Labor and Delivery (L&D)

A Labor and Delivery (L&D) Registered Nurse at Johns Hopkins Medicine provides specialized clinical care to patients during the antepartum, intrapartum, and immediate postpartum periods. This role focuses on supporting physiological birth, managing high-risk obstetric complications, and ensuring the safety of both parent and newborn within a premier academic medical center.

Job Summary

The L&D RN is responsible for the assessment, monitoring, and nursing management of laboring patients. Working in a collaborative, multidisciplinary environment, the nurse utilizes advanced fetal monitoring and clinical judgment to provide personalized care. The position requires a high degree of technical skill in assisting with vaginal deliveries and surgical interventions, while maintaining a compassionate and supportive atmosphere for families.

Key Responsibilities

• Performing comprehensive admission assessments and ongoing physical evaluations of obstetric patients.
• Monitoring maternal vital signs and performing continuous or intermittent electronic fetal monitoring (EFM) to assess fetal well-being.
• Identifying and responding to clinical emergencies, such as fetal distress, cord prolapse, or postpartum hemorrhage.
• Managing the administration of medications, including oxytocin for labor induction and various analgesics or anesthetics.
• Supporting patients through natural labor techniques and assisting with the administration and monitoring of epidural anesthesia.
• Acting as a scrub or circulating nurse during Cesarean sections and other obstetric surgical procedures in dedicated OR suites.
• Assisting physicians and midwives with vaginal deliveries, instrumental deliveries, and the repair of lacerations.
• Providing immediate neonatal stabilization and care, including Neonatal Resuscitation Program (NRP) interventions if required.
• Educating patients and families on the labor process, pain management options, and initial breastfeeding techniques.
• Maintaining detailed and accurate documentation of labor progress, medications, and delivery outcomes in the electronic health record.

Qualifications and Requirements

• A valid and unencumbered Registered Nurse license in the state of Maryland or a recognized compact state.
• Bachelor of Science in Nursing (BSN) from an accredited program is required.
• Current Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Neonatal Resuscitation Program (NRP) certifications.
• Minimum of one to two years of recent experience in an acute care Labor and Delivery unit is preferred.
• Certification in Inpatient Obstetric Nursing (RNC-OB) or Electronic Fetal Monitoring (C-EFM) is highly desirable.
• Strong clinical intuition and the ability to act decisively in fast-paced, high-acuity situations.
• Excellent interpersonal skills to support patients during a highly emotional and transformative life event.

Working Conditions

• Work is performed in a high-acuity Labor and Delivery unit, which includes triage, labor rooms, and operating suites.
• Requires standing and walking for the majority of 12-hour shifts.
• Physical ability to assist with patient positioning, transfers, and the movement of heavy medical equipment (up to 50 lbs).
• Potential exposure to bloodborne pathogens and bodily fluids, requiring consistent use of personal protective equipment.
• The unit operates 24/7, requiring flexibility for day, night, weekend, and holiday rotations.

Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other category protected by Federal, State or local law. M/F/D/V EOE