Job info

Job Opportunity: Labor and Delivery Registered Nurse

Location: Monroe, Michigan
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Labor and Delivery Registered Nurse to provide comprehensive care in a busy unit with approximately 200-300 births per month. The unit follows AWHONN staffing guidelines and includes a special care nursery for stabilization and transfer of neonates.

Patient Population

Neonates
Adolescents
Adults
Geriatrics

Unit Details & Responsibilities

17 rooms, 17 beds
Medication system: Pyxis
Electronic Medical Record: Epic required
Provider support includes interpretation services, pharmacy, phlebotomy, physical therapy, radiology, rapid response team, respiratory services, social services, transportation, and unit secretary (no HUC at night)
Provider coverage includes CRNA, hospitalist (family practice/medical), anesthesiologist, CNM, MD, and fellows

Clinical Duties

Labor and Delivery:
- Assist with vaginal deliveries, operative vaginal births, C-sections (scrub and circulate)
- Manage hemorrhage/shock, recover C-section patients
- Perform sterile vaginal exams, fetal monitoring (EFM, FSE, IUPC)
- Manage VBAC and trial of labor
- Amnioinfusion and assist with high-risk deliveries
Antepartum Care:
- NST, reflex checks, edema assessment, clonus
- Triage of obstetrical patients
Neonatal Care:
- Stabilize neonates, neonatal resuscitation, APGAR scoring, radiant warmers
- Newborn care including circumcision assistance, cord care, metabolic screening, NAS care, phototherapy, discharge teaching
Postpartum Care:
- Breastfeeding/lactation support, episiotomy/incisional care, Foley catheter insertion, fundus/lochia/perineum care, wound assessment
- Care for vaginal and cesarean deliveries, postpartum hemorrhage, pregnancy-induced hypertension
Care of Patients with:
- Diabetes mellitus, HELLP syndrome, malpresentations, multiple gestation, placenta previa/abruptio, pre-eclampsia/eclampsia, premature rupture of membranes, preterm labor, substance abuse, uterine rupture
Cardiac Monitoring and Emergency Care:
- Adult and infant cardiac arrest management, telemetry interpretation, use of rapid response team
Medication Administration:
- Antihypertensives, magnesium sulfate therapy, Pitocin, prostaglandins, terbutaline
Pain Management:
- Epidural anesthesia, general anesthesia, opioids, pain assessment and management
Surgical Procedures:
- Cervical cerclage, D&C, tubal ligation

Staffing & Schedule

Every other weekend schedule
1:1 staffing for laboring patients, 1:3 couplet and mother/baby care
Special care nursery with stabilization and transfer protocols

Requirements/Qualifications

Valid RN license in Michigan
Minimum 2 years of Labor and Delivery experience, including experience within the last year
Experience in LDRP (Labor Delivery Recovery & Postpartum)
Associate of Science in Nursing / Associate Degree in Nursing
ACLS certification issued by the American Heart Association
BLS certification issued by the American Heart Association
NRP certification
Experience working with Neonate, Adolescent, Adult, Geriatric, and Maternal-Fetal patients
Experience in Non-Stress Testing (NST), reflex checks, edema assessment, and clonus
Experience performing sterile vaginal exams

Required Skills & Competencies

Proficient in Epic EMR system
Medication test/pharmacology competency exam as applicable
Dysrhythmia/EKG competency exam (RN only), updated annually
Competency exams as required by profession
Skills checklist required for all candidates

Work Settings Required

Antepartum
Community level experience
Facility births/month: 200-300 and >300
Level I Nursery
LDRP (Labor, Delivery, Recovery, Postpartum)
Mother/Baby care

Health & Compliance Requirements

Physical exam within last 12 months
Negative TB test or chest X-ray within 3 months (annual updates required)
Immunizations or proof of immunity for:
- Measles (Rubeola), Mumps, Rubella (MMR)
- Varicella
- Hepatitis B (series, positive titer, or declination)
- Tdap within 10 years (declination accepted except for certain facilities)
- Seasonal flu vaccination or approved exemption (required during flu season)
Negative 10-panel drug screen within 12 months
N95 fit test within 12 months, updated annually (onsite exceptions possible)
Background checks including 7-year history, EPLS/GSA/SAM, HHS/OIG, fingerprinting as applicable
Education verification and licensure primary source verification required
Two professional references within 2 years, including at least one from a leader (Charge RN or above)

Additional Information

Scrubs provided (green)
7 days of required time off excluding holidays

This position offers a comprehensive Labor and Delivery experience in a well-supported hospital setting with a focus on high-quality maternal and neonatal care.