RN-Labor and Delivery Nurse

Orison-Solutions-LLC; Kealakekua (HI); On-site; USD 85,000 - 120,000; Full time

Job summary

Orison-Solutions-LLC seeks an experienced Labor and Delivery Registered Nurse to provide comprehensive care during labor, delivery, and the immediate postpartum period in Hawaii. The role involves monitoring maternal and fetal health, supporting obstetric teams, and ensuring patient education and safety.

Responsibilities include fetal monitoring, assisting with vaginal and cesarean deliveries, administering medications, and providing newborn care and postpartum guidance.

Qualifications

• Active, unrestricted RN license in Hawaii or eligible NLC multistate license.
• BSN preferred by facility or required.
• 1–2 years experience in Labor and Delivery.
• Strong knowledge of obstetric nursing, fetal monitoring, labor management, postpartum care.
• Excellent communication and teamwork skills.

Responsibilities

• Assess and monitor maternal vitals, labor progression, and fetal heart rate patterns.
• Provide care during labor, vaginal delivery, and cesarean deliveries.
• Perform continuous electronic fetal monitoring and interpret tracings.
• Administer medications, IV fluids, and epidural-related care as ordered.
• Assist physicians and midwives during deliveries and emergencies.
• Educate patients on labor, postpartum care, and newborn care.
• Maintain EMR/EHR documentation and coordinate with obstetric teams.

Skills

OB nursing

Fetal monitoring

Emergency response

Teamwork

Communication

Education

Bachelor of Science in Nursing (BSN)

Job description

The Labor and Delivery Registered Nurse is responsible for providing comprehensive nursing care to pregnant patients during labor, childbirth, and the immediate postpartum period. The RN monitors maternal and fetal health, assists physicians and midwives during delivery, administers medications, manages obstetric emergencies, and provides education and emotional support to patients and their families.

Key Responsibilities

Assess and monitor maternal vital signs, labor progression, and fetal heart rate patterns.

Provide nursing care throughout labor, vaginal delivery, and cesarean section procedures.

Perform continuous electronic fetal monitoring (EFM) and interpret fetal heart rate tracings.

Administer medications, IV fluids, and epidural-related care in accordance with provider orders and facility policies.

Assist physicians and midwives during normal and high-risk deliveries.

Recognize and respond to obstetric emergencies, including fetal distress, postpartum hemorrhage, eclampsia, and shoulder dystocia.

Monitor patients during the immediate postpartum period and assess for complications.

Provide newborn support immediately after delivery, including initial assessment and assistance with resuscitation when needed.

Educate patients and families on labor, delivery, breastfeeding, postpartum recovery, and newborn care.

Maintain accurate electronic medical records (EMR/EHR) and document assessments, interventions, and outcomes.

Collaborate with obstetricians, anesthesiologists, neonatal teams, and other healthcare professionals.

Follow infection prevention, patient safety, and hospital protocols.

Required Qualifications

Active, unrestricted Registered Nurse (RN) license in the state of employment or an eligible Nurse Licensure Compact (NLC) multistate license.

Graduation from an accredited nursing program; BSN may be preferred or required by the facility.

Previous Labor and Delivery nursing experience, typically 1–2 years for experienced contract assignments.

Strong knowledge of obstetric nursing, fetal monitoring, labor management, and postpartum assessment.

Ability to recognize and respond to maternal and fetal emergencies.

Strong communication, critical-thinking, documentation, and teamwork skills.

Must already have a current Hawaii License