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

Registered Nurse, Labor and Delivery (High-Risk)

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

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)
• NST (non-stress test) performance
• OCT (oxytocin challenge test) performance
• Proficiency in vaginal exams
• Internal fetal monitoring
• Ability to interpret fetal heart rate strips
• Experience with IUPC and FSE placement
• VBAC management/trial of labor
• Infant/neonatal arrest management
• Administration of blood and blood products

Clinical Skills Used on the Unit

• Antepartum: NST, OCT, reflex and edema checks, clonus assessment, sterile vaginal exams, and external fetal monitoring.
• Labor and delivery: High-risk deliveries, amnioinfusion, C-section circulation and recovery, and hemorrhage and shock management.
• Fetal monitoring: Internal and external monitoring, IUPC placement and calibration, and treatment of abnormal fetal heart rate patterns.
• IV therapy and medications: Blood and blood product administration, anticoagulants, antihypertensives, antiseizure medications, insulin and magnesium drips, Pitocin, prostaglandins, and terbutaline.
• Pain management: Epidural, general anesthesia, IV conscious sedation, nitrous oxide, opioids, and IV PCA.
• Neonatal and postpartum: Neonatal resuscitation, newborn assessment, breastfeeding support, and postpartum hemorrhage and hypertension care.
• Patient diagnoses: Preterm labor, preeclampsia, postpartum hemorrhage, induction, intrauterine fetal demise, and primary and repeat C-sections.

Assignment Details

• Shift: Day shift, 3x12 hours (6:45 to 19:15). 36- or 48-hour weeks can be offered.
• Hours per week: 36
• Ratio: 1:2 (may have up to 5 patients per shift in antepartum care). Ratios may be higher during periods of increased census.
• Weekends: Every third weekend.
• Return to work: Within 7 days maximum.
• Float: Yes, to mother/baby care. Specific locations and distances were not provided.
• Emergency and disaster duties: Contract staff are assigned to the Storm Team and/or Hurricane Team. They may be required to report during a catastrophic event, mass casualty, or disaster. Staff may be reassigned to other units as needed, and may be consolidated to the centralized office mid-contract.
• Scrubs: Provided (Ceil blue).
• Orientation: 24 hours.

Unit and Support

• Unit: Women's Services – Labor & Delivery. Regional Level III care and a fast-paced unit.
• Census: Average daily census of 15 across 14 rooms. Approximately 350 deliveries per month.
• Coverage: Hospitalist and anesthesia coverage 24/7. NP and CRNA coverage 24/7. MFM consults available.
• Support services: Interpretation, pharmacy, radiology, rapid response, respiratory, social services, and unit secretary.
• Equipment: Magnesium and insulin drips, Bakri balloon, Foley bulb, IUPC, and internal and external monitoring.

Credentialing and Onboarding

• Background check: Completed within 90 days of start, covering all locations lived in over the past 7 years. Includes local county, federal court, national criminal database, DOJ sex offender search, and education verification for the highest profession-specific degree.
• Exclusion checks: EPLS/GSA/SAM and HHS/OIG checks within 90 days of start.
• State checks: North Carolina Medicaid Division of Medical Assistance search and NC Health Care Personnel Registry search, both within 90 days prior to start.
• Drug screen: 10-panel negative drug screen within 30 days of start.
• TB: Negative PPD, QuantiFERON, or T-SPOT within 1 year of start. A positive result requires a clear chest X-ray within 5 years, a physician-signed physical within 30 days of start, and a TB questionnaire.
• Physical: Within 1 year of start.
• Immunizations: Flu vaccine for the 2026-27 season (intranasal accepted). Measles, mumps, rubella, varicella, and hepatitis B require a titer or vaccine series. Negative or equivocal titers require 2 boosters 28 days apart, and declinations are not accepted. Hepatitis B declinations are allowed if the titer is negative or equivocal.
• Fit testing: Required, using any N95 within 1 year of start, or completion of PAPR training.
• Education: Facility education roster (2 hours 45 minutes). Medication safety module (35 minutes for clinical staff who prepare and administer medications, or 20 minutes for those who only handle medications). Annual compliance training (40 minutes). Non-clinical education checklist for North Carolina travelers (8 to 10 hours for acute candidates).
• Documents: Confidentiality agreement, tobacco-free campus acknowledgement, hospital policies acknowledgement, and employment application.
• References: 2 professional references within 3 years of start.
• Performance evaluation: Required if the candidate has worked with the agency for over a year.