Labor & Delivery RN
Bangor, ME
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Registered Nurse – Labor and Delivery

Location: Bangor, Maine
Shift: 7:00 PM – 7:30 AM (Night Shift)
Hours per Week: 36
Contract Length: 13 weeks

Job Overview

• Immediate start required.
• Work in a Level III NICU setting with a Newborn Nursery.
• Facility averages approximately 1800 deliveries per year.
• Typical daily duties include managing about 4 scheduled events such as C-sections and versions.
• Labor & Delivery and Mother-Baby units are physically separate but adjacent.
• Rooming-in model for mother and baby care.
• Covers a large geographic referral area, including high-acuity NICU cases.

Patient Types and Common Diagnoses

• Pregnancy-induced hypertension (PIH), gestational diabetes (GDM), pre-eclampsia, eclampsia, HELLP syndrome.
• Shoulder dystocia, postpartum hemorrhage, multiples, fetal loss, drug addiction, cervical ripening.
• Newborn care responsibilities include documenting feeds, vitals, and assessments when mother remains on unit for continuous surveillance.

Patient Ratios

• Cervical Ripening: 1:1 to 1:3
• Laboring: 1:1 to 1:3
• Active Labor: 1:1
• Couplet/Postpartum/Antepartum: 3 mother/baby couplets or 3 Antepartum/NICU moms

Required Qualifications

• Minimum 2 years of experience in Labor & Delivery.
• Must have completed at least one prior assignment at a facility comparable in size and acuity (no first-time travelers accepted).
• Licensure: Registered Nurse (RN) with current certifications:

  • BLS (Basic Life Support)
  • ACLS (Advanced Cardiovascular Life Support)
  • NRP (Neonatal Resuscitation Program)
  • Intermediate or Advanced Fetal Heart Monitoring (FHM)
  • MOAB (Management of Obstetric Emergencies and Bleeding)
• Certified Surgical Technologist (CST) staff on unit are nationally certified and BLS certified.

Skills and Responsibilities

• Titrate Pitocin, perform fetal scalp electrode placement, cervical exams.
• Assist CRNA with epidural placement.
• Manage insulin and magnesium drips.
• Manage shoulder dystocia emergencies.
• Circulate in C-section OR and/or receive baby.
• Neonatal resuscitation and assist with intrauterine pressure catheter (IUPC) placement and monitoring.
• Provide newborn care including lactation support and safe skin-to-skin protocols.
• Charge nurse experience is valued; travelers should disclose any prior charge nurse roles.

Unit Support and Team

• Unit secretary and bed flow facilitator available during day shifts.
• CST coverage 24/7.
• Charge nurse coverage 24/7.
• Phlebotomist available for lab draws after IV placement.
• Anesthesia available 24/7.
• House supervisor and respiratory therapist available 24/7.
• OB providers on call 24/7.
• Family medicine residents with attending backup in-house 24/7.
• Certified midwife may be on call with backup for operative deliveries.
• RN support for delivery care.
• Remote fetal monitoring at bedside and nurse’s station.

Technology and Equipment

• Electronic Medical Record (EMR): Cerner.
• Fetal monitoring system: Fetal Link.
• IV pumps: Alaris.
• Medication dispensing: Pyxis.

Orientation

• 1 day with HR/preceptor.
• 1 day OR/PACU training.
• 1 day preceptor shadowing on night shift if contracted for nights.

Scheduling and Work Conditions

• Weekend rotation: work at least 4 out of every 8 weekends (may be consecutive).
• No mandatory call, but call pick-up may be available.
• Holiday rotation required.
• Manager approval required for time off requests.
• Scrubs provided on site (navy color), with 6 credits allotted for scrub machine use.
• Free parking available on site.

Floating

• May float to Mother-Baby unit, including Antepartum, Postpartum, or occasionally Mother-Baby.
• Newborn Nursery RN handles 24-hour labs.

Additional Compliance and Documentation Requirements

• Current certifications and clearances including but not limited to:

  • Annual core competencies, criminal background check, drug screen, immunizations (Hep B, MMR, Varicella, TDAP), N95 fit testing, physical exam, and others as per facility policy.

Note: Prior travel experience is required; candidates must have completed at least one prior assignment at a comparable facility.