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Shift: Nights, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Jul 6, 2026
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Length: 13 weeks
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Openings: 2
American Traveler is seeking an experienced RN for a Labor & Delivery position at an acute care, Level 3 high-risk facility in Nevada, requiring active NV licensure and a minimum of 2 years of L&D experience.
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Acute care hospital Labor & Delivery unit with 17 L&D beds, 2 OR suites for C-sections, 4 triage beds, and 16 postpartum beds
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High-volume unit averaging approximately 250 births per month
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Level 3 high-risk facility serving complex antepartum, laboring, and delivery patients
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Patient ratios follow AWHONN guidelines: 2:1 for normal laboring patients, 1:1 for high-risk labors, 4:1 for couplet care, and 2:1–4:1 for antepartum depending on acuity
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RNs are required to titrate drips including Magnesium Sulfate, Pitocin, Insulin, and Heparin
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Cerner used as the EMR and EFM system
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OB, neonatologist, and anesthesia are in-house 24/7
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Certified Surgical Techs and unit secretaries provide ancillary support
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No on-call or standby requirement
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Night shift, 12-hour shifts, every other weekend required
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Floating required to postpartum (Mother-Baby) and other units as needed; travelers are first to float
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Holiday coverage required on an as-needed basis
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13-week contract
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Active NV RN license (Standard or Compact/NLC) required; pending licenses will not be accepted
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Current certifications required (no pending certifications accepted): BLS (AHA), ACLS (AHA), AWHONN Advanced Fetal Monitoring (AFM), and NRP
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Minimum 2 years of L&D experience required
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Proficiency with vaginal exams, internal monitor placement, and fetal monitor strip interpretation required
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Experience with high-risk laboring/delivery and antepartum patients required
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Ability to circulate and recover C-section patients independently
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Driver's license required for consideration
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Two professional references required: one supervisor from within the last 12 months worked and one peer or supervisor from within the last 3 years worked, including dates of employment and eligibility for rehire
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Candidates must reside at least 50 miles from the facility to be eligible for the travel pay rate, as determined by driver's license address
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RNs manage the full scope of L&D care including laboring, delivery, antepartum, couplet care, and C-section circulation and recovery
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RNs are responsible for reading their own fetal monitor strips; no telemetry techs on unit — remote ICU monitoring is used when tele monitoring is needed
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Patients requiring mechanical ventilation are transferred to the ICU
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Scheduling is self-directed through the TEAM scheduling system, with the final schedule balanced by a nurse scheduling committee
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Orientation for travelers is 3 days
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Navy blue scrubs required; light blue OR scrubs are available for use in the OR
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Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity Health facility within the past year; candidates employed PRN through outside firms will be considered
