Registered Nurse Labor & Delivery

About the role

Washakie Medical Center in Worland, Wyoming is seeking a PRN Registered Nurse (RN) to work on the Labor and Delivery unit. This is a varied‑shift position with weekend and night‑shift differentials. The PRN role does not include benefits or guaranteed hours. The 18‑bed critical access hospital offers “big city” capabilities, including a 64‑slice CT scanner, 3D tomosynthesis mammography, 1.5 Tesla MRI, ultrasound, fluoroscopy, electronic medical records, a full‑service laboratory, a trauma emergency department, and 24/7 CRNA coverage for OB epidurals.

Core Functions

• Assess patient physical, psychological, social, spiritual, educational, developmental, cultural, and discharge planning needs.
• Review patient history and physical with patient/family and ensure timely completion.
• Review information obtained by other health‑care team members.
• Review diagnostics and laboratory data; report abnormal results to physicians and appropriate caregivers.
• Complete assessments and reassessments according to patient need and policy.
• Formulate a plan of care, including discharge planning, using assessment data and input from patient, family, and health team.
• Initiate a patient‑specific plan of care; set realistic, measurable goals developed with the patient/family.
• Consider physical, cultural, psychosocial, spiritual, age‑specific, and educational needs in the plan of care.
• Plan care in collaboration with the multidisciplinary team.
• Review and revise the plan of care to reflect changing patient needs based on evaluation.
• Implement the plan of care through direct care, coordination, delegation, and supervision of the health‑care team.
• Provide care based on physician orders and the nursing plan, complying with policies, standards, and regulatory requirements.
• Delegate appropriately and supervise other licensed nurses and personnel in patient care.
• Promote continuity of care by accurately communicating patient status to other caregivers.
• Evaluate patient and family response to care and teaching; revise the plan as needed.
• Assess patient progress toward goals in collaboration with the health‑care team.
• Evaluate effectiveness of patient teaching.
• Document assessment, planning, implementation, and evaluation in the patient record in a legible, timely manner.
• Record physician orders accurately and promptly.
• Provide evidence‑based care and may participate in research activities.
• Participate in unit or facility shared leadership.
• Engage in education, role development, and orientation of staff, patients, students, families, and visitors.
• Precept and mentor others when appropriate.
• Contribute to excellent patient outcomes through timely, effective, efficient, equitable, and safe care.
• Participate in improvement of national nursing quality indicators and outcomes, including professional organization involvement.
• Supervise staff and workflow as required.
• Interact with staff across departments, physicians, patients, families, and external contacts regarding patient care.
• Collaborate with clergy to provide spiritual support.
• Synthesize and prioritize data from multiple sources to support patient and family responses to health status changes.

Minimum Qualifications

• Current, valid RN license in the state of practice (or temporary/interim/compact RN licensure).
• Basic Life Support (BLS) certification.
• Relevant additional certification or continuing education as required by the area of practice.
• Experience in the clinical area applied for is desired.
• Maintain clinical performance competencies demonstrated through annual validations.
• For Banner Registry and Travel acute‑care positions: minimum one year experience in an acute‑care hospital setting within the past 12 months.
• For Banner Registry and Travel physician‑practice positions: minimum one year experience as an RN in a physician practice or acute‑care setting.
• For Home Health roles: personal vehicle, valid driver’s license, and active auto‑insurance coverage.
• For specific Arizona behavioral‑health roles: Arizona Fingerprint Clearance Card and Criminal History Affidavit at hire and maintained throughout employment.

Preferred Qualifications

• Bachelor’s degree.
• Professional nursing certification.
• Additional related education and/or experience.

Schedule

Varied shifts with weekend and night‑shift differentials. PRN position with no guaranteed hours.