Travel Nurse RN - Labor and Delivery
Bismarck, ND
AHS Staffing
3x12 hrs, Nights, Rotating

Location: Bismarck, North Dakota
Specialty: L&D RN
Unit: L&D / Postpartum / GYN
Contract: 13 weeks
Dates: 9/14/26 – 12/14/26
Positions: 3
Guaranteed: 36 hours/week
Shift: 3×12 Nights
Weekends/Holidays: Rotating
Type: Travel
Bill Rate: $107/hr

🕐 Schedule

Primary schedule:

3×12-hour nights

But there's an important catch:

Traveler must be willing to work some days.

So I would not sell this as guaranteed straight nights.

They specifically say:

• 3×12 nights
• Rotating weekends
• Rotating holidays
• Some day shifts
• Floating/helping hands as needed

If your nurse absolutely refuses days, I'd be cautious submitting them.

🚨 HARD-STOP / IMPORTANT Requirements

1. 🔴 3 Years Experience

They specifically require:

3 years of L&D experience.

And they want experience in:

• L&D
• Postpartum / Mother-Baby
• GYN care

This is much more experienced than the Utah job's 1-year requirement.

2. 🔴 BLS + ACLS + NRP

Required:

• BLS/CPR
• ACLS
• NRP

STABLE

Preferred, but NOT required.

That's nice because a candidate without STABLE can still qualify.

3. 🟠 Must Float to Nursery/NICU

The candidate must be willing to float/help in:

• Newborn Nursery
• NICU

The description specifically calls this "Helping Hands."

So I wouldn't necessarily interpret this as:

"You're taking a full NICU assignment."

It's more of a support/assist role, but the traveler needs to be comfortable doing it.

🏥 Unit

The unit has approximately:

19 beds/rooms

The nurse works across several areas:

L&D → Mother/Baby → GYN

This is a pretty broad OB assignment.

👶 Patient Population

They care for:

L&D

• Normal deliveries
• High-risk patients
• Laboring patients
• Delivery/recovery

Postpartum

• Mom/baby couplets
• Postpartum care
• Newborn care

GYN

• GYN surgical patients
• Post-op care

So this is not a pure L&D floor.

A traveler needs to be comfortable moving between different patient populations.

👩‍⚕️ Ratios

This is actually one of the better parts of the job.

L&D

1:1 or 1:2

Mother/Baby

1:3 couplets

GYN

4 patients

Mixed assignment

If caring for a combination of mom/babies + GYN:

1:5–6

That's reasonable for a combined OB/GYN unit.

🫀 Fetal Monitoring

Required skill:

Fetal monitoring

They use:

• Fetal monitors
• OBIX documentation
• Centralized L&D monitoring

So I'd want a candidate who is comfortable interpreting fetal heart rate strips independently.

🖥️ EMR

There's actually a split system:

L&D

OBIX

GYN

Epic

So don't just ask:

"Do you have Epic?"

I'd specifically ask about OBIX/L&D fetal monitoring documentation as well.

🧑‍⚕️ Job Duties

The nurse will handle:

• L&D patient care
• High-risk labor
• Delivery care
• Postpartum mom/baby
• GYN post-op patients
• Fetal monitoring
• Newborn support
• Nursery/NICU helping hands

This is a well-rounded OB RN position.

🩺 Trauma / Facility

Acute care

The listing doesn't provide a trauma level.

I wouldn't advertise this as a Trauma I/II job unless you verify that separately.

💰 Pay

Bill Rate: $107/hr

OT: $117/hr

Charge: $110/hr

Holiday: $117/hr

Again, these are bill rates, not the traveler's pay.

Guaranteed:

36 hours/week

That's the number I'd focus on when comparing packages.

🏠 Local Traveler Rule

This is important:

No local travelers within 80 miles.

If the candidate has a permanent address within 80 miles of Bismarck, they're not eligible as a local traveler.

For a true traveler coming from outside the area, that's not an issue.

⚠️ Sanford Previous Employee Rule

This is a submission requirement.

You MUST note if the candidate has ever worked for Sanford Health.

If they previously worked for Sanford:

Their end date must be at least 6 months before submission.

So I'd ask this during your initial screening:

"Have you ever worked for Sanford Health in any capacity?"

👕 Scrubs

Navy blue scrubs

There is a slight distinction:

• GYN / Mother-Baby → Navy blue
• L&D → Hospital-provided scrubs are available

Pretty easy compliance item.

📚 Orientation

The posting says:

36 hours of orientation for travelers.

Top-level listing says orientation 8 hours, but the detailed unit information specifically says 36 hours, so I'd use 36 hours as the working assumption and verify with Medical Solutions if you're calculating pay.

❌ Cancellation

Client can cancel:

Up to 12 hours per 13-week assignment.

That's only one 12-hour shift, which is considerably better than the French Hospital and Utah jobs we just looked at.

🎯 Ideal Candidate

I'd target an RN with:

L&D / Mother-Baby / GYN

• 3+ years L&D
• Recent L&D experience
• Postpartum/Mother-Baby
• GYN/post-op experience
• High-risk delivery experience
• Fetal monitoring
• BLS
• ACLS
• NRP
• STABLE preferred
• Epic experience
• OBIX experience is a plus
• Comfortable with newborn nursery/NICU support
• Comfortable working some days
• Comfortable EOW/rotating weekends
• Comfortable holidays
• Willing to float
• No Sanford employment within previous 6 months

1. 36 Guaranteed Hours

Good guaranteed weekly hours.

2. Excellent L&D Ratios

1:1–1:2 in L&D is a strong selling point.

3. Broad OB Experience

L&D + Mother/Baby + GYN.

4. Only 1 Shift Cancellation

The cancellation policy is relatively favorable.

5. STABLE Isn't Required

Only preferred.

6. Strong Experience Builder

For an experienced traveler wanting a broad OB assignment, this gives them exposure to L&D, postpartum, newborns and GYN surgical patients.