RN- Obstetrics (FT Nights)

Description ocation: Baton Rouge General Medical Center - Level III Obstetrical Care Position Overview: The Labor and Delivery Registered Nurse (RN) is responsible for providing comprehensive, high-quality care to women during labor, delivery, postpartum recovery, and transition to the postpartum unit in a smaller-volume, Level 3 hospital setting. The RN will also care for newborns requiring phototherapy treatment, triage obstetric emergencies, assist with women's surgical procedures, and manage complex conditions such as magnesium sulfate therapy and insulin drips during labor. The role includes overseeing maternal and neonatal well-being, as well as handling obstetric emergencies, including postpartum hemorrhage, hypertension protocols, and emergent surgical procedures such as D&C and hysterectomy. Key Responsibilities: Labor and Delivery Care: Provide safe and effective care to laboring patients, including continuous monitoring of maternal and fetal status, labor progression, and assisting with vaginal and cesarean deliveries. Administer medications, including pain management (epidurals, IV analgesia), and respond to maternal or fetal emergencies. Assist in immediate neonatal care, including resuscitation and transition to the postpartum unit. Document labor progress, interventions, and outcomes in compliance with hospital protocols. Management of Magnesium Sulfate: Administer and monitor magnesium sulfate for patients with preeclampsia or eclampsia, ensuring proper dosing, infusion rates, and monitoring for side effects. Assess for signs of magnesium toxicity (e.g., loss of reflexes, respiratory depression, altered mental status), and take appropriate action. Coordinate care with the medical team to manage blood pressure and prevent seizures in patients with hypertensive disorders during pregnancy. Management of Insulin Drip: Administer insulin drips to patients with gestational diabetes or those with high blood glucose levels during labor. Monitor blood glucose levels frequently and adjust insulin infusion rates as necessary, collaborating with the medical team to achieve optimal glucose control during labor. Provide patient education on blood glucose management and post-labor care. Postpartum Care and Newborn Transition: Manage the recovery process for mothers, ensuring the monitoring of vital signs, uterine tone, bleeding (including management of postpartum hemorrhage), and promoting early mobility. Provide newborn care, including assessments, feeding support, and monitoring of complications. Educate new mothers on breastfeeding, newborn care, and self-care during the postpartum period. Postpartum Hemorrhage (PPH) Management: Recognize signs of postpartum hemorrhage (PPH), including excessive bleeding, low blood pressure, and altered maternal condition. Implement interventions such as fundal massage, administration of uterotonic medications, and preparations for emergency procedures if necessary. Collaborate with OB/GYN providers and the clinical team to manage blood loss and prevent severe complications. Quantitative Blood Loss (QBL) Monitoring: Accurately assess and document quantitative blood loss (QBL) during labor, delivery, and postpartum. Use QBL data to monitor hemorrhagic complications, communicate findings to the care team, and initiate appropriate clinical responses. Hypertension Protocols: Recognize and monitor hypertensive disorders during pregnancy, including preeclampsia and eclampsia, following established protocols for blood pressure management. Administer prescribed antihypertensive medications and monitor any adverse reactions. Provide education on hypertension management to expectant mothers, especially in cases of chronic hypertension or preeclampsia. Emergent D&C (Dilation and Curettage) and Hysterectomy: Assist in preparation and support for emergent procedures such as D&C and hysterectomy for obstetric or gynecologic emergencies, such as retained placenta, uterine rupture, or massive hemorrhage. Provide preoperative and postoperative care, ensuring patient safety, comfort, and education on recovery. Maternal Recovery Responsibilities: Provide postoperative care in the for mothers recovering from regional anesthesia following cesarean sections, D&C, hysterectomy, or other gynecologic surgeries. Manage pain control, monitor complications, and ensure optimal recovery from anesthesia. Educate patients about postoperative recovery, including signs of infection or complications. Triage in Obstetrics Emergency Department (OBED): Triage and assess obstetric patients with urgent issues, including complications of pregnancy, labor, and postpartum concerns. Follow hospital protocols to determine the appropriate course of care, including lab work, imaging, or immediate physician consultation. Collaborate with the OB/GYN team to stabilize patients and initiate appropriate interventions. Women's Service Line Surgical Care: Provide perioperative and postoperative care for women undergoing urologic, gynecologic, bariatric, and other minor surgical procedures. Monitor surgical complications, manage pain control, and ensure optimal recovery. Educate patients regarding recovery processes, including activity restrictions, signs of infection, and pain management. Patient Education and Advocacy: Educate patients and families on topics including labor and delivery, cesarean section recovery, breastfeeding, postpartum care, and management of women's health conditions. Advocate for patient needs and preferences, ensuring informed decision-making and culturally competent care. Collaboration and Teamwork: Work closely with multidisciplinary teams, including OB/GYN physicians, anesthesiologists, pediatricians, and surgical teams. Participate in ongoing training, case reviews, and quality improvement initiatives to improve patient outcomes and care delivery. Skills and Qualifications: Education: Graduate of an accredited nursing program (ADN or BSN). Licensure: Active RN license. Experience: Minimum of 2 years of nursing experience in labor and delivery, postpartum care, and women's health services, with experience in emergent obstetric care. This is negotiable and based on availability. Certifications: BLS (Basic Life Support), ACLS (Advanced Cardiovascular Life Support) preferred, and NRP (Neonatal Resuscitation Program) required. Knowledge: Proficiency in managing magnesium sulfate therapy, insulin drips, postpartum hemorrhage, QBL, hypertensive disorders, and emergency obstetric procedures (e.g., D&C, hysterectomy). Skills: Strong clinical skills in obstetrics and gynecology nursing. Ability to perform critical thinking and remain calm under pressure. Excellent communication and interpersonal skills. Competence with electronic medical records (EMR) and hospital protocols. Work Environment: This role is performed in a Level 3 hospital setting, requiring the RN to be part of a dynamic, multidisciplinary team. Nurses in this position will work shifts and may occasionally be on-call to respond to emergent situations. The hospital environment demands flexibility, teamwork, and the ability to manage complex clinical scenarios. Requirements BLS, NRP

Created: 2026-03-04