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Shift: Variable, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Aug 10, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Level 3 Labor & Delivery position in Rapid City, SD, requiring at least 2 years of L&D experience and the ability to manage high-acuity obstetric patients.
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Hospital-based Labor & Delivery unit with 10 L&D beds, 4 OB ED/triage beds, and 4 antepartum rooms
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The facility has the only Level 3 NICU in a 350-mile radius and manages a wide range of patients from low-intervention labor to high-risk complications
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Patient population includes antepartum, OB triage/ED, active and inactive labor, postpartum, couplet care, and newborns (Level I and Level II nursery)
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Patient ratios: Antepartum 1:3, Inactive Labor 1:2, Active Labor 1:1, Postpartum/Couplet Care 1:3 couplets
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Skills performed include IV starts, cervical checks, phlebotomy, magnesium sulfate administration, blood administration, insulin administration, circulating C-sections, and C-section recovery care
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Charting system: Epic
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12-hour variable shifts with start times of 0630 or 1830; must be comfortable working both days and nights throughout the contract
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Every other weekend rotation required
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Low census call is possible
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Holiday coverage required as needed
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Active RN license issued by the South Dakota Board of Nursing, or a Compact RN license currently in hand
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Required certifications: BLS and NRP
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Preferred certifications: ACLS, and/or certification in inpatient obstetrics, electronic fetal monitoring, or inpatient antepartum
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Minimum 2 years of L&D experience, preferably at a Level 3 or higher L&D unit (i.e., a unit affiliated with a Level 3 or higher NICU)
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Experience and competency managing high-acuity labor patients, including preeclampsia, preterm labor and delivery, and management of patients less than 35 weeks gestation
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Epic EMR experience required (manager approval needed if candidate lacks this)
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Must be comfortable providing couplet care and caring for normal newborn nursery patients (Level I care)
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Level II nursery experience strongly preferred
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Two professional references dated within the past year required for consideration
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DOB and SSN required for consideration
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Must reside more than 100 miles from the facility to be eligible for this position
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First-time travelers are welcome to apply
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Orientation includes NEO (facility orientation) followed by 4 days with a preceptor — 3 days in L&D and 1 day in postpartum
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Travelers will be required to work postpartum/couplet care throughout the contract
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Unit support includes a unit secretary, scrub tech, charge nurse, VAT team, Respiratory Therapy (available 24/7), OB physician team, and anesthesia/CRNA
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May be expected to precept nursing students
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Cobalt blue scrubs required and are provided by the facility
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Free parking is available on-site
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RTO requires manager approval
