Job Title Registered Nurse – Labor and Delivery Location Wilmington, NC | Labor and Delivery Schedule / Job Type Contract | Days | 12-hour shifts (3x12) | 6:45 AM – 7:15 PM | 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, and sterile vaginal exams; antepartum assignment may include up to 5 patients per shift • Circulate and recover C-sections — required • Administer and manage medications including magnesium sulfate, Pitocin (oxytocin), insulin drips, antihypertensives, antiseizure medications, anticoagulation therapy, prostaglandins, and terbutaline • Perform neonatal care including APGAR scoring, neonatal resuscitation, newborn assessment, newborn hypoglycemia management, and thermoregulation • Float to Mother/Baby unit as needed; contract staff may be assigned to Storm Team and/or Hurricane Team and may be required to report during catastrophic events or mass casualty situations Required Qualifications • Minimum 2 years of high-risk Labor and Delivery experience required • Proficiency in antepartum care, high-risk L&D, C-section circulation and recovery, hemorrhage/shock management, and neonatal resuscitation • Experience with fetal monitoring (internal and external), IUPC placement, and recognition and treatment of abnormal fetal heart rate patterns • Active BLS certification required • Active NRP certification required • AWHONN Intermediate certification required • Active RN license in North Carolina or a Compact state (license pending is acceptable at time of submission) • Local candidates are welcome to apply Preferred Experience / Skills • ACLS certification preferred • Experience in a high-volume facility (300+ deliveries/month) and/or high-risk antepartum setting • Familiarity with complex patient diagnoses including HELLP syndrome, cardiac disease, diabetes mellitus, seizure disorders, substance abuse, and infectious disease (including COVID and HIV) • Epic EMR experience preferred; experience with obstetrical triage, sterile speculum exams, cervical cerclage, D&C, and cord sample collections a plus Why Join Us • Work within a regional Level III Women's Services unit averaging approximately 350 deliveries per month, supported by in-house hospitalist, anesthesia, NP, and CRNA coverage 24/7, along with MFM consults and comprehensive support services • Scrubs provided; orientation support included with access to pharmacy, radiology, rapid response, respiratory, social services, and unit secretary resources