orientation are provided. The nurse may float to pediatric medical/surgical or NICU as needed. Optional overtime opportunities are available, and patient satisfaction metrics are a key departmental focus.

Requirements

  • At least 3 years of Labor and Delivery (LDRP) experience.
  • Current AWHONN Intermediate Fetal Monitoring certification.
  • Current BLS certification.
  • Ability to titrate medications and manage high-acuity patients.
  • Experience using electronic fetal monitoring systems.

Nice To Haves

  • Advanced certifications are preferred.

Responsibilities

  • Provide high-quality care to patients in Labor & Delivery, postpartum, and triage settings.
  • Monitor and manage labor, including titration of medications such as Pitocin, magnesium sulfate, and insulin drips.
  • Perform assessments and documentation, and assist in deliveries.
  • Administer prescribed medications and monitor their efficacy and side effects.
  • Participate in the care of high-risk obstetric patients.
  • Scrub for surgical procedures as needed.
  • Collaborate with a multidisciplinary team to support optimal patient outcomes.

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