RN II-L&D, Per Diem, Night Shift (Mandatory Call) (CNA)

About the Location

Adventist Health Sierra Vista is a 162-bed acute care facility located on the Central California Coast, serving the community since 1959. The hospital features a Level III Neonatal Intensive Care Unit and is a county-designated trauma center. San Luis Obispo offers a lively community with coastal charm, including nearby Avila Beach (known for natural hot springs) and Pismo Beach (known for sand dunes and eucalyptus trees). The area boasts a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle.

About the Role

The Labor and Delivery Nurse provides nursing care to patients and their families during the antepartum, intrapartum, and postpartum periods, including emergency situations and circulating for C-sections. This position supervises and delegates care responsibilities to ancillary personnel within their scope of practice. Represented by CNA.

Responsibilities

• Performs physical and psychosocial assessments of patients, considering age, cultural differences, and support for fetal demise.
• Initiates a multidisciplinary, goal-oriented care plan for each patient in collaboration with the healthcare team and provides care based on that plan.
• Demonstrates appropriate clinical judgment in managing perinatal emergencies, including but not limited to crash C-sections, precipitous delivery, and shoulder dystocia.
• During labor and delivery, assesses fetal and maternal well-being, amniotic fluid status, vaginal bleeding, and recognizes and manages abnormalities.
• Effectively manages pain control in laboring patients and supports alternative pain control methods when appropriate.
• Assists with epidural catheter placement and monitors fetal and maternal status during and after medication administration.
• Educates patients and families during all stages of the perinatal and postpartum period using methods appropriate to age, condition, culture, and learning readiness.
• Completes accurate and timely documentation of all nursing care provided, including patient responses to medications, treatments, and procedures.
• Consistently performs unit-specific safety and quality control checks (e.g., shift and 24-hour MD order checks, TO/VO Read Back, crash cart checks, urine QC).
• Performs other job-related duties as assigned.

Requirements

• Associate Degree (A.S.) or equivalent: Required
• Bachelor's Degree in Nursing: Preferred
• Two years of Labor & Delivery experience: Required
• Current RN license in state of practice: Required
• Basic Life Support (BLS) certification from approved vendor: Required
• Advanced Cardiovascular Life Support (ACLS) certification from approved vendor: Required
• Neonatal Resuscitation Program (NRP) certification from approved vendor: Required
• Intermediate Fetal Monitoring Course: Required
• Fetal Heart Monitoring (FHM) or Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) certification: Required

Pay

The estimated base pay for this position is $74.48 per hour. Additional compensation may include differentials, extra shift incentives, or bonuses. A comprehensive benefits program is available for qualifying positions.

Schedule

12-hour shifts. This is a per diem position.

About the Organization

Adventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii. With more than 440 sites of care, including 27 acute care facilities, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies. The organization is driven by a mission to inspire health, wholeness, and hope through a team of over 38,000 employees, physicians, Medical Staff, and volunteers.