Labor and Delivery RN
Charlotte, NC
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Labor and Delivery Nurse (Registered Nurse)

Location: Charlotte, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

This is a challenging, fast-paced Labor and Delivery nursing position on a high-volume unit with over 300 births per month. Double labor assignments are common daily. The unit cares for obstetrical patients 16 weeks and greater, including high-risk antepartum, intrapartum, and postpartum care. The unit also manages scheduled and unscheduled Cesarean births and rescue cervical cerclage procedures.

Key Details

• Patient Ratios: 2:1 nurse-to-patient ratio
• Patient Volume: Approximately 20 births in 24 hours, 30-40 admits, 40 visits/day, 20 rooms
• Shift Options: 12-hour night shifts (18:45 - 07:15), 36 or 48 hours offered (48-hour contracts may be difficult due to pace)
• Weekend Requirement: Every other weekend, minimum 6 weekend shifts per 6-week schedule
• Float Requirement: Float as needed on a special maternity care high-risk OB unit
• Orientation: 24 hours
• Scrubs: Provided (blue)

Required Experience and Skills

• Specialty Experience: Minimum 2 years preferred; 3 years preferred for comfort on this difficult unit
• Prior Travel Experience: First-time travelers accepted if experienced in large, high-volume settings
• Skills: Circulate in OR, sterile vaginal exams, competent in immediate newborn care
• Certifications:

  • BCLS (Basic Cardiac Life Support)
  • AWHONN Intermediate Fetal Monitoring
  • NRP (Neonatal Resuscitation Program)

Patient Population and Unit Details

• Obstetrical patients 16 weeks and greater, including high-risk antepartum, intrapartum, and postpartum
• High-risk maternity unit also cares for patients under 16 weeks
• Obstetrical triage unit for screening and outpatient procedures (antenatal fetal surveillance, IV hydration, medication administration)
• Procedures include scheduled/unscheduled Cesarean births and rescue cervical cerclage
• Unit is very fast-paced and higher acuity than typical labor and delivery units
• Strong preference for RNs with OR circulate experience

Systems Used

• PYXIS
• EPIC
• SBAR communication

Additional Notes

• No call requirement
• Return to Office (RTO) after booking is not allowed and cannot be worked out onsite; excessive call-offs or RTO may lead to cancellation
• Unit is difficult and fast-paced; double labor assignments are daily occurrences

Required Qualifications

• Valid Registered Nurse (RN) license in North Carolina
• Minimum 2 years of Labor and Delivery nursing experience, including experience within the last year
• Current BLS certification issued by American Heart Association or American Red Cross
• Neonatal Resuscitation Program (NRP) certification
• Electronic Fetal Monitoring (EFM) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience circulating in the operating room (OR)
• Competent in immediate newborn care

Compliance and Documentation Requirements

• Background checks within 6 months
• Drug testing within 6 months
• Immunizations and health screenings including TB, MMR (Measles, Mumps, Rubella), Hepatitis B, Varicella, and seasonal flu vaccination or approved exemption
• Required facility-specific documents and acknowledgments (e.g., confidentiality agreement, hospital policies)
• Competency exams and medication/pharmacology tests as required
• Photo for badge (passport style, business attire, white background)

Summary

This Labor and Delivery RN role is ideal for experienced nurses comfortable in a very busy, high-acuity OB unit with a high birth volume. The position offers 13-week travel contracts with flexible shift options and requires strong clinical skills, certifications, and the ability to manage multiple labor assignments simultaneously. Prior travel experience is not mandatory, but experience in similar high-volume settings is essential.