Registered Nurse Labor and Delivery

The Registered Nurse in Labor and Delivery provides specialized nursing care in a high-risk perinatal setting, supporting patients through labor, delivery, antepartum, and postpartum stages. This role involves 1:1 labor care, managing couplets in postpartum, and coordinating with interdisciplinary teams in a Level II NICU and maternity services environment. The nurse is expected to deliver skilled, compassionate care while adhering to established protocols and collaborating closely with providers and support staff. Responsibilities:

• Provide 1:1 nursing care to laboring patients and manage 1:3 couplets in postpartum with CNA support.
• Care for antepartum patients with a 1:2-3 nurse to patient ratio.
• Perform patient assessments, fetal monitoring, medication administration, and treatment planning.
• Collaborate with delivering providers, CRNAs, surgical techs, and health unit coordinators to ensure comprehensive patient care.
• Support triage staffed with skilled RNs to assess and manage patient needs effectively.
• Maintain documentation using EPIC electronic medical records system.
• Adhere to hospital policies including strict requirements for sterile vaginal exams (SVE) and infection control.
• Participate in float assignments to postpartum units as needed.
• Work collaboratively in a fast-paced, high acuity environment with a focus on patient safety and quality outcomes.

• Active Registered Nurse license in the state of employment.
• Minimum of 2 years of nursing experience, preferably in labor and delivery or high-risk perinatal care.
• Current certifications: BCLS, ACLS, NRP, and AWHONN Intermediate or Relias Fetal Monitoring.
• Strong clinical assessment, medication administration, and treatment planning skills.
• Excellent communication and interdisciplinary team collaboration abilities.
• Experience with EPIC or similar electronic health record systems.

• Experience working in facilities with 200+ deliveries annually.
• Prior experience in Level II NICU or comprehensive maternity services.
• Comfort with float assignments to postpartum units.

• Weekend work is required.
• Float assignments to postpartum units are required.
• Call is not required for this position.
• Local candidates are not accepted.
• Must comply with RTO restrictions and include all RTO at time of submission.
• Strict adherence to hospital protocol including a hard stop for sterile vaginal exams (SVE).
• Work environment includes Level III high-risk perinatal care with 19 labor and delivery beds, 10 antepartum beds, 30 postpartum beds, 3 ORs, 2 PACU bays, and 7-bay triage.

• 12-hour shifts with guaranteed hours; clinicians may be called off for one 12-hour shift per two-week period.
• Shift assignments include day and night shifts at the Pacific Campus.
• Schedule includes weekends and float responsibilities.