Labor and Delivery Registered Nurse
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

Unit Overview

• Fast-paced, high-acuity labor and delivery unit with over 300 births per month.
• Double labor assignments are a daily occurrence.
• Average patient load includes 20 births in 24 hours, 30-40 admissions, 40 visits per day, and 20 rooms.
• Patient population includes obstetrical patients 16 weeks and greater for intrapartum, high-risk antepartum, and postpartum care, as well as high-risk patients under 16 weeks.
• Procedures performed include scheduled and unscheduled Cesarean births and rescue cervical cerclage.
• Unit uses PYXIS, EPIC, and SBAR systems.
• Orientation duration: 24 hours.
• Scrubs provided (blue).

Shift Details

• Night shift: 18:45 to 07:15 (12-hour shifts)
• Weekend requirement: Every other weekend, minimum 6 weekend shifts per 6-week schedule.
• Float requirement: Float as needed on a special maternity care high-risk OB unit.
• No call requirement.
• RTO (Return to Office) after booking is not allowed and cannot be worked out onsite.

Required Qualifications

• Valid RN license in North Carolina
• Minimum 2 years of Labor and Delivery experience, with experience within the last year
• Associate of Science in Nursing / Associate Degree in Nursing
• BLS (Basic Life Support) certification issued by American Heart Association or American Red Cross
• AWHONN Intermediate Fetal Monitoring certification
• Neonatal Resuscitation Program (NRP) certification
• Experience circulating in the OR
• Competency in performing sterile vaginal exams

Patient Care and Unit Expectations

• High patient acuity and volume; not recommended for 48-hour contracts due to workload intensity.
• Strong preference for RNs with OR circulate experience.

Compliance and Documentation Requirements

• Background checks including local county, federal court, national criminal database, DOJ sex offender search, and education verification for highest degree earned.
• Drug screening within 30 days of start (10-panel, negative result required).
• Physical exam within 1 year of start; if past positive TB, physical within 30 days and annual updates required.
• Fit testing required (N95 mask or Novant PAPR training completion).
• Immunizations and titers required:

  • Measles (Rubeola), Mumps, Rubella, Varicella: titer or 2 vaccines; boosters required if negative/equivocal. Declinations not accepted.
  • Hepatitis B: titer, series, or facility-specific declination form if negative/equivocal.
• Seasonal flu vaccination or approved exemption required; exemptions require mask-wearing on campus.
• TB testing: PPD, Qgold, or Tspot within 1 year; if positive, clear chest x-ray within 5 years and annual physician-signed TB questionnaire required.

Orientation and Training

• Must complete Non-Novant Health Worker Clinical Education Checklist (for North Carolina travel candidates).
• Medication Safety training module completion with certificate required.
• Annual compliance training and facility-specific education modules required.
• Epic system training available with optional test-out for experienced users.
• Dysrhythmia/EKG competency exam required within 72 hours of start; must pass with 82% or higher.

Additional Notes

• References: 2 professional references within 3 years required for travel and acute care positions.
• Employment application must be uploaded prior to start.
• Badge photo required immediately after signing contract; must meet specific photo criteria (passport style, white background, business attire).
• Confidentiality agreement, hospital policies acknowledgment, and other facility-specific documents must be signed prior to start.

This position is suited for experienced labor and delivery RNs comfortable in a high-volume, fast-paced environment with strong clinical skills in obstetrical care and newborn management.