Labor and Delivery Registered Nurse
Monroe, MI
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Labor and Delivery Registered Nurse

Location: Monroe, Michigan
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Labor and Delivery Registered Nurse to provide comprehensive care in a busy unit with approximately 200-300 births per month. The unit follows AWHONN staffing guidelines and includes a special care nursery for stabilization and transfer of neonates.

Patient Population

• Neonates
• Adolescents
• Adults
• Geriatrics

Unit Details & Responsibilities

• 17 rooms, 17 beds
• Medication system: Pyxis
• Electronic Medical Record: Epic required
• Provider support includes interpretation services, pharmacy, phlebotomy, physical therapy, radiology, rapid response team, respiratory services, social services, transportation, and unit secretary (no HUC at night)
• Provider coverage includes CRNA, hospitalist (family practice/medical), anesthesiologist, CNM, MD, and fellows

Clinical Duties

• Labor and Delivery:

  • Assist with vaginal deliveries, operative vaginal births, C-sections (scrub and circulate)
  • Manage hemorrhage/shock, recover C-section patients
  • Perform sterile vaginal exams, fetal monitoring (EFM, FSE, IUPC)
  • Manage VBAC and trial of labor
  • Amnioinfusion and assist with high-risk deliveries
• Antepartum Care:

  • NST, reflex checks, edema assessment, clonus
  • Triage of obstetrical patients
• Neonatal Care:

  • Stabilize neonates, neonatal resuscitation, APGAR scoring, radiant warmers
  • Newborn care including circumcision assistance, cord care, metabolic screening, NAS care, phototherapy, discharge teaching
• Postpartum Care:

  • Breastfeeding/lactation support, episiotomy/incisional care, Foley catheter insertion, fundus/lochia/perineum care, wound assessment
  • Care for vaginal and cesarean deliveries, postpartum hemorrhage, pregnancy-induced hypertension
• Care of Patients with:

  • Diabetes mellitus, HELLP syndrome, malpresentations, multiple gestation, placenta previa/abruptio, pre-eclampsia/eclampsia, premature rupture of membranes, preterm labor, substance abuse, uterine rupture
• Cardiac Monitoring and Emergency Care:

  • Adult and infant cardiac arrest management, telemetry interpretation, use of rapid response team
• Medication Administration:

  • Antihypertensives, magnesium sulfate therapy, Pitocin, prostaglandins, terbutaline
• Pain Management:

  • Epidural anesthesia, general anesthesia, opioids, pain assessment and management
• Surgical Procedures:

  • Cervical cerclage, D&C, tubal ligation

Staffing & Schedule

• Every other weekend schedule
• 1:1 staffing for laboring patients, 1:3 couplet and mother/baby care
• Special care nursery with stabilization and transfer protocols

Requirements/Qualifications

• Valid RN license in Michigan
• Minimum 2 years of Labor and Delivery experience, including experience within the last year
• Experience in LDRP (Labor Delivery Recovery & Postpartum)
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NRP certification
• Experience working with Neonate, Adolescent, Adult, Geriatric, and Maternal-Fetal patients
• Experience in Non-Stress Testing (NST), reflex checks, edema assessment, and clonus
• Experience performing sterile vaginal exams

Required Skills & Competencies

• Proficient in Epic EMR system
• Medication test/pharmacology competency exam as applicable
• Dysrhythmia/EKG competency exam (RN only), updated annually
• Competency exams as required by profession
• Skills checklist required for all candidates

Work Settings Required

• Antepartum
• Community level experience
• Facility births/month: 200-300 and >300
• Level I Nursery
• LDRP (Labor, Delivery, Recovery, Postpartum)
• Mother/Baby care

Health & Compliance Requirements

• Physical exam within last 12 months
• Negative TB test or chest X-ray within 3 months (annual updates required)
• Immunizations or proof of immunity for:

  • Measles (Rubeola), Mumps, Rubella (MMR)
  • Varicella
  • Hepatitis B (series, positive titer, or declination)
  • Tdap within 10 years (declination accepted except for certain facilities)
  • Seasonal flu vaccination or approved exemption (required during flu season)
• Negative 10-panel drug screen within 12 months
• N95 fit test within 12 months, updated annually (onsite exceptions possible)
• Background checks including 7-year history, EPLS/GSA/SAM, HHS/OIG, fingerprinting as applicable
• Education verification and licensure primary source verification required
• Two professional references within 2 years, including at least one from a leader (Charge RN or above)

Additional Information

• Scrubs provided (green)
• 7 days of required time off excluding holidays

This position offers a comprehensive Labor and Delivery experience in a well-supported hospital setting with a focus on high-quality maternal and neonatal care.