Labor and Delivery RN
Wilmington, NC
Revolution Healthcare Services
4x12 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, 13-26 week contracts accepted

• High-volume, fast-paced Level III regional perinatal center with approximately 350 deliveries per month
• 14-room Labor & Delivery unit with average daily census of 15 patients and 1:2 nurse-to-patient ratio
• Comprehensive care model requiring C-section circulation and recovery, antepartum management, and Mother/Baby float capability
• Epic documentation system with 24-hour orientation and full interdisciplinary support including hospitalist, anesthesia, NP, and CRNA coverage 24/7
• Advanced clinical capabilities including magnesium drips, insulin drips, Bakri balloon, and internal/external fetal monitoring
• Professional development environment with evidence-based protocols including Baby-Friendly designation and maternal-fetal medicine consultation access

• Minimum 2 years of high-risk Labor & Delivery experience required
• Current BLS, NRP, and AWHONN Intermediate Fetal Monitoring certifications required
• ACLS certification preferred
• Active North Carolina or Compact state RN license (pending acceptable for submission)
• Proficiency in antepartum care including NST, fetal monitoring, and sterile vaginal exams
• Experience managing high-risk conditions: malpresentations, multiple gestations, placenta previa/abruption, preeclampsia/eclampsia, VBAC management
• Competency in emergency care including neonatal resuscitation, hemorrhage/shock management, and abnormal fetal heart rate pattern recognition
• Demonstrated skills in IV therapy, blood product administration, and medication management including magnesium sulfate, Pitocin, anticoagulation, and insulin drips
• C-section circulation and recovery experience required
• Neonatal care skills: APGAR scoring, thermoregulation, newborn assessment, and hypoglycemia management
• Epic EMR experience strongly preferred
• Willingness to float to Mother/Baby units as needed and participate in storm/hurricane team assignments

This position offers the chance to practice at a high-acuity regional perinatal center where you'll care for diverse, complex maternal-fetal cases in a collaborative, well-resourced environment. With round-the-clock physician and advanced practice provider support, comprehensive ancillary services, and a commitment to evidence-based care, you'll deliver exceptional outcomes for mothers and babies while advancing your expertise in high-risk obstetrics. The facility's high delivery volume and Level III capabilities provide continuous learning opportunities in a dynamic, team-oriented setting.