Travel RN - High-Risk Labor & Delivery Nurse (Night Shifts)

American Traveler, LLC.; Wilmington (NC); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

High Pay and Bonuses

Medical, Dental and Vision Insurance (

401(k) Plan

Weekly Payroll Deposit

Free Online CEUs

Job summary

American Traveler is seeking a Labor & Delivery RN for a high-risk, high-volume unit in North Carolina. The role requires 2+ years of high-risk L&D experience and NC or compact RN licensure. You will work 3x12-hour night shifts with 1:2 patient ratios and a busy monthly delivery volume.

Responsibilities include circulating and recovering C-sections, antepartum, labor and delivery, and postpartum care. Travel assignments, holidays, and potential for storm/hurricane support are part of the

Qualifications

• Active NC or compact RN license required (pending license accepted)
• Minimum 2 years of high-risk Labor & Delivery experience required
• Current BLS, NRP, and AWHONN Intermediate certifications required
• ACLS certification preferred
• Epic charting experience preferred
• Experience with antepartum care including NST, OCT, reflex checks, and external fetal monitoring
• Experience managing high-risk conditions including preeclampsia/eclampsia, placenta previa/abruption, preterm labor, and VBAC/TOLAC
• Experience with fetal monitoring including IUPC placement and recognition of abnormal fetal heart rate patterns
• Experience administering high-risk medications including magnesium sulfate, Pitocin, insulin drips, and antihypertensives

Responsibilities

• Women's Services unit providing high-risk antepartum and Labor & Delivery care at a regional Level III facility
• Average daily census of 15 with 14 rooms and approximately 350 deliveries per month
• 1:2 patient ratios, with higher ratios possible during periods of increased census
• Night shift, 3x12-hour shifts (18:45-7:15), with 36 or 48 hour options available
• 13-26 week assignment lengths accepted
• Required to work every third weekend
• Floating required to Mother/Baby care units
• Hospitalist, anesthesia, NP, and CRNA coverage in-house 24/7
• Uses Epic for documentation, Pyxis for medication administration, and SBAR for communication
• Provide comprehensive care across antepartum, labor and delivery, and postpartum phases for high-risk obstetric patients
• May assist with surgical procedures including D&C and cervical cerclage
• May be required to care for COVID-positive patients
• Support services available include MFM consults, pharmacy, radiology, rapid response, respiratory, social services, and unit secretary
• Contract staff may be assigned to Storm Team or Hurricane Team and required to report during catastrophic events or disasters
• Contract staff may be reassigned to other units as needed
• Ceil blue scrubs provided
• Unit orientation is 24 hours
• RTO up to 7 days can be auto-approved if not falling on a holiday; no RTO permitted during first week of assignment
• Must work 2 of the 3 major holidays
• First-time travelers are welcome to apply
• Local candidates within 50 miles accepted at a lower rate
• Former Novant Health or New Hanover employees must wait 12 months before applying and disclose prior employment details
• Current travel per diem clinicians at this facility are not eligible for travel contracts and must choose one engagement type
• Travel pairs allowed if assigned to different units with separate transportation

Skills

Labor & Delivery experience

Fetal monitoring

Pain management

Circulate & recover C-sections

Neonatal care

Education

RN license (NC or compact)

BLS

NRP

AWHONN Intermediate

Tools

Epic charting

Pyxis medication system

SBAR communication

Job description

American Traveler is seeking a Labor & Delivery RN for a high-risk, high-volume unit in North Carolina. The role requires 2+ years of high-risk L&D experience and NC or compact RN licensure. You will work 3x12-hour night shifts with 1:2 patient ratios and a busy monthly delivery volume.

Responsibilities include circulating and recovering C-sections, antepartum, labor and delivery, and postpartum care. Travel assignments, holidays, and potential for storm/hurricane support are part of the