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

Job Opportunity: Labor and Delivery Registered Nurse

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

Unit Overview

• Fast-paced, high-acuity labor and delivery unit with over 300 births per month.
• Double labor assignments are common daily.
• Average ratios: 2:1 nurse to patient.
• Approximately 20 births, 30-40 admits, 40 visits, and 20 rooms per 24 hours.
• High-risk obstetrical care including intrapartum, antepartum, postpartum, and patients 16 weeks gestation and greater.
• Unit includes obstetrical triage and performs scheduled/unscheduled Cesarean births and rescue cervical cerclage.
• Strong preference for RNs with circulating experience in the OR.

Work Schedule

• Shift: Day shift, 12 hours (06:45 AM – 07:15 PM)
• 36 hours per week offered (3 shifts/week)
• Weekend requirement: Minimum every other weekend (6 weekend shifts per 6-week schedule)
• Float required as needed within the unit

Required Experience & Skills

• Minimum 2 years of labor and delivery nursing experience; 3 years preferred.
• Must have experience working in a high-volume unit with >300 births per month.
• First-time travelers accepted if experienced in large/high-volume settings.
• Skills: Circulating in OR, sterile vaginal exams, and competent in immediate newborn care.

Certifications Required

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

Orientation & Training

• Unit orientation: 24 hours
• Scrubs provided (blue)
• May be required to precept or orient new staff members

Patient Population & Care Details

• Obstetrical patients 16+ weeks gestation for all intrapartum and high-risk antepartum/postpartum care.
• High-risk maternity care including patients under 16 weeks gestation.
• Procedures include antenatal fetal surveillance, IV hydration, medication administration, Cesarean births, and cervical cerclage.

Systems Used

• PYXIS medication system
• EPIC electronic health record
• SBAR communication framework

Time Off (RTO) Policy

• No RTO allowed after booking; call-offs or additional RTO may result in cancellation or denial of rehire.
• Maximum 7 days RTO allowed for auto-offer consideration.

Required Documentation & Compliance

• Background check within 6 months for clinical candidates.
• Drug screening (9-panel) within 6 months of start.
• Negative TB test or chest X-ray within 1 year of start; additional documentation required if past positive.
• Immunizations: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella per facility standards.
• Physical exam and references required per travel agency standards.
• Mandatory completion of facility-specific education modules and compliance training.
• Photo for badge (passport style, white background, business attire) required immediately after signing contract.
• Must complete password setup and login to facility’s learning system (I-Learn) within 24 hours of receiving credentials.

Additional Notes

• Unit is considered difficult and fast-paced; not recommended for nurses with less than 2 years of experience.
• 48-hour contracts discouraged due to workload intensity.
• Candidates may be required to float within the high-risk maternity care unit.

Requirements/Qualifications

• Valid RN license in North Carolina
• Minimum 2 years of labor and delivery nursing experience, with experience within the last year
• Experience working in a high-volume labor and delivery unit with over 300 births per month
• BLS certification issued by American Heart Association or American Red Cross
• AWHONN Intermediate Fetal Monitoring certification
• Neonatal Resuscitation Program (NRP) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

This position is ideal for experienced labor and delivery RNs comfortable in a high-volume, high-acuity environment seeking a travel contract in North Carolina.