Clinical Nurse
$61 per hourHoward University Hospital
Clinical Nurse (RN) – Per Diem Level II | Labor & Delivery | Day ShiftHoward University Hospital | Washington, DCThe Clinical Nurse – Per Diem (RN) is a Registered Nurse reporting to the Clinical Nursing Administrator and embedded in the Howard University Hospital Labor & Delivery unit — part of a comprehensive Women and Infant Services program serving the Washington, DC metro area. Through collaboration with the interdisciplinary team, you will deliver safe, effective, patient- and family-centered care to antepartum, intrapartum, and immediate postpartum patients. You will exemplify HUH's CARES values, adhere to ANA standards of practice, and fulfill our nursing mission and vision.What You'll DoPerform rapid, comprehensive assessments and develop individualized plans of care for antepartum, intrapartum, and immediate postpartum patients across the full spectrum of acuityMonitor and interpret electronic fetal monitoring (EFM) strips using NICHD terminology; communicate nonreassuring findings and escalate via SBAR and chain of command as indicatedInitiate, manage, and titrate oxytocin inductions and augmentations per protocol; recognize and respond to uterine tachysystole and fetal heart rate abnormalitiesProvide skilled intrapartum nursing support through all stages of labor; assist with vaginal, operative vaginal, and cesarean deliveries; function as scrub or circulating nurse in the OR as requiredAdminister magnesium sulfate, corticosteroids, antihypertensives, and other high-risk obstetric medications safely per protocolProvide immediate newborn stabilization at delivery and initiate neonatal resuscitation per NRP guidelines pending NICU responseAssess and manage postpartum hemorrhage (PPH) including uterine massage, fundal assessment, quantitative blood loss (QBL) measurement, and hemorrhage bundle activationRecognize and escalate obstetric emergencies including shoulder dystocia, cord prolapse, uterine rupture, amniotic fluid embolism, and maternal sepsis; participate in emergency drills and debriefsEstablish rapport with patients and families under high-stress conditions, providing emotional, psychological, and spiritual support throughout the L&D experience; support skin-to-skin contact and early breastfeeding initiationDocument patient care, assessments, and outcomes accurately in the electronic health record; communicate irregularities and continuing care needs across nursing teamsDelegate tasks appropriately to non-licensed personnel and assistantsAdhere to infection control protocols, medication administration and storage procedures, and controlled substance regulationsParticipate in unit performance improvement programs, and engage in education, engagement, and practice committeesMaintain and grow clinical knowledge through educational workshops, professional publications, and professional societiesPerform other duties as assigned consistent with the scope of this roleRequired QualificationsAssociate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferredGraduate of an accredited school of nursingMinimum three (3) years of bedside RN experience in a Labor & Delivery settingCurrent, active RN license in the District of ColumbiaCurrent BLS and ACLS certification through the American Heart Association (AHA) requiredNeonatal Resuscitation Program (NRP) certification through the American Academy of Pediatrics (AAP) requiredFetal Heart Monitoring certification required (AWHONN Intermediate or Advanced)Nationally recognized nursing certification in obstetric nursing (e.g., RNC-OB) highly desirableAbout Howard University HospitalWith over 150 years of caring for our community in the Washington, DC area, Howard University Hospital has a world-renowned reputation for high-quality, patient-centric care. As the nation's only teaching hospital located on the campus of a Historically Black University, we offer a superior learning environment built on groundbreaking research and exceptional patient outcomes.What We OfferHighly competitive per diem compensationFlexible scheduling within defined per diem commitmentProfessional practice environment grounded in the HUH CARES valuesOpportunities to contribute to a respected academic and clinical institutionPosition DetailsPosition Type - Per Diem – Level II CommitmentDepartment - Labor & DeliveryShift - Nights | 7:30 AM – 8:00 PMSchedule - Two (2) 12-hour shifts per week, set in four (4) week cyclesWeekend Requirement - Two weekends per month (24 hours/month)Holiday Requirement - Every other major holiday required (New Year's, Thanksgiving, Christmas — beginning the night before). Additional coverage expected for Easter, Memorial Day, Independence Day, and Labor DayPay & ScheduleThis is a per diem, non-exempt position. Hourly rate is $61.00/hour (Fixed Rate).Compliance StatementsCulture of Care: Howard University Hospital supports a Just Culture that promotes accountability, learning, and patient safety.Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other status protected by applicable law.Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process, please contact the Human Resources Department.Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience, education, internal equity, and other relevant factors.Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.
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