Job Title Registered Nurse – Mother-Baby / Couplet Care / Postpartum Location Wilmington, NC | Postpartum / Special Care Nursery (Level II) Schedule / Job Type Contract | Full-Time | Days, 3x12-hour shifts (6:45 AM – 7:15 PM) | Every other weekend required | Onsite Key Responsibilities • Provide postpartum maternal and newborn couplet care, including management of postpartum complications such as hemorrhage and pregnancy-induced hypertension following vaginal and cesarean deliveries • Perform comprehensive newborn assessments and care, including phototherapy, thermoregulation, metabolic screening, neonatal abstinence syndrome (NAS) monitoring, and Level II nursery support • Administer and monitor high-acuity 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, breast engorgement management, and baby-friendly protocols; provide discharge teaching including car seat education and cord care • Maintain central lines (CVC/PICC), start and maintain IVs, perform phlebotomy, administer blood and blood products, and apply isolation precautions/PPE as required • Float to appropriate areas within the Women's & Children's Division as needed; contract staff may be assigned to a Storm Team and/or Hurricane Team and may be required to report during catastrophic events, mass casualty incidents, or disasters Required Qualifications • Active RN license in North Carolina or a valid Compact state license (license pending acceptable at time of submission) • BLS certification required • NRP (Neonatal Resuscitation Program) certification required • Minimum 2 years of experience in Mother-Baby, Couplet Care, or Postpartum nursing • Proficiency with Epic (documentation), Pyxis (medication administration), and SBAR/PerfectServe (communication) • Local candidates are welcome to apply Preferred Experience / Skills • Experience working in a Special Care Nursery or Level II Nursery setting • Familiarity with neonatal abstinence syndrome (NAS) care protocols • Experience with baby-friendly hospital initiative protocols and breastfeeding support programs • Comfort with floating within a Women's & Children's service line Why Join Us • Robust on-site support services available including interpretation, IV teams, pharmacy, phlebotomy, radiology, rapid response teams, respiratory services, and social services • Hospitalist and anesthesiologist coverage available in-house 24/7, providing a well-supported clinical environment