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

Registered Nurse – Labor and Delivery (High-Risk)

Location: Wilmington, North Carolina Employment type: Travel/Contract Contract length: 13 weeks Start: Not stated

Shift and Schedule

• Shift: Night, 3x12 hours (18:45 to 07:15), 36 hours per week
• Additional hours: 36 or 48 hours can be offered
• Ratio: 1:2
• Weekends: Every third weekend
• RTO: 7 days maximum
• Unit orientation: 24 hours
• Scrubs: Ceil blue, provided

Required Qualifications

• Valid RN license in North Carolina
• Labor and Delivery experience (2 years)
• Labor and Delivery experience within the last year
• BLS issued by American Heart Association or American Red Cross
• NRP (Neonatal Resuscitation Procedure)
• EFM (Electronic Fetal Monitoring)
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience working with High Risk Labor and Delivery patients
• Experience working with Neonate patients
• Experience working with Infant patients
• Experience with IUPC and FSE placement
• Experience with amnioinfusions
• Experience circulating for C-sections
• Experience with cesarean section
• Experience managing postpartum hemorrhage
• Experience with pregnancy induced hypertension
• Experience with multiple births

Unit and Assignment Details

• Unit: Women's Services – Labor & Delivery, with 14 rooms and an average daily census of 15
• Volume: Approximately 350 deliveries per month; regional Level III care; fast-paced unit with 2 patient loads
• Patient mix: Antepartum (up to 5 patients per shift), laboring patients, primary and repeat C-sections, preterm labor, preeclampsia, postpartum hemorrhage, intrauterine fetal demise, and cytotec, Foley, or Pitocin inductions
• Floating: Yes, to Mother/Baby care; specific locations and distances not provided
• Reassignment: Contract staff may be reassigned to other units as needed
• Census surges: Ratios may be higher during times of increased census
• COVID: May be required to care for COVID patients
• Emergency duties: Assigned to and expected to work Storm Team and/or Hurricane Team; may be required to report during a catastrophic event, mass casualty, or disaster
• Possible change: Consolidation to a centralized office mid-contract may occur
• Coverage: Hospitalist and anesthesia coverage in-house 24/7; NP and CRNA coverage in-house 24/7; MFM consults available
• Support services: Interpretation, pharmacy, radiology, rapid response teams, respiratory services, social services, and unit secretary
• Systems: Pyxis (medication), Epic (documentation), SBAR (communication)
• Equipment: Magnesium and insulin drips, Bakri balloon, Foley bulb, IUPC, internal and external fetal monitoring

Onboarding and Compliance

• Background check: Required within 90 days of start, covering all locations lived in the last 7 years
• Education verification: Required for the highest degree specific to the profession
• Drug screen: 10-panel negative result required within 30 days of start
• Physical exam: Required within 1 year of start
• TB: Negative TB test within 1 year of start; additional steps required for a past positive
• Immunity: Measles, mumps, rubella, and varicella titers, or 2 vaccines; hepatitis B titer or vaccine series
• Flu vaccine: Required for all candidates; exemptions reviewed case by case
• Fit testing: Required (N95 or PAPR)
• Other: Annual compliance training, orientation modules, and facility policy acknowledgments