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

Start Date: December 14, 2026

Location: Wilmington, North Carolina

Compensation: Details provided to qualified applicants

Schedule: 12-hour night shifts; 36 or 48 hours per week available. Weekend requirement: every third weekend. Contract lengths of 13-26 weeks accepted. Float requirement to Mother/Baby care as needed.

Highlights:

• High-volume, fast-paced regional Level III facility with approximately 350 deliveries per month
• Comprehensive high-risk labor and delivery experience including antepartum, labor, delivery, and postpartum care
• Must circulate and recover cesarean sections; 1:2 nurse-to-patient ratio
• Epic documentation system; 24-hour orientation provided
• 24/7 in-house hospitalist, anesthesia, NP, and CRNA coverage with extensive support services
• Scrubs provided (ceil blue); local candidates accepted

Requirements:

• Minimum 2 years of high-risk Labor & Delivery experience required
• Active RN license (North Carolina or Compact state license)
• Required Certifications: BLS, NRP, AWHONN Intermediate
• Preferred Certification: ACLS
• Competency in antepartum care including NST, external/internal fetal monitoring, IUPC placement and calibration
• Experience managing high-risk conditions: preeclampsia/eclampsia, placenta previa/abruption, premature rupture of membranes, preterm labor, multiple gestations, VBAC management
• Proficiency with hemorrhage/shock management, neonatal resuscitation, and recognition/treatment of abnormal fetal heart rate patterns
• Experience administering blood products, IV therapy, and specialized medications including magnesium sulfate, insulin drips, Pitocin, and anticoagulation therapy
• Ability to assist with high-risk deliveries, circulate for C-sections, and provide cesarean section recovery care
• Neonatal care skills: APGAR scoring, newborn assessment, thermoregulation, and hypoglycemia management
• Pain management experience including epidural anesthesia, IV conscious sedation, and PCA
• Postpartum care expertise including breastfeeding/lactation support, couplet care, and baby-friendly protocols
• Epic experience preferred
• Willingness to work Storm Team/Hurricane Team assignments and respond during catastrophic events or disasters as required
• Flexibility to float and be reassigned to units as needed

Why It's a Great Opportunity:

Join a dynamic, high-acuity Women's Services team providing Level III regional care to a diverse patient population. This position offers the chance to utilize advanced labor and delivery skills in a supportive environment with comprehensive interdisciplinary resources including respiratory services, rapid response teams, pharmacy, radiology, and MFM consultation. You'll work alongside dedicated professionals committed to delivering exceptional maternal and neonatal care in a fast-paced, rewarding setting.

Additional Information:

• Patient diagnoses include preterm labor, preeclampsia with or without severe features, postpartum hemorrhage, induction management, intrauterine fetal demise, antepartum care, and primary/repeat cesarean sections
• Unit has 14 rooms with an average daily census of 15 patients
• Special equipment includes magnesium drips, insulin drips, Bakri balloon, Foley bulb, IUPC, and internal/external monitoring
• Medication management via Pyxis; SBAR communication protocol
• May be required to care for patients with COVID-19
• Maximum 7 days of time off allowed during contract; must work 2 of 3 major holidays
• Pre-start online modules required (approximately 8-10 hours, non-billable)
• Flu vaccination required (medical/religious exemptions only)