Job Title Registered Nurse – Labor & Delivery Location Wilmington, NC | Labor & Delivery Schedule / Job Type Contract | 12-Hour Night Shifts (18:45–07:15) | Expected 36–48 hours/week | 13–26 week assignments accepted Key Responsibilities • Provide high-risk Labor & Delivery nursing 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; assist with high-risk deliveries and D&C procedures • Administer and monitor complex medication drips including magnesium sulfate, Pitocin, insulin drips, antihypertensives, antiseizure medications, anticoagulation therapy, and prostaglandins • Provide neonatal care including APGAR scoring, neonatal resuscitation, newborn assessment, hypoglycemia management, and thermoregulation • Float to Mother/Baby unit as needed; may be assigned to Storm Team or Hurricane Team and required to report during catastrophic events or mass casualty situations Required Qualifications • Active RN license in North Carolina or a compact state (pending license acceptable at time of submission) • Minimum 2 years of high-risk Labor & Delivery experience required • Required certifications: BLS, NRP, and AWHONN Intermediate Fetal Monitoring • Proficiency in high-risk L&D skills including internal/external fetal monitoring, hemorrhage/shock management, C-section circulating and recovery, and magnesium drip management • Must be open to floating within or near the facility as needed • 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 • Experience with obstetrical triage, sterile speculum exams, cervical cerclage, cord sample collections, and complex patient populations (HELLP syndrome, cardiac disease, substance abuse, infectious disease, seizure disorders) • Epic EMR documentation experience preferred Why Join Us • Work in a fast-paced regional Level III Women's Services unit averaging approximately 350 deliveries/month with robust support services including in-house hospitalist, anesthesia, NP, and CRNA coverage 24/7, as well as MFM consult availability • Scrubs (ceil blue) are provided; unit utilizes Epic for documentation and Pyxis for medication management in a well-supported clinical environment