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 assignments are not required for contract staff • Maintain a nurse-to-patient ratio consistent with AWHONN staffing standards, typically 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 • Perform and assist with a broad range of L&D clinical skills including external and internal fetal monitoring, IUPC placement and calibration, sterile vaginal exams, triage of obstetrical patients, and recognition and treatment of abnormal fetal heart rate patterns • Administer medications including Pitocin, Magnesium Sulfate, antihypertensives, insulin drips, prostaglandins, terbutaline, and blood/blood products; manage IV lines, infusion pumps, and drips • Assist with vaginal deliveries, high-risk deliveries, C-sections (circulate and recover), and neonatal resuscitation; support postpartum and post-operative GYN patients as needed when floating • Float to the postpartum unit to provide couplet care or care for postpartum patients only, as facility needs require; both Kansas and Missouri licensure (or a compact license covering both states) are required at time of submission Required Qualifications • Active RN license valid in both Kansas and Missouri, or a compact license covering both states (required at time of submission; pending license accepted) • Minimum of 3 years of Labor and Delivery experience; first-time travelers are not accepted for this role • Required certifications: BLS, Fetal Heart Monitoring (FHM), and Neonatal Resuscitation Program (NRP) • Proficiency in a broad range of L&D clinical skills including antepartum care, low-risk and high-risk labor management, VBAC management, hemorrhage/shock response, and use of external and internal fetal monitoring equipment • Availability to fulfill weekend requirements: 4–5 weekend shifts per 6-week schedule period, plus a minimum of 2 Sunday night shifts and 2 Friday day shifts per 6-week schedule; 2 on-call shifts per 6-week schedule period are also expected • Must live at least 75 miles from the facility to be eligible Preferred Experience / Skills • LDRP experience strongly preferred, given that Labor and Delivery and postpartum care are provided within the same physical unit; candidates with L&D or LDR-only experience will also be considered • Familiarity with PeriWatch fetal monitoring application and Philips Avalon fetal monitors • Experience managing complex obstetric conditions including HELLP syndrome, pre-eclampsia/eclampsia, multiple gestation, malpresentations, preterm labor, and premature rupture of membranes • Experience with breastfeeding/lactation support and postpartum care including fundus, lochia, perineum, and incisional wound care Why Join Us • Work in a well-established Labor and Delivery unit with an average daily census of 7–10 patients, 28 rooms, and a facility delivering between 100–300 births per month, offering consistent and varied clinical exposure • Expected weekly hours of 36 hours per week with an anticipated schedule of 3x12-hour shifts, providing a structured and predictable work pattern