Travel Nurse RN - Labor and Delivery
Denville, NJ
First Connect Health
3x12 hrs, Nights
Referral Bonus

RN - Labor & Delivery

Location: Denville, NJ

Contract Duration: 13 Weeks (06/28/2026 – 09/26/2026)

Shift: Nights | 19:00 – 07:30 (3x12-Hour Shifts)

Guaranteed Hours: 36 Hours Per Week

Critical Submission Guardrails (Hardstops)

🚫 Absolute Minimum Qualifications for Review:

• Experience Baseline: Minimum 2+ years of dedicated Level II or higher Labor & Delivery experience within an acute care hospital setting.
• Certifications: Active AHA BLS, AHA ACLS, and NRP are mandatory.
• Specialty Credential: A verified Intermediate or Advanced Fetal Heart Monitoring (FHM) certificate is required at submission.
• Schedule Flexibility: Must be fully available to work regular weekend and holiday night rotations as scheduled by the unit manager.
• On-Call: No on-call hours are tied to this assignment.

Job Summary

An acute care facility in Denville is seeking an adaptable, clinically autonomous Labor & Delivery RN for a 13-week nocturnal assignment. This unit operates under strict AWHONN standards of practice, requiring a nurse who can independently manage high-risk and low-risk laboring patients, circulate obstetric surgical cases, and stabilize newborns at delivery. The ideal candidate will possess advanced competency in electronic fetal monitoring interpretation and the ability to pivot rapidly during sudden obstetric crises.

Key Responsibilities

• Comprehensive Obstetric Care: Manage the full peripartum continuum, including high-risk maternal triage, active labor monitoring, epidural management, and immediate postpartum recovery.
• Electronic Fetal Monitoring ($EFM$): Continuously evaluate fetal heart rate patterns, identifying early signs of distress, evaluating uterine contraction frequency/intensity, and implementing corrective nursing actions.
• High-Alert Infusions: Initiate, titrate, and closely monitor specialized maternal medications, including Oxytocin titration protocols and Magnesium Sulfate infusions for preeclampsia management.
• OR Circulation: Circulate for scheduled and emergent Cesarean sections, bilateral tubal ligations, and cervical cerclages within the dedicated L&D surgical suites.
• Neonatal Resuscitation: Provide immediate stabilization and recovery care for newborns at the time of delivery, executing advanced NRP resuscitation algorithms if respiratory depression is detected.
• Documentation & Safety Alignment: Maintain meticulous, legally compliant nursing records of maternal-fetal assessments and interventions in strict compliance with evidence-based standards.

Requirements & Qualifications

• Licensure: Active New Jersey (NJ) State RN License in hand at submission.
• Clinical Knowledge: Strong working knowledge of AWHONN, ACOG, and national patient safety goals for maternal-child health lines.
• Acuity Comfort: Proven comfort working within a Level II obstetric setting, managing moderately complex maternal complications (e.g., gestational diabetes, preeclampsia, preterm labor).

Clinical Spotlight: Tracing Reassuring vs. Non-Reassuring FHM Patterns

Practicing under AWHONN standards requires rapid, objective categorization of electronic fetal monitoring tracings to guide clinical interventions:

• Category I (Normal): Predictor of normal fetal acid-base status. Requires a baseline rate of $110\text{–}160\text{ bpm}$, moderate baseline variability ($6\text{–}25\text{ bpm}$), and the complete absence of late or variable decelerations.
• Category II (Indeterminate): Not predictive of abnormal fetal acid-base status, but requires close, continuous evaluation. This includes minimal variability, marked variability, or recurrent variable decelerations accompanied by minimal-to-moderate baseline variability.
• Category III (Abnormal): Predictive of abnormal fetal acid-base status. This requires a sinusoidal pattern OR absent baseline variability accompanied by recurrent late decelerations, recurrent variable decelerations, or bradycardia. Immediate intrauterine resuscitation and preparation for an emergent delivery are mandatory.