Labor and Delivery RN
Charlotte, North Carolina
Novant Health Presbyterian Medical Center

Job Opportunity: Labor and Delivery Registered Nurse

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

Job Overview

• Work in a fast-paced, high-acuity Labor and Delivery unit specializing in obstetrical care for patients 16 weeks gestation and greater, including high-risk antepartum, intrapartum, and postpartum care.
• Unit also cares for high-risk patients under 16 weeks gestation.
• Procedures include scheduled and unscheduled Cesarean births and rescue cervical cerclage.
• Average patient volume: 20 births per 24 hours, 30-40 admits, 40 visits/day, 20 rooms.
• Nurse-to-patient ratio: 2:1.
• Shift: 12-hour nights (18:45 - 07:15), with 36 hours offered.
• Weekend requirement: Minimum every other weekend (6 weekend shifts per 6-week schedule).
• Float requirement: Float as needed on a special maternity care high-risk OB unit.
• Call requirement: None.
• RTO (Return to Office) after booking is NOT allowed and cannot be worked out onsite.

Experience & Skills Requirements

• Minimum 2 years of experience preferred; 3 years preferred for comfort due to unit challenges.
• Prior travel experience is not required; first-time travelers accepted if experienced in a large/high-volume similar setting.
• Skills: Circulate, sterile vaginal exam, and competent in immediate newborn care.
• Certifications required:

  • BCLS (Basic Cardiac Life Support)
  • AWHONN Intermediate (Association of Women's Health, Obstetric and Neonatal Nurses)
  • NRP (Neonatal Resuscitation Program)

Unit Details

• Very fast-paced and busier than typical units; 48-hour contracts are generally not realistic.
• Strong preference for RNs with OR circulate experience.
• Unit systems: PYXIS, EPIC, SBAR.
• Orientation: 24 hours.
• Scrubs provided (blue).

Patient Population

• Obstetrical patients 16 weeks and greater for all intrapartum and high-risk antepartum/postpartum care.
• High-risk maternity patients under 16 weeks gestation.
• Obstetrical triage unit for screening and outpatient procedures (antenatal fetal surveillance, IV hydration, medication administration).

Compliance & Documentation Requirements

• Background checks within 6 months required.
• Drug testing (9-panel) within 6 months required.
• Immunizations and health screenings required including:

  • Negative TB test or chest X-ray within 1 year (or proof of past positive with documentation).
  • Rubeola (Measles), Mumps, Rubella titers or vaccinations.
  • Hepatitis B vaccination or declination form.
  • Varicella immunity.
  • Seasonal flu vaccination or approved exemption during flu season.
• Physical exam and references required per travel agency standards.
• Various competency exams and certifications as per agency and facility requirements (e.g., medication competency, color blindness testing, EKG competency if applicable).
• Facility-specific documents such as confidentiality agreement, hospital policies acknowledgment, and photo for badge required.
• Orientation and training modules must be completed as required by the facility.

Additional Notes

• The unit accepts contracts between 13 and 26 weeks.
• RTO (Return to Office) is limited to 7 days maximum for auto-offer.
• Candidates must be prepared for a high-volume, high-acuity environment with a strong emphasis on obstetrical and neonatal care.
• Prior OR circulate experience is highly preferred.
• First-time travelers are welcome but should have experience in similar high-volume settings.

This position is ideal for experienced Labor and Delivery RNs looking for a challenging, fast-paced travel assignment in a specialized high-risk maternity care unit.