Required Skills/Experience:
Experience with normal term deliveries, high-risk obstetric cases including preterm deliveries as early as 23 weeks, hypertension, preeclampsia, eclampsia, diabetes, substance use/abuse, shoulder dystocia, multiples, antepartum monitoring/additional testing, women's surgeries, placental issues (abruptio, accreta, etc.), and couplet care is required.
Required skills include IV starts, Foley insertion, cervical checks, amnioinfusions, fetal monitoring strip interpretation, circulating C-sections, baby catching/receiving, couplet care from pre-delivery through discharge for mother and baby (including 24-hour newborn testing), Apgar scoring, general breastfeeding education, and OB triage.

Special Requests:
Up to 7 days off may be approved.

Unit Details:
Patient population includes normal term deliveries and high-risk obstetric cases, including preterm deliveries as early as 23 weeks; common cases include hypertension, preeclampsia, eclampsia, diabetes, substance use/abuse, shoulder dystocia, multiples, antepartum monitoring/additional testing, women's surgeries, and placental issues (abruptio, accreta, etc.).
The unit uses a rooming-in/couplet-care model and has no well-baby nursery.
Patient ratios vary by assignment: 1:1 in active labor; 1:1-2 in nonactive labor depending on clinical scenario; 1:3 for couplets; and 1:2 for antepartum patients, per AWHONN guidelines.
The unit uses Baxter IV pumps and Pyxis medication dispensing.
No receptionist/HUC is available; an OB surgical technologist can assist with HUC duties.
Phlebotomy and an IV/VAT team are available.
Respiratory therapy is available 24/7.
A hospitalist is available 24/7, and a pediatric hospitalist rounds on newborns after deliveries.
OB/GYNs, midwives, and anesthesia are available; OB/GYNs and anesthesia may not be in-house but are responsive.
Lactation consultants include CLCs and IBCLCs.
A charge nurse is typically present without a patient assignment.

Shift & Scheduling:
Weekend rotation includes 5 weekend shifts in a 6-week schedule.
Self-scheduling occurs in 6-week increments, with final schedule approval by the manager.
No call is required.
A holiday group assignment requires coverage the day before the holiday, the holiday itself, and the day after the holiday.

Floating Requirements:
The clinician could float to the Level III NICU and pediatrics if they have prior experience; orientation and training will be provided.
The clinician could float occasionally to Logan Health Whitefish LDRP; advance notice is typical, and midshift floating is possible but rare.
The clinician could float to an adult floor to act as a sitter.

Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

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