RN - L&D

Labor and Delivery Nursing Opportunity

This is a 13-week contract position.

This assignment is scheduled for three 12-hour night shifts per week, from 7:00 PM to 7:30 AM. Weekend coverage is required every third weekend, with night weekend shifts occurring Friday and Saturday. At least eight weekend shifts are required during the contract. There are no on-call requirements.

Holiday coverage requires working at least one of the following holidays: Thanksgiving, Christmas Day, or New Year's Day. Self-scheduling is used.

This Labor and Delivery nursing opportunity supports a high-risk L&D unit caring for adult and neonatal patient populations. The unit serves as a regional transfer center and includes 21 Labor and Delivery beds, an 8-bed triage area, three operating rooms located on the unit, and a three-bay PACU.

The unit manages approximately 5,000 deliveries annually, averaging 12 to 15 deliveries per day. Patient care includes labor and delivery, high-risk antepartum care, obstetrical triage, vaginal and cesarean deliveries, and recovery following C-sections. Additional procedures performed on the unit include postpartum tubal procedures, cerclages, and D&E procedures for postpartum hemorrhage.

Nurses work with interdisciplinary support that includes IV teams, physical therapy, respiratory services, interpretation services, phlebotomy, radiology, social services, rapid response teams, pharmacy, transportation, and unit secretary support. Epic is the charting system, with Epic experience preferred.

Responsibilities

• Provide Labor and Delivery nursing care for adult and neonatal patient populations, including high-risk antepartum patients.
• Assist with vaginal deliveries, high-risk deliveries, cesarean sections, and C-section recovery.
• Perform obstetrical triage and support care involving preterm labor, premature rupture of membranes, multiple gestations, and malpresentations.
• Monitor and respond to pre-eclampsia, eclampsia, pregnancy-induced hypertension, HELLP syndrome, hemorrhage, and shock.
• Use external and internal fetal monitoring, including recognition and treatment of abnormal fetal heart rate patterns.
• Perform and support non-stress tests, IUPC placement and calibration, fetal monitoring, and assessments related to fundus, lochia, perineum, reflexes, edema, and clonus.
• Administer and monitor therapies including Pitocin, magnesium sulfate, insulin drips, antihypertensives, anticonvulsants, anticoagulation therapy, prostaglandins, opioids, and IV medications.
• Administer blood and blood products and manage IV access, infusion pumps, drips, Foley catheters, and PCA therapy.
• Assist with epidural anesthesia, general anesthesia, IV conscious sedation, and nitrous oxide.
• Provide neonatal support including APGAR scoring, neonatal resuscitation, thermoregulation, newborn hypoglycemia care, infant identification, and radiant warmer use.
• Support breastfeeding and lactation care.
• Follow isolation precautions, PPE requirements, and appropriate response procedures for adult and neonatal emergencies.

Required Experience

• Minimum of two years of experience.
• Travel experience is required.
• Experience with Labor and Delivery and high-risk obstetrical care.
• Experience managing patient assignments with a 1:2 patient ratio.
• Epic charting experience is preferred.

Certifications / Licensure

• BSN required.
• NRP required.
• ACLS required.
• BLS required.
• AWHONN Intermediate or Beginner required.