Job Title Registered Nurse – Mother-Baby / Couplet Care / Postpartum Location Wilmington, NC | Postpartum / Special Care Nursery (Level II) Schedule / Job Type Contract | Nights | 3x12-hour shifts (18:45–07:15) | Every other weekend required | Float to appropriate areas within Women's & Children's Division Key Responsibilities • Provide postpartum maternal and newborn couplet care, including management of postpartum complications such as postpartum hemorrhage and pregnancy-induced hypertension following vaginal, cesarean, and multiple-birth deliveries • Perform comprehensive newborn assessments and care, including phototherapy, thermoregulation, metabolic screening, neonatal abstinence syndrome (NAS) monitoring, and newborn hypoglycemia management • Administer and monitor medications including magnesium sulfate therapy, Pitocin (oxytocin), antihypertensives, antiseizure medications, heparin, insulin drips, and IV antibiotics; manage IV PCA and post-epidural pain • Support breastfeeding education, breast milk collection and storage, use of electric/manual breast pumps, and baby-friendly protocols; provide episiotomy/incision care and fundus/lochia/perineum assessments • Maintain central lines (CVC/PICC), perform IV starts, phlebotomy, and administer blood and blood products following isolation precautions and PPE protocols • Deliver discharge teaching including car seat education, cord care, circumcision site assessment, and infant identification; document using Epic and communicate via SBAR and PerfectServe Required Qualifications • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission) • Minimum 2 years of experience in Mother-Baby / Postpartum / Couplet Care or Special Care Nursery (Level II) • BLS certification required • NRP (Neonatal Resuscitation Program) certification required • Proficiency with Pyxis medication dispensing and Epic documentation systems • Local candidates are welcome to apply Preferred Experience / Skills • Experience with neonatal abstinence syndrome (NAS) newborn care • Familiarity with baby-friendly hospital protocols and breastfeeding support programs • Prior experience floating within a Women's & Children's Division Why Join Us • Robust on-unit support services available including pharmacy, IV teams, rapid response, respiratory services, social services, and 24/7 in-house hospitalist and anesthesiologist coverage • Structured orientation program designed to set clinicians up for success in a high-acuity Women's & Children's environment