Job Title Registered Nurse – Labor and Delivery Location Lee's Summit, MO | Acute Care Schedule / Job Type Contract | Days | 3x12-Hour Shifts (6:45 AM – 7:15 PM) | Onsite Key Responsibilities • Provide direct patient care for antepartum and intrapartum patients in a Labor and Delivery unit with 11 labor rooms and 5 triage rooms; OB triage shifts are not required for this role • Manage a nurse-to-patient ratio of 1:1 for active labor patients, with ratios of 1:2 or 1:3 possible for antepartum and/or cervical ripening patients based on acuity per AWHONN staffing standards • Perform and assist with a broad range of L&D clinical skills including external and internal fetal monitoring, IUPC placement, sterile vaginal exams, triage of obstetrical patients, neonatal resuscitation, and circulation for C-sections • Administer medications including Magnesium Sulfate, Pitocin (oxytocin), antihypertensives, insulin drips, prostaglandins, and terbutaline; manage blood and blood product administration • Float to the postpartum unit as needed to provide couplet care or care for postpartum patients only, within scope of practice • Participate in on-call obligations of 2 on-call shifts per 6-week schedule period and meet weekend requirements of 4–5 weekend shifts per 6-week schedule period Required Qualifications • Active Registered Nurse (RN) license in Missouri and Kansas, or a compact license valid in both states, required at time of submission; pending license considered • Minimum of 3 years of Labor and Delivery experience required; first-time travelers are not accepted • Required certifications: BLS, Fetal Heart Monitoring (FHM), and Neonatal Resuscitation Program (NRP) • Proficiency in a comprehensive range of L&D skills including management of high-risk conditions (pre-eclampsia/eclampsia, HELLP Syndrome, preterm labor, VBAC, multiple gestation, malpresentations, and more) • Ability to recognize and treat abnormal fetal heart rate patterns; experience with PeriWatch fetal monitoring application and Philips Avalon fetal monitors preferred • Must live at least 75 miles from the facility to be eligible Preferred Experience / Skills • LDRP experience strongly preferred due to the unit's combined Labor, Delivery, and Postpartum physical space; candidates with L&D or LDR experience only will also be considered • Experience with couplet care and postpartum/post-operative GYN patient management • Familiarity with Epic EMR; ability to complete Epic test-out option or required Epic training modules prior to start • Experience working in high-volume delivery settings (100–300 births per month) Why Join Us • Work in a well-resourced Labor and Delivery unit with a structured staffing model aligned to AWHONN standards, offering exposure to a wide range of obstetrical acuity and clinical skills • Expected weekly hours of 36 hours with an anticipated schedule of 3x12-hour day shifts in a facility with an average daily census of 7–10 patients