Labor and Delivery RN
Kansas City, MO
Access Healthcare
3x12 hrs, Days

Job Opportunity: Labor and Delivery Registered Nurse (RN)

Location: Kansas City, Missouri
Employment Type: Travel/Contract
Contract Length: 8 weeks

Job Summary

Seeking an experienced Labor and Delivery RN to provide comprehensive care in a community hospital setting with a Level I Nursery and LDRP (Labor, Delivery, Recovery, Postpartum) model. The RN will manage antepartum, intrapartum, and postpartum patients, including full couplet care and neonatal care in the delivery room.

Required Experience

• Minimum 3 years of RN experience in Labor and Delivery (higher value taken)
• Community hospital experience preferred
• First-time travelers not accepted
• Prior travel experience not explicitly required

Work Schedule

• Weekend rotation: 4-6 weekend shifts (Saturday/Sunday) plus 2 Fridays per 6-week schedule
• Holiday shifts: 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: 2 mandatory on-call shifts per 6-week schedule
• Floating: RN expected to float within scope to cover triage, c-section cases (including circulating), antepartum, intrapartum, and postpartum care
• Block scheduling: Not accommodated
• Locals: Not accepted (home must be at least 75 miles from facility)
• Pending license: Not accepted

Patient Ratios

• 1:1 to 1:3 patient ratio

Required Certifications

• BLS (Basic Life Support)
• FHM (Fetal Heart Monitoring)
• NRP (Neonatal Resuscitation Program)
• EFM (Electronic Fetal Monitoring) certification required
• ACLS, PALS, TNCC, CPI, MAB, and other certifications may be required or preferred depending on unit specifics

Required Skills and Responsibilities

• IV Therapy/Phlebotomy: Administration of blood & blood products, venous blood draws, peripheral IV start and maintenance, infusion pump use
• Labor and Delivery Management: Amnioinfusion, assist vaginal delivery, circulate for C-section, forceps/vacuum extraction, hemorrhage/shock management, recovery post C-section, sterile vaginal exams
• Medication Administration: Antihypertensives, magnesium sulfate, Pitocin, prostaglandins, terbutaline
• Neonatal Care: Cord blood collection, infant ID/security banding, circumcision assistance and care, car seat education, metabolic screening, newborn assessment, hypoglycemia management, phototherapy, thermoregulation
• Antepartum Care: NSTs (Non-Stress Tests), reflex and edema assessments, triage of obstetrical patients, use of external fetal heart monitoring
• Postpartum Care: Baby-friendly protocols, breastfeeding/lactation support, episiotomy/incisional care, Foley catheter insertion, fundus/lochia/perineum care, breast pump use, wound assessment, care of postpartum complications (hemorrhage, bladder distension, pregnancy-induced hypertension, multiple births)
• Surgical Procedures: D&C, tubal ligation, post-op gynecology care including hysterectomy
• Pain Management: Epidural anesthesia, general anesthesia, opioids, PCA use, pain assessment and management
• Fetal Monitoring: Recognition and treatment of abnormal fetal heart rate patterns, spiral electrode placement, internal fetal monitoring, intrauterine pressure catheter placement and calibration
• Additional Skills: Isolation precautions/PPE, vaccine administration, external cephalic version, emergency response including infant/neonatal arrest and rapid response team participation

Facility and Work Environment

• Acute care hospital with 74 staffed beds
• Charting system: Epic
• Scrub color: Navy (provided)
• Free parking

Compliance and Background Requirements

• Government-issued ID required
• Criminal background check within 6 months, including statewide and nationwide searches
• Education verification required (highest nursing education)
• EPLS/GSA/SAM and HHS/OIG checks required quarterly
• Fingerprinting required for Illinois long-term care or rehab units (not for this Missouri assignment)
• Drug testing within 1 year of start, must include comprehensive drug panel
• Physical exam within 1 year of start
• Fit mask (N95) testing required annually
• Immunizations and titers required: Tdap, TB screening, Measles, Mumps, Rubella, Varicella (with boosters or declinations as applicable)
• Seasonal flu vaccination or approved exemption required during flu season
• Various facility-specific documents and acknowledgments (HIPAA, confidentiality, latex allergy, hand hygiene, dress code, etc.) must be completed prior to start
• Competency exams and skills checklists required, including medication/pharmacology competency and unit-specific skills
• References: Two professional references required, preferably supervisors within the last year

Additional Notes

• RN must be able to provide full couplet care and float as needed within the LDRP unit
• Must be willing to work holiday and weekend shifts as scheduled
• No block scheduling or local hires accepted
• Must have all required licenses and certifications active and verifiable prior to start

This position is ideal for an experienced Labor and Delivery RN seeking a travel contract in a community hospital setting with a focus on comprehensive maternal and newborn care.