RN: L&D

Location: Wilmington, North Carolina
Job Type: Local
Start Date: 2026-11-30
End Date: 2027-05-31

Weekly Pay: $1,739.61
Profession: RN
Specialty: L&D
Duration: 12H Nights ( 7:00 PM-7:00 AM )

Registered Nurse (RN) – Labor & Delivery

Job Overview

We are seeking a skilled Registered Nurse with a minimum of 2 years of high-risk Labor & Delivery experience. The selected candidate will provide exceptional care in a fast-paced environment, focusing on antepartum, labor, and high-risk delivery settings.

Key Responsibilities

  • Patient Care: Manage antepartum care including NST, OCT, reflex checks, edema assessment, clonus, sterile vaginal exams, and external fetal monitoring.
  • High-Risk Management: Care for patients with malpresentations, multiple gestations, placenta previa/abruption, preeclampsia/eclampsia, premature rupture of membranes, preterm labor, and manage VBAC trials.
  • Emergency Care: Respond to infant/neonatal arrest and other emergencies.
  • Fetal Monitoring: Perform and interpret external/internal fetal monitoring, IUPC placement and calibration, and recognize abnormal fetal heart rate patterns.
  • IV Therapy: Administer blood and blood products, start and maintain IVs.
  • Medications: Provide anticoagulation therapy, antihypertensives, antiseizure medications, insulin drips, magnesium sulfate therapy, and labor-inducing medications such as Pitocin.
  • Labor & Delivery: Conduct amnioinfusion, assist with high-risk deliveries, circulate in C-sections, and manage postpartum recovery.
  • Neonatal Care: Perform APGAR scoring, conduct newborn assessments, manage thermoregulation, and ensure security banding.
  • Pain Management: Administer epidural and IV sedation, manage pain effectively including using PCA.
  • Postpartum Care: Follow baby-friendly protocols, support breastfeeding, and manage complications such as postpartum hemorrhage.

Qualifications

  • Experience: Minimum of 2 years of high-risk Labor & Delivery experience.
  • Certifications: Current BLS, NRP, and AWHONN Intermediate required; ACLS is preferred.
  • Skills: Proficiency in epidural anesthesia, C-section recovery, and care for high-risk patients. Familiarity with Epic documentation is preferred.

Shift Details

  • Schedule: 12-hour night shifts.
  • Total Weekly Hours: 36 or 48 hours.
  • Weekend Requirement: Every third weekend.
  • Float Requirement: May be needed for Mother/Baby care.

Unit Information

  • Average Daily Census: 15 patients.
  • Room Count: 14 delivery rooms.
  • Monthly Deliveries: Approximately 350.
  • Patient Diagnoses Include: Preterm labor, preeclampsia, postpartum hemorrhage, and various induction methods.

Additional Information

  • Participants may be required to work during catastrophic events or disasters.
  • Expected to support during Storm Team and Hurricane Team operations.
  • All necessary PPE and scrubs will be provided.

If you are a dedicated Registered Nurse with experience in high-risk Labor & Delivery and a passion for providing quality care, we invite you to apply for this exciting opportunity.

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You’re not just a number at Wellspring, you’re a highly valued member of our family.

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