Labor and Delivery RN
Wilmington, NC
Revolution Healthcare Services
3x12 hrs, Days
Referral Bonus

Start Date: December 14, 2026
Location: Wilmington, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour day shifts; 36 or 48 hours per week available; Every third weekend required

Highlights:

• High-volume Level III Women's Services unit with approximately 350 deliveries per month
• Fast-paced environment with 1:2 nurse-to-patient ratios in a 14-room unit
• Epic documentation system; 24-hour unit orientation provided
• Contract lengths of 13-26 weeks accepted with up to 7 days of pre-approved time off
• Hospitalist, anesthesia, NP, and CRNA coverage in-house 24/7 with comprehensive interdisciplinary support
• Float requirement to Mother/Baby care as needed; scrubs provided

Requirements:

• Minimum 2 years of high-risk Labor & Delivery experience required
• Current RN license (North Carolina or Compact state license)
• Required Certifications: BLS, NRP, AWHONN Intermediate
• Preferred Certification: ACLS
• Must be able to circulate and recover C-sections
• Experience with high-risk antepartum, labor and delivery procedures including fetal monitoring, emergency care, IV therapy, and neonatal resuscitation
• Proficiency with magnesium drips, insulin drips, IUPC placement, and internal/external fetal monitoring
• Epic charting experience preferred
• Must be willing to work Storm Team/Hurricane Team and report during catastrophic events as required
• Flu vaccine required (medical/religious exemptions only)

Why It's a Great Opportunity:

Join a regional Level III perinatal center providing comprehensive, high-acuity maternal and neonatal care in a collaborative, well-supported environment. This fast-paced unit offers diverse clinical experiences across the full spectrum of high-risk obstetrics, from antepartum management to emergency deliveries and postpartum care. With round-the-clock physician and advanced practice coverage, state-of-the-art technology, and a robust interdisciplinary team including MFM consultation, respiratory services, and rapid response support, you'll deliver exceptional care to mothers and newborns during their most critical moments.

Clinical Experience Areas:

• Antepartum care including NST, sterile vaginal exams, external fetal monitoring, and high-risk conditions
• Management of malpresentations, multiple gestations, placenta previa/abruption, preeclampsia/eclampsia, HELLP syndrome, and preterm labor
• Recognition and treatment of abnormal fetal heart rate patterns with external/internal monitoring and IUPC placement
• Emergency care including infant/neonatal arrest, hemorrhage/shock management, and uterine rupture
• Administration of specialty medications including magnesium sulfate, insulin drips, anticoagulation therapy, and Pitocin
• Labor and delivery support including amnioinfusion, assisting with high-risk deliveries, circulating for C-sections, and recovery
• Neonatal care including APGAR scoring, resuscitation, thermoregulation, and newborn assessment
• Postpartum care including breastfeeding support, fundus/lochia assessment, couplet care, and postpartum hemorrhage management
• Pain management including epidural anesthesia, IV conscious sedation, and PCA administration

Patient Population:

Care for patients with preterm labor, preeclampsia with or without severe features, postpartum hemorrhage, intrauterine fetal demise, antepartum conditions, laboring patients, and primary/repeat C-sections. Candidates should be comfortable caring for patients with complex medical conditions including diabetes, cardiac disease, infectious disease, and substance abuse, and may be required to care for patients with COVID-19.

Additional Information:

• Local candidates within 50 miles accepted with rate difference
• Former employees must wait 12 months before applying
• All pre-start compliance testing must be completed within 48 hours after signing
• Pre-start online modules required (approximately 8-10 hours, non-billable)
• Must work 2 of 3 major holidays; no time off during first week
• Travel experience not required; local candidates welcome