Registered Nurse Labor and Delivery

Domnovate; Sitka (AK); On-site; USD 86,000 - 117,000; Full time

Job summary

Our Client in Sitka, AK is seeking a Labor & Delivery Registered Nurse for a permanent, full-time position. You will provide obstetric care across labor, delivery, recovery, and postpartum periods, with fetal monitoring, newborn care, and on-call duties as needed.

Qualifications include an ADN, AK RN license, and required certifications (BLS, ACLS, PALS, NRP). You will join a multidisciplinary team focused on safe, compassionate patient care in a rural coastal community.

Qualifications

• Associates degree in Nursing from an accredited program.
• Current, unrestricted Registered Nurse license in the State of Alaska.
• BLS, ACLS, PALS, and NRP certifications are required.
• Clinical competency within 3 months and High Risk Competency yearly.
• Alaska license must be obtained/active for direct hire.

Responsibilities

• Provides comprehensive patient assessments and develops individualized plans of care.
• Delivers maternal/newborn care during labor, delivery, recovery, and postpartum.
• Administers medications and treatments per orders and policy.
• Maintains documentation in the electronic health record.
• Ensures patient safety and coordinates with interdisciplinary teams.

Skills

Labor & Delivery

Nursing assessment

Clinical decision-making

Education

Associate degree in Nursing

Job description

Annual Salary: $86,000–$117,000 per year*

Build your next chapter with Our Client as a Registered Nurse Labor and Delivery in Sitka, AK. Bring your experience to a permanent role supporting thoughtful care and dependable service.

Opportunity Overview

• Permanent employment with Our Client; 1 opening.
• Sitka, AK 99835.
• Days, Full Time.

Role and Qualifications

Pay Range:

The Registered Nurse (RN) provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN utilizes the nursing process to assess, plan, implement, and evaluate patient care while delivering high-quality, culturally sensitive, and patient-centered services. The RN collaborates with providers and interdisciplinary teams to promote optimal patient outcomes, safety, and positive patient experience.

The Labor and Delivery Registered Nurse provides comprehensive care to obstetric patients during labor, delivery, recovery, and the immediate postpartum period, including fetal monitoring, newborn care, and emergency response. This role requires close collaboration with providers and neonatal teams to ensure safe outcomes for both mother and newborn. Must be competent in the use of all equipment in specialty. Oncall may be required.

Patient Care

Performs comprehensive patient assessments and develops individualized plans of care.

Implements and evaluates nursing interventions and patient responses.

Administers medications and treatments safely and accurately per provider orders and policy.

Recognizes changes in patient condition and initiates appropriate interventions or escalation of care.

Provides patient and family education related to care, medications, and discharge needs.

Delivers culturally responsive, patient-centered care.

Nursing Judgment & Clinical Decision-Making (Alaska BON-Aligned)

Consistent with the Alaska Board of Nursing scope of practice for Registered Nurses, nursing judgment is essential to the safe, effective, and accountable delivery of nursing care. The Registered Nurse independently applies critical thinking and professional judgment to:

Perform and interpret comprehensive assessments and recognize significant changes in patient condition requiring nursing intervention or provider notification.

Exercise independent nursing judgment in determining appropriate nursing actions, interventions, and priorities, and in identifying when consultation, collaboration, or escalation to a licensed independent provider is required.

Develop, implement, evaluate, and revise individualized nursing plans of care based on patient needs, responses, preferences, and clinical circumstances, rather than relying solely on standardized protocols.

Integrate clinical findings with ethical principles, cultural considerations, patient safety standards, and regulatory requirements when making nursing decisions.

Accept accountability for nursing decisions, delegated tasks, and outcomes of nursing care in accordance with Alaska statutes, regulations, and organizational policy.

Care Coordination & Documentation

Collaborates with providers and interdisciplinary team members to coordinate care.

Facilitates referrals, follow-up care, and continuity of services.

Documents assessments, interventions, and outcomes accurately and timely in the electronic health record.

Advocates for patient care and assists patients in navigating the healthcare system.

Quality, Safety & Compliance

Practices within nursing scope of practice and adheres to regulatory, safety, and infection prevention requirements.

Participates in quality and performance improvement activities.

Maintains required competencies and certifications.

Reports adverse events, near misses, and unsafe conditions per policy.

Teamwork & Professional Practice

Demonstrates professionalism, accountability, flexibility, and teamwork.

Provides appropriate guidance and delegation to ancillary staff.

Supports orientation, mentoring, and education of staff, students, and peers.

Floats to other departments or assignments as needed.

Qualifications

Education & Licensure

Associates degree in Nursing from an accredited program.

Current, unrestricted Registered Nurse license in the State of Alaska or other U.S. state required. Direct hire must have applied for an Alaska nursing license at the time of hire. Agency staff must have an active Alaska license.

Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), and Neonatal Resuscitation Program (NRP) are all required

Clinical competency required within 3 months and every 3 years.

High Risk Competency required within 3 months and every year.

New Nursing Program Graduates:

BLS required at the time of hire

All certifications required for the area of practice must be obtained within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable)

Experienced Nurses – New to a Specialty Area:

Experienced nurses entering a new specialty must obtain all required specialtyspecific and advanced certifications within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, based on practice area requirements)

Experienced Nurses:

Nurses hired directly into a specialty area must provide evidence of current required certifications for the position at the time of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable to practice area)

Nurses with Float Areas:

Nurses who float to areas other than their primary location must complete the required certifications for the highest level specialty in which they will provide care

HighRisk Competency:

Highrisk competency validation is required for direct patient care nursing roles. The high-risk competencies are specific to the area of practice (e.g., proficiency in complex medical equipment, procedures, interventions, etc.). Competency will be assessed before ending initial preceptorship and no less than annually thereafter.

Knowledge, Skills & Abilities

Knowledge of nursing principles, evidence-based practice, medication safety, and infection prevention.

Strong clinical judgment, organization, prioritization, and communication skills.

Ability to work independently and collaboratively in a fast-paced environment.

Proficiency with electronic health records and clinical systems.

Physical & Work Requirements

Ability to lift, push, pull, and move up to 50 pounds.

Ability to stand for extended periods and perform bending, stooping, and kneeling.

Ability to work in a moderate-to-high noise clinical environment.

Safety Responsibility

Employees are responsible for complying with safe work practices, reporting injuries and unsafe conditions, and cooperating in safety investigations.

Required Certifications:

Advanced Cardiovascular Life Support (ACLS) – American Red Cross, Basic Life Support (BLS) – American Heart Association, Clinical Competency Assessment – Our Client, High Risk Competency – Our Client, Neonatal Resuscitation Program Cert – American Heart Association, Pediatric Advanced Life Support (PALS) – American Heart Association, Registered Nurse License – State of Alaska – Alaska State Board of Nursing

Relevant experience: at least 1 year.

*Pay: $86,000–$117,000 per year. Actual compensation will vary based on the assignment, schedule, experience, qualifications, and other job-related factors. For eligible travelers, total compensation may include both taxable W-2 wages and separate travel reimbursements under Domnovate Healthcare’s travel reimbursement policy. Travel reimbursement eligibility and amounts are determined independently based on the employee’s circumstances, assignment location, and applicable reimbursement guidelines.