Labor & Delivery Registered Nurse
New Haven, Connecticut
Yale-New Haven Hospital

Job Summary: Registered Nurse (L&D) - Per Diem

Location: New Haven, Connecticut
Contract Length: 13 weeks (approximately 3 months)
Employment Type: Per Diem
Shift: 12-hour night shifts (7:00 PM - 7:30 AM)
Patient Ratio: 1:2

Experience Requirements

• Minimum 2 years of Labor & Delivery (L&D) experience (highest required)
• Preferred experience in:

  • High Risk Antepartum
  • Teaching Hospital
  • Level I Trauma Center

Licenses & Certifications Required

• Active nursing license
• BLS (Basic Life Support) - AHA only
• NRP (Neonatal Resuscitation Program)
• ACLS (Advanced Cardiac Life Support) preferred but not required
• EFM (Electronic Fetal Monitoring) certification preferred (AWHONN Beginner preferred)

Clinical Skills & Competencies Required

• Use and interpretation of External and Internal Fetal Monitoring (EFM, IUPC)
• Recognition and treatment of abnormal fetal heart rate patterns
• Venous blood draws, IV insertion and maintenance, infusion pumps/drips
• Administration and monitoring of:

  • Antihypertensives
  • Insulin drips
  • Magnesium Sulfate therapy
  • Pitocin (oxytocin)
  • Prostaglandins
  • Terbutaline
  • Amnioinfusion
• Assist with high-risk and vaginal deliveries
• Circulate for C-sections, assist with forceps/vacuum extraction
• Manage hemorrhage/shock, postpartum hemorrhage, pregnancy-induced hypertension
• Neonatal care including:

  • APGAR scoring
  • Neonatal resuscitation
  • Radiant warmers/thermoregulation
  • Infant identification and assessment
  • Newborn hypoglycemia management
• Pain management including epidural anesthesia, general anesthesia, IV conscious sedation, nitrous oxide, opioids
• Breastfeeding and lactation support
• Foley catheter insertion and management
• Fundus, lochia, perineum care
• Use of electric/manual breast pumps
• Wound assessment and care
• Couplets care and multiple births management

Preferred Skills

• Assist with sterile speculum exams (effacement, dilation, station, presentation)
• Non-Stress Tests (NST)
• Reflex checks, edema assessment, clonus
• Adult and infant/neonatal cardiac arrest response
• Use of rapid response/code teams
• Telemetry interpretation
• Administration of blood and blood products
• Central line maintenance (CVC/PICC)
• Anticoagulants and antiseizure medication administration
• Collecting cord blood samples
• Use of PCA (patient-controlled analgesia) IV
• Cervical cerclage, D&C, tubal ligation assistance

Orientation & Training

• 2-3 days orientation:

  • Virtual orientation (Friday)
  • In-person orientation (Monday)
  • Epic training (Wednesday) with test-out option for experienced users
• Charting system: Epic, Oboix
• Medication system: Pyxis
• Scrubs provided (Royal Blue)

Additional Requirements

• Must commit to at least 4 shifts per month
• Must prioritize compliance and meet all credentialing deadlines before start date
• 2 clinical references and at least 1 leadership reference from assignments within the last year required
• 7-year criminal background check including sex offender registry
• Physical exam within 12 months prior to start
• Respiratory fit mask test required
• Negative TB test or chest X-ray within past year
• Immunizations or titers required for:

  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Hepatitis B (proof of series or declination)
  • Varicella (immunity by history, titer, or vaccination)
• 10-panel drug screen within 30 days of start
• Flu vaccination or declination accepted (seasonal requirement)
• COVID-19 vaccination requirements apply; medical exemptions may be considered, religious exemptions not accepted
• Medication and pharmacology competency exams required
• Color vision testing required

Prior Travel Experience

• Not required; first-time travelers accepted

This position is ideal for experienced L&D nurses seeking per diem night shifts in a high-acuity teaching hospital environment with a strong focus on maternal and neonatal care.