Job Title Registered Nurse – Labor & Delivery Location Wilmington, NC | Labor & Delivery Schedule / Job Type Contract | Days | 12-hour shifts | Expected 36–48 hours/week | 13–26 week assignments accepted Key Responsibilities • Provide direct nursing care to high-risk Labor & Delivery patients including those with preterm labor, preeclampsia, postpartum hemorrhage, malpresentations, multiple gestations, placenta previa/abruption, VBAC, and intrauterine fetal demise • Perform antepartum care including NST, OCT, external/internal fetal monitoring, IUPC placement and calibration, sterile vaginal exams, and reflex/edema/clonus assessments • Administer and manage medications including magnesium sulfate, Pitocin (oxytocin), antihypertensives, antiseizure medications, insulin drips, anticoagulation therapy, prostaglandins, and terbutaline • Circulate and recover C-sections — required; assist with high-risk deliveries, hemorrhage/shock management, and amnioinfusion • Provide neonatal care including APGAR scoring, neonatal resuscitation, newborn assessment, newborn hypoglycemia management, and thermoregulation • Float to Mother/Baby unit as needed; may be required to care for patients with COVID and to participate in Storm Team and/or Hurricane Team assignments during critical events Required Qualifications • Minimum 2 years of high-risk Labor & Delivery experience required • Active RN license in North Carolina or a Compact state (pending licensure acceptable at time of submission) • BLS certification required • NRP (Neonatal Resuscitation Program) certification required • AWHONN Intermediate Fetal Monitoring certification required • Local candidates are welcome to apply Preferred Experience / Skills • ACLS certification • Experience in a high-volume facility with greater than 300 births per 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 • Experience with Epic electronic health records documentation and procedures such as cervical cerclage, D&C, obstetrical triage, and cord sample collections Why Join Us • Work within a fast-paced 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 consult availability • Comprehensive support services on-site including pharmacy, radiology, rapid response teams, respiratory services, social services, and interpretation — allowing you to focus on delivering high-quality patient care