Labor & Delivery RN
Kearney, Nebraska
Kearney Regional Medical Center

Registered Nurse – Labor & Delivery

Location: Kearney, Nebraska
Contract Length: 12 weeks

Job Overview

• Work in a hospital with approximately 50 births per month (600 per year).
• Assignment in a Labor, Delivery, Recovery, and Postpartum (LDRP) unit with:

  • 10 private LDRP rooms
  • 2 antepartum rooms
  • 1 OR suite
• Mothers labor and deliver in one bed; newborns stay in bassinets in the mother’s room (no nursery). Skin-to-skin care is emphasized.
• Strong teamwork culture; recognized as a Safe Sleep Champion by the Department of Health & Human Services.
• Floating to NICU for feeders and growers only.
• Shift: Nights, 12-hour shifts (6pm–6am), approximately 36 hours per week.
• Weekend requirement: Every 3rd weekend (potentially every other depending on need).
• Holiday requirement: One major and one minor holiday.
• Orientation: 1-2 days floor-specific.
• Charge nurse role available.

Patient Care & Environment

• Nurse-to-patient ratios:

  • Couplet care 1:3
  • Laboring patients 1:1
• Common patient diagnoses:

  • Pregnancies at 32 weeks or more (earlier gestations transferred out)
  • No VBAC patients
  • Patients on magnesium sulfate and insulin protocols
• C-section experience required (circulating nurse role).
• Telemetry monitoring via GE system (centrally monitored).
• No ventilators on unit.
• Respiratory therapy available 24/7.
• Pharmacy coverage on call at night, moving toward 24/7 availability.
• IV skills must be strong.

Required Certifications & Licenses

• Current Nebraska RN license or compact RN license.
• BLS (Basic Life Support) – AHA or ARC certified.
• ACLS (Advanced Cardiovascular Life Support) – AHA or ARC certified.
• NRP (Neonatal Resuscitation Program) certification.

Preferred Qualifications

• Experience with EPIC charting system is a plus.
• Fetal Heart Monitoring (FHM) certification preferred.

Additional Information

• Scrubs provided by hospital.
• Unit staff includes lactation counselor, maternity educator, unit secretary/notary, nurse aides/OB techs (day and night shifts depending on census).
• Anesthesia available on call with 20-minute response time; OB/Neonatologist on call.
• Floating assignments and up to 2 extra mandatory shifts every 6 weeks possible.

Summary

This is a 12-week Labor & Delivery RN assignment requiring strong clinical skills in maternal-newborn care, including C-section circulation and neonatal resuscitation. The role offers a supportive team environment with a focus on family-centered care and skin-to-skin bonding. Night shift nurses will work 12-hour shifts with a moderate weekend and holiday schedule.