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Shift: Nights, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 8, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a fast-paced Labor & Delivery position requiring at least 2 years of high-volume L&D experience and an active NC or compact RN license.
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Work in the Labor and Delivery unit of a high-risk maternity hospital setting
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Unit averages over 300 births per month with 20 births in 24 hours and 30-40 admissions daily
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Handles 40 visits per day across 20 rooms with a 2:1 patient ratio
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Cares for obstetrical patients 16 weeks and greater for intrapartum, high-risk antepartum, and postpartum care, as well as some high-risk patients under 16 weeks
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Includes an obstetrical triage unit for pre-admission screening and outpatient procedures such as antenatal fetal surveillance, IV hydration, and medication administration
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Performs scheduled and unscheduled Cesarean births and rescue cervical cerclage procedures
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Double labor assignments occur daily on this unit
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Night shift schedule, 3x12 hours from 18:45 to 07:15
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Requires working every other weekend, minimum of 6 weekend shifts per 6-week schedule
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Floating required as needed within the specialized high-risk OB unit
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No on-call requirements
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Uses Pyxis, Epic, and SBAR charting systems
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Contract length flexible from 13 to 26 weeks
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Active RN license (NC or Compact) required
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Minimum 2 years of Labor & Delivery experience required, 3 years preferred
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Required certifications: BLS, AWHONN Intermediate, and NRP; AWHONN Advanced preferred (C-EFM accepted in lieu of AWHONN)
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Experience in a high-volume facility with more than 300 births per month required
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Skilled in circulating for C-sections, performing sterile vaginal exams, and competent in immediate newborn care
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Epic charting system experience required
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Experience with cardiac monitoring, dysrhythmia interpretation, and infant/neonatal arrest response
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Skilled in antepartum care, triage of obstetrical patients, pain management, and IV therapy/phlebotomy
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First-time travelers considered if they have experience in a large, high-volume similar setting
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Provide comprehensive labor and delivery nursing care in a very fast-paced, high-acuity unit
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Unit orientation totals 24 hours, with additional online modules required pre-start and annually
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Scrubs are provided in blue
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Must work 2 of the 3 major holidays
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RTO of 7 days or less can be auto-approved as long as it does not fall on a holiday; no RTO permitted during the first week of assignment
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Local candidates within 50 miles are accepted at a lower rate
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Travel pairs are allowed if assigned to different units and disclosed at submission
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Former Novant Health or New Hanover employees (perm, PRN, or EP) must wait 12 months before applying and disclose prior employment details for facility approval
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Current travel per diem clinicians must choose between per diem or travel contract status, not both
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This unit is considered difficult and fast-paced, and shorter contract lengths (such as 48 hours) may not be realistic given patient volume
