Labor & Delivery Registered Nurse
Kansas City, MO
Host Healthcare
3x12 hrs, Evenings
Referral Bonus

Registered Nurse - Labor/Delivery/Recovery/Postpartum

Location: Kansas City, Missouri
Facility: Saint Lukes North Hospital (BJC HealthCare)
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Unit: Labor, Delivery, Recovery, Postpartum (LDRP)
• Ratios: 1 nurse to 1-3 patients
• Experience Required: Minimum 3 years, community hospital experience preferred
• First-timers: Not accepted
• Weekend Requirement: 4-6 weekend shifts (Saturday/Sunday) plus 2 Fridays per 6-week schedule
• Holiday Requirement: 1 major holiday (Thanksgiving or Christmas) and 1-2 minor holidays (New Year's Day, Memorial Day, 4th of July, or Labor Day)
• On-call: Yes, 2 mandatory on-call shifts per 6-week schedule
• Floating: RN expected to care for any patient assignment within the LDRP unit (antepartum, intrapartum, postpartum, triage, c-section including circulating)
• Block Schedule: Not accommodated
• Locals: Not accepted (must live at least 50 miles from facility)
• Return to Office (RTO) Restrictions: No more than 7 days off
• Guaranteed Hours: 3 shifts per 13 weeks

Required Certifications

• BLS (Basic Life Support)
• FHM (Fetal Heart Monitoring)
• NRP (Neonatal Resuscitation Program)
• ACLS (Advanced Cardiac Life Support) preferred
• AWHONN Advanced or Intermediate preferred
• EFM (Electronic Fetal Monitoring) certification required if applicable

Required Skills & Responsibilities

Clinical Skills

• IV Therapy/Phlebotomy:

  • Administration of blood & blood products
  • Drawing venous blood
  • Starting and maintaining peripheral IVs
  • Use of infusion pumps, drips, and IV monitoring

• Labor and Delivery Management:

  • Amnioinfusion
  • Assisting with vaginal delivery
  • Circulating for C-section
  • Forceps/vacuum extraction
  • Managing hemorrhage/shock
  • Recovery post C-section
  • Sterile vaginal exams

• Work Settings:

  • Antepartum
  • Community level experience
  • Facility births <100/month
  • LDRP model
  • Level I Nursery
  • Mother/Baby care

• Medication Administration:

  • Antihypertensives
  • Magnesium sulfate therapy
  • Pitocin (oxytocin)
  • Prostaglandins
  • Terbutaline

• Neonatal Care in Delivery Room:

  • Collecting cord blood samples
  • Infant ID/security banding

• Newborn Care:

  • Assisting with circumcision and post-op site assessment
  • Car seat education
  • Cord care
  • Discharge teaching to parents
  • Infant identification
  • Metabolic screening
  • Newborn assessment and hypoglycemia management
  • Phototherapy
  • Teaching circumcision care to parents
  • Thermoregulation

• Antepartum Care and Procedures:

  • Non-Stress Tests (NST)
  • Reflex checks, edema assessment, clonus
  • Sterile vaginal exams
  • Obstetrical triage
  • Use of External Fetal Monitoring (EFM)

• Postpartum Care and Procedures:

  • Baby-friendly protocols
  • Breastfeeding/lactation support
  • Episiotomy/incisional care
  • Foley catheter insertion
  • Fundus, lochia, perineum care
  • Use of electric/manual breast pumps
  • Wound assessment and care

• Postpartum Care for Patients with:

  • Bladder distension
  • Cesarean section recovery
  • Couplet care
  • Multiple births
  • Postpartum hemorrhage
  • Pregnancy-induced hypertension
  • Vaginal delivery

• Surgical Cases/Procedures:

  • Dilation & Curettage (D&C)
  • Tubal ligation
  • Post-operative gynecology (hysterectomy) care

• Pain Management:

  • Epidural anesthesia
  • General anesthesia
  • Opioids and PCA (patient-controlled analgesia)
  • Pain assessment and management

• Professional Skills:

  • Isolation precautions and PPE use
  • Vaccine administration

• Fetal Monitoring:

  • Recognition and treatment of abnormal fetal heart rate patterns
  • Spiral electrode placement
  • Use of internal fetal monitoring and intrauterine pressure catheter (IUPC) placement and calibration

Preferred Skills

• Assist with high-risk deliveries
• Scrub for C-sections
• Medication administration: anticoagulants, anticonvulsants
• Neonatal resuscitation and APGAR scoring
• Use of radiant warmers and thermoregulation in newborns
• Assist with sterile speculum exams (effacement, dilation, station, presentation)
• Cervical cerclage procedures
• Cardiac monitoring and emergency care for infant/neonatal arrest
• Use of rapid response team

Facility Information

• Type: Acute Care Hospital
• Total Staffed Beds: 74
• Charting System: Epic
• Scrub Color: Navy (provided)
• Parking: Free

Compliance & Onboarding Requirements

• Government-issued ID required
• Physical exam within 1 year of start
• Drug testing within 1 year, including multiple drug panels
• Background check within 6 months (7-year search)
• Education verification of highest nursing degree
• Multiple health documents including:

  • Negative TB test or chest x-ray
  • Immunizations or titers for Measles, Mumps, Rubella, Varicella
  • Tdap vaccine or declination
  • Flu vaccination or exemption (seasonal requirement)
• Fit mask test (N95) required and must be renewed annually
• Various facility-specific documents and policies to review and sign prior to start (HIPAA, confidentiality, hand hygiene, dress code, latex allergy, etc.)
• Unit-specific competency exams and medication/pharmacology competency tests
• Skills checklist within 1 year of start

This position requires a highly skilled and experienced RN with strong labor and delivery expertise, capable of managing a full spectrum of antepartum, intrapartum, and postpartum care in a community hospital setting. The role demands flexibility for weekend, holiday, and on-call shifts, with full couplet care responsibilities and the ability to float within the LDRP unit.