Labor & Delivery

High-Risk Labor & Delivery RN — Night Shift | Wilmington, NC

This fast-paced Women's Services unit manages a high volume of deliveries per month, providing care across Labor & Delivery and Antepartum settings. The unit cares for a wide range of complex obstetric patients and operates at a regional high-risk level of care.

Shift & Schedule

• Nights: 6:45 PM – 7:15 AM (3x12-hour shifts)
• 36 or 48 hours per week available
• Contract: 13 weeks (extensions up to 26 weeks considered)
• Every third weekend required
• Pre-approved time off: up to 7 days (no holidays during first week; must work 2 of 3 major holidays)

Clinical Scope

Patients include preterm labor, preeclampsia with or without severe features, postpartum hemorrhage, Cytotec/Foley/Pitocin inductions, intrauterine fetal demise, malpresentations, multiple gestations, VBAC, and primary/repeat C-sections. Antepartum assignments may include up to 5 patients per shift.

Required procedures include circulating and recovering C-sections, D&C, amnioinfusion, IUPC placement and calibration, internal/external fetal monitoring, hemorrhage and shock management, neonatal resuscitation, and magnesium/insulin drip management.

Float Requirement

Candidates must be open to floating to Mother/Baby care.

Required Certifications

BLS, NRP, AWHONN Intermediate

Preferred

ACLS

Required Experience

Minimum 2 years of high-risk Labor & Delivery experience

Additional Details

• Scrubs: Ceil blue (provided)
• 24-hour unit orientation
• In-house anesthesia, NP, and CRNA coverage around the clock
• Flu vaccine required (medical/religious exemptions accepted)
• NC or Compact RN license required (pending accepted at submission)