L&D registered nurses provide care to women and their newborns during the antepartum, intrapartum, postpartum, and neonatal stages of this important life event. They assess each mother and baby and develop an individualized plan of care. L&D registered nurses collaborate with physicians and other health care providers to provide the best plan of care for each patient. They implement the plan of care by monitoring the mother and baby and by teaching patients about their care and topics related to women’s health and newborn care. L&D nurses evaluate the effectiveness of the care plan and modify it as needed to meet the changing needs of the mother, newborn, and family. They also provide psychosocial and emotional support to patients and families.
L&D registered nurses assume many different roles, including:
- Antepartum Nurse – provides care to patients who have complications of pregnancy requiring hospitalization.
- L&D Nurse – provides care to patients in labor who have uncomplicated or complicated deliveries.
- Circulating Nurse – manages patient care in the Operating Room during a cesarean delivery.
- Scrub Nurse – works directly with the surgeons during a cesarean delivery by passing instruments, etc, to the physicians.
- Postpartum Nurse – provides care to patients who have recently delivered.
RESPONSIBILITIES - INCLUDES, BUT NOT LIMITED TO:
- Triage potential laboring patients, preterm labor patients, patients who have ruptured their membranes (broken their water), and identify obstetric emergencies.
- Admit the pregnant patient to the labor and delivery unit, perform an admission assessment, and develop a nursing plan of care.
- Insert intravenous (IV) catheter and initiate and maintain IV fluids and medications.
- Provide labor support and emotional support during and after traumatic incidents like miscarriage, stillbirth, and newborn resuscitation.
- Assess the pregnant patient, document their medical history
- Determine dilation, effacement, and fetal station from vaginal exams.
- Monitor, review, and report vital signs related to stage and phase of labor and other obstetrical considerations.
- Assist the physician in the birth of a baby, preparing for an obstetrical emergency, and assessing vital signs to ensure postpartum stabilization.
- Circulate in the operating room for cesarean section, providing assistance to the surgical team and providing reassurance to the patient.
- Provide care for postoperative cesarean section patients.
- Deliver initial stabilization of the newborn, administer newborn medications, assist with newborn procedures, and monitor early newborn vital signs.
- Provide immediate postpartum care by monitoring fundal height, bleeding, and vital signs.
- Record newborn feeding schedule. Assist with breastfeeding, if possible, or refer to a lactation consultant.
- 1 year recent working experience as a RN in Labor and Delivery
- Current BLS, NRP
- Current TB Screen
- Active/Unencumbered State Nursing license
- Valid Photo Identification/Driver's License
- Successful completion of a Background Check and Medely's screening process