Registered Nurse

Labor & Delivery Registered Nurse

This role seeks an experienced Labor & Delivery Registered Nurse to join a high-performing Women's Services team within a Level II Trauma Center. You will provide comprehensive care to mothers and babies throughout the birthing process, manage complex clinical situations, and thrive in a fast-paced environment while delivering safe, compassionate, and evidence-based patient care.

Responsibilities

• Provide comprehensive nursing care to laboring and postpartum patients, including ongoing assessment and support throughout the birthing experience.
• Monitor maternal and fetal well-being using electronic fetal monitoring, including recognition and treatment of abnormal fetal heart rate patterns.
• Perform and interpret fetal heart monitoring, including use of external fetal monitoring and adherence to AWHONN Intermediate or Relias fetal heart rate standards.
• Assess, plan, implement, and evaluate individualized patient care plans throughout labor, delivery, and immediate postpartum periods.
• Circulate during cesarean sections and obstetrical procedures, ensuring safe, coordinated care in the operating room.
• Scrub for cesarean sections when needed, supporting the surgical team with sterile technique and intraoperative patient care.
• Provide antepartum care and procedures, including sterile vaginal exams and monitoring for high-risk conditions.
• Collaborate closely with physicians, midwives, NICU staff, and interdisciplinary team members to optimize maternal and neonatal outcomes.
• Utilize Epic EMR to document assessments, interventions, medications, and patient responses accurately and efficiently.
• Use advanced obstetrical equipment and technology such as Triton quantitative blood loss AI, Surgicount, and Monica Novii wireless monitoring to support clinical decision-making.
• Float within scope of practice to the Mother-Baby Unit and NICU as needed, maintaining continuity and quality of care across units.
• Support patient and family education regarding labor, delivery, postpartum recovery, and newborn care.
• Maintain strict adherence to clinical protocols, safety standards, and infection control practices during all patient encounters.

Essential Skills

• Active Registered Nurse (RN) license in good standing.
• Minimum of 2 years of recent experience in Labor & Delivery nursing.
• Demonstrated proficiency in electronic fetal monitoring, including recognition and management of abnormal fetal heart rate patterns.
• Experience using Epic EMR in an acute care or obstetrical setting.
• Strong clinical skills in antepartum, intrapartum, and postpartum care, including sterile vaginal exams and labor management.
• Ability to circulate for cesarean sections and obstetrical procedures within a Level II Trauma Center environment.
• Current ACLS (Advanced Cardiovascular Life Support) certification.
• Current BLS (Basic Life Support) certification.
• Current NRP (Neonatal Resuscitation Program) certification.
• Completion of AWHONN Intermediate or Relias Fetal Heart Rate course, or ability to obtain access and complete prior to assignment.
• Ability to work night shifts and every other weekend while maintaining high standards of patient care.
• Strong communication, collaboration, and critical-thinking skills in high-acuity, fast-paced clinical settings.

Additional Skills & Qualifications

• Scrub experience for cesarean sections, including familiarity with sterile technique and surgical workflows.
• Experience providing OB assist support during deliveries and obstetrical procedures.
• Background in NICU and Mother-Baby care, with ability to float between units within scope of practice.
• Experience with antepartum care and procedures, including monitoring high-risk pregnancies.
• Prior travel nursing experience is welcomed but not required.
• Comfort working with advanced obstetrical technologies such as Triton quantitative blood loss AI, Surgicount, and Monica Novii wireless monitoring systems.
• Experience in labor and delivery management, including coordination of care across interdisciplinary teams.
• Flexibility to adapt to varying patient volumes and census, averaging approximately five deliveries per day.
• Ability to manage a patient ratio of approximately 1:2 in a labor and delivery setting.

Work Environment

This position is based in a Level II Trauma Center within a high-performing Women's Services department that averages approximately five deliveries per day. You will work night shifts from 7:00 PM to 7:30 AM, typically three 12-hour shifts per week, with an every-other-weekend requirement and no on-call obligations. The patient ratio is generally 1:2, and you may float, within your scope of practice, to the Mother-Baby Unit and NICU as needed. The clinical environment is fast-paced and technology-driven, utilizing Epic EMR, Triton quantitative blood loss AI, Surgicount, and the Monica Novii wireless monitoring system to support safe, efficient care. Scheduling is subject to facility needs, block scheduling cannot be guaranteed, and time-off requests are limited, with excessive requests unlikely to be approved. The facility follows structured billing guidelines for guaranteed hours and welcomes both local candidates and first-time travelers. The culture emphasizes teamwork, collaboration across disciplines, and consistent delivery of high-quality, family-centered obstetrical care.

Job Type & Location

This is a Contract position based out of Fredericksburg, VA.

Pay and Benefits

The pay range for this position is $60.00 - $64.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Fredericksburg, VA.

Application Deadline

This position is anticipated to close on Jul 16, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on click.appcast.io for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.