Labor and Delivery RN
Wilmington, NC
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 4

Description

American Traveler is hiring an experienced RN for a high-risk Labor & Delivery position requiring 2+ years of high-risk L&D experience and NC or compact RN licensure.

Details

• Women's Services Labor & Delivery unit with 14 rooms and an average daily census of 15
• High-risk antepartum and Labor & Delivery setting with approximately 350 deliveries per month, Level III regional care
• 1:2 patient ratios, though ratios may increase during periods of higher census
• Night shift, 3x12 hours (18:45-07:15), with 36 or 48 hour weekly options available
• Every third weekend required
• Floating required to Mother/Baby care areas
• Circulating and recovering C-sections required
• Medication administration via Pyxis, documentation in Epic, and SBAR communication

Requirements

• Active NC or compact RN license required (pending license accepted at submission)
• Minimum 2 years of high-risk Labor & Delivery experience required
• Required certifications: BLS, NRP, AWHONN Intermediate
• ACLS preferred
• Experience with antepartum care including NST, OCT, reflex checks, external fetal monitoring, and sterile vaginal exams
• Experience managing high-risk conditions such as preeclampsia/eclampsia, placenta previa/abruption, preterm labor, malpresentations, multiple gestations, and VBAC/trial of labor
• Experience with fetal monitoring including IUPC placement and calibration and recognition/treatment of abnormal fetal heart rate patterns
• Experience administering high-risk medications including magnesium sulfate, Pitocin, antihypertensives, antiseizure medications, and insulin drips
• Experience assisting with high-risk deliveries, circulating for C-sections, and managing hemorrhage/shock
• Neonatal care experience including APGAR scoring, neonatal resuscitation, and thermoregulation
• Postpartum care experience including fundus/lochia/perineum care, couplet care, and postpartum hemorrhage management
• Pain management experience including epidural anesthesia, IV conscious sedation, and PCA
• Epic charting experience preferred
• Experience with facilities performing greater than 300 births/month preferred
• Experience with high-risk antepartum care and obstetrical triage preferred
• Experience with cervical cerclage and D&C procedures preferred

Additional Information

• Provide comprehensive labor and delivery care across antepartum, intrapartum, and postpartum phases for high-risk obstetrical patients
• Care for patients with conditions such as asthma, cardiac disease, diabetes mellitus, HELLP syndrome, HIV, neurological disease, and substance abuse (preferred experience)
• May be required to care for patients with COVID-19
• Hospitalist, anesthesia, NP, and CRNA coverage available in-house 24/7
• Support services available including interpretation, pharmacy, radiology, rapid response, respiratory, social services, and unit secretary, with MFM consults available
• Contract staff assigned equally with home unit staff during periods of increased census
• May be assigned to Storm Team or Hurricane Team and required to report during catastrophic events, mass casualties, or disasters
• May be reassigned to other units as needed
• 24-hour unit orientation provided
• Ceil blue scrubs provided
• RTO up to 7 days can be auto-approved (excluding holidays); no RTO permitted during first week of assignment
• Must work 2 of 3 major holidays
• Local candidates accepted within 50 miles at a lower rate
• Travel pairs allowed if on different units and disclosed at submission
• Previous Novant Health or New Hanover employees (perm/PRN/EP) must wait 12 months before applying
• First-time travelers are welcome to apply