Labor and Delivery RN
Wilmington, North Carolina
New Hanover Regional Medical Center

Registered Nurse – Labor and Delivery

Employment type: Travel/Contract Location: Wilmington, North Carolina Contract length: 26 weeks (13–26 weeks accepted) Locals accepted: Yes Traveler experience: Not required

Overview

• Unit: Women's Services – Labor & Delivery (high-risk L&D, antepartum, and Mother/Baby care)
• Unit size: 14 rooms, average daily census of 15
• Volume: Approximately 350 deliveries per month
• Level of care: Regional Level III
• Ratio: 1:2 (antepartum may have up to 5 patients per shift)
• Schedule: 12-hour day shifts, 6:45–19:15. 36 or 48 hours per week can be offered (48 hours listed as 4x12). RTO: 7 days max.
• Weekends: Every third weekend
• Float: Yes, to Mother/Baby care. Specific locations and distances not provided.
• Orientation: 24 hours
• Scrubs: Provided (ceil blue)

Required Qualifications

• Valid RN license in North Carolina
• Associate of Science in Nursing / Associate Degree in Nursing
• Labor and Delivery (2 years of experience)
• Labor and Delivery experience within the last year
• Experience working with High Risk Labor and Delivery patients
• BLS issued by American Heart Association or American Red Cross
• NRP - Neonatal Resuscitation Procedure
• EFM - Electronic Fetal Monitoring
• AWHONN Intermediate
• Experience circulating for C-sections
• Experience with IUPC placement and calibration
• Experience with internal fetal monitoring
• Ability to interpret fetal heart rate strips
• Proficiency in vaginal exams
• Non-stress test (NST) and oxytocin challenge test (OCT)
• Experience with amnioinfusions
• Experience administering antihypertensives
• Experience administering blood and blood products

Patient Population and Unit Details

• Diagnoses: Preterm labor, preeclampsia, postpartum hemorrhage, induction (Cytotec/Foley/Pitocin), intrauterine fetal demise, antepartum care, laboring patients, primary and repeat C-sections
• Possible COVID patient care
• Special equipment: Magnesium and insulin drips, Bakri balloon, Foley bulb, IUPC, internal and external monitoring
• Support services: Hospitalist and anesthesia coverage 24/7, NP and CRNA coverage 24/7, MFM consults available. Interpretation, pharmacy, radiology, rapid response, respiratory, social services, and unit secretary are also available.
• Staffing expectations: Contract staff are equally assigned alongside home unit staff. Contract staff may be reassigned to other units as needed. They are expected to work Storm Team and/or Hurricane Team and may be required to report during a catastrophic event, mass casualty, or disaster. Consolidation to a centralized office mid-contract may occur.

Onboarding and Compliance Requirements

• Background check within 90 days of start, covering all locations lived in over the past 7 years
• Negative 10-panel drug screen within 30 days of start
• Physical within 1 year of start
• Negative TB test (PPD, QuantiFERON, or T-spot) within 1 year of start. A positive result requires additional steps.
• Flu vaccination required. Intranasal vaccines are acceptable. Exemptions are reviewed case by case.
• Measles, mumps, rubella, and varicella immunity by titer or 2 vaccines. Declinations are not accepted.
• Hepatitis B by titer, vaccine series, or facility Hep B declination
• N95 fit test within 1 year of start, or completion of PAPR training
• Two professional references within 3 years of start
• Employment application
• Online compliance training and facility orientation modules, including confidentiality agreement, education roster, tobacco-free campus acknowledgement, medication safety module, and annual compliance training
• North Carolina clinical education checklist (travel candidates only; modules take 8–10 hours for acute care)
• Online learning account setup, with proof of login before start
• North Carolina Division of Medical Assistance and Healthcare Personnel Registry searches within 90 days prior to start