Job Title Registered Nurse – Labor and Delivery Location Wilmington, NC | Labor and Delivery Schedule / Job Type Contract | Nights | 12-hour shifts (3x12) | 18:45–07:15 | Expected 36–48 hours/week | 13–26 week assignments accepted Key Responsibilities • Provide high-risk Labor and Delivery care including management of preterm labor, preeclampsia, postpartum hemorrhage, malpresentations, multiple gestations, placenta previa/abruption, VBAC, and intrauterine fetal demise • Perform antepartum care including NST, OCT, external fetal monitoring, IUPC placement and calibration, sterile vaginal exams, and reflex/edema/clonus assessments • Circulate and recover C-sections — required • Administer and manage high-risk medications including magnesium sulfate, Pitocin, antihypertensives, antiseizure medications, insulin drips, anticoagulation therapy, and prostaglandins • Provide neonatal care including APGAR scoring, neonatal resuscitation, newborn assessment, thermoregulation, and newborn hypoglycemia management • Float to Mother/Baby unit as needed; contract staff may be assigned to Storm Team and/or Hurricane Team during catastrophic events or disasters Required Qualifications • Active RN license in North Carolina or a compact state (pending licensure acceptable at time of submission) • Minimum 2 years of high-risk Labor and Delivery experience required • BLS certification required • NRP certification required • AWHONN Intermediate certification required • Local candidates are welcome to apply Preferred Experience / Skills • ACLS certification • Experience in a high-volume facility (approximately 300+ births/month) and/or high-risk antepartum setting • Experience with obstetrical triage, sterile speculum exams, cord sample collections, cervical cerclage, and D&C procedures • Epic EMR documentation experience Why Join Us • Work within a fast-paced regional Level III Women's Services unit supported by in-house hospitalist, anesthesia, NP, and CRNA coverage available 24/7, along with robust support services including MFM consults, pharmacy, radiology, and rapid response teams • Scrubs are provided; orientation support is included to help you integrate into the unit effectively