Labor & Delivery

Labor & Delivery RN — High-Risk L&D | Nights | Wilmington, NC

This high-acuity Women's Services Labor & Delivery unit manages a full spectrum of obstetric and antepartum cases, with approximately 350 deliveries per month. The unit operates at a fast pace with strong interdisciplinary support including in-house hospitalist, anesthesia, NP, and CRNA coverage around the clock, plus MFM consultation, pharmacy, rapid response, radiology, respiratory services, social services, and interpretation.

Contract Details

• Schedule: 4x12-hour nights (18:45–07:15); 36 or 48 hours/week available
• Contract length: Up to 26 weeks
• Orientation: 24 hours
• Scrubs: Ceil blue (provided)
• Weekend requirement: Every third weekend
• Float: Mother/Baby care required
• RTO: Up to 7 days maximum; no RTO during the first week; must work 2 of 3 major holidays

Clinical Scope

• Patient population: Preterm labor, preeclampsia with and without severe features, postpartum hemorrhage, IUFD, Cytotec/Foley/Pitocin inductions, antepartum (up to 5 patients), and primary/repeat cesarean sections
• Required procedures: Circulating and recovering C-sections, D&C, amnioinfusion, IUPC placement and calibration, internal/external fetal monitoring, hemorrhage management, neonatal resuscitation, APGAR scoring, and newborn assessment
• Medications: Magnesium sulfate, oxytocin, antihypertensives, antiseizure agents, insulin drips, anticoagulants, prostaglandins, and terbutaline

Required Qualifications

• Minimum 2 years of high-risk L&D experience
• Active RN license (NC or compact)
• Certifications: BLS, NRP, AWHONN Intermediate
• ACLS preferred

Note: Candidates must be prepared to serve on Storm/Hurricane Team and may be required to report during mass casualty or disaster events.