Labor and Delivery RN
Wilmington, NC
Access Healthcare
4x12 hrs, Nights

Registered Nurse: Labor and Delivery (High-Risk)

Location: Wilmington, North Carolina Employment Type: Travel/Contract Contract Length: 26 weeks (13-26 weeks accepted) Shift: Night, 4x12 hours (18:45-7:15); 36- or 48-hour weeks can be offered (48.00 hours/week listed)

Unit Details

• Unit: Women's Services, Labor & Delivery
• Average Daily Census: 15
• Rooms: 14
• Volume: About 350 deliveries/month
• Setting: Regional Level III care, fast-paced unit
• Ratio: 1:2; up to 5 antepartum patients per shift
• Patient Diagnoses: Preterm labor, preeclampsia with or without severe features, postpartum hemorrhage, Cytotec/Foley/Pitocin induction, intrauterine fetal demise, antepartum care, laboring patients, primary and repeat C-sections
• Census Surges: Ratios may be higher during times of increased census. Contract staff are equally assigned with home unit staff to ensure RN coverage.
• Coverage: Hospitalist and anesthesia in-house 24/7; NP and CRNA in-house 24/7; MFM consults available
• Support Services: Interpretation, pharmacy, radiology, rapid response teams, respiratory services, social services, unit secretary

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• 2 years of Labor and Delivery experience, including experience with high-risk Labor and Delivery patients
• 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)
• AWHONN Intermediate
• Proficiency in vaginal exams
• Experience with IUPC and FSE placement
• Experience with amnioinfusions
• Experience circulating for C-sections
• Experience managing postpartum hemorrhage
• Administration of blood and blood products
• Magnesium sulfate therapy
• Insulin drip management
• Prostaglandin administration

Schedule and Assignment Details

• Shift pattern: Every third weekend
• Return to office: 7 days maximum
• Float: Yes, to Mother/Baby care. Specific locations and distances are not provided.
• Contract staff may be reassigned to other units as needed.
• Orientation: 24 hours
• Contract staff will be assigned to the Storm Team and/or Hurricane Team and may be required to report during a catastrophic event, mass casualty, or disaster.
• Consolidation to a centralized office mid-contract may occur.
• Scrubs: Provided (ceil blue)

Onboarding Requirements

• Background check within 90 days of start, including education verification for the highest profession-specific degree
• Negative 10-panel drug screen within 30 days of start
• TB screening: PPD, QuantiFERON, or T-SPOT within 1 year of start; a physical is required within 30 days if TB is positive
• Immunity: Measles, mumps, rubella, and varicella titers or 2 vaccines; Hepatitis B titer or series
• Flu vaccination for the 2026-27 season (intranasal accepted); exemption requests are reviewed case by case
• Physical within 1 year of start
• N95 fit test (or PAPR training if a fit test fails); a fit test is required for per diem
• Required orientation modules, including compliance training, confidentiality agreement, and education modules (about 2 hours 45 minutes), plus facility-specific forms