Registered Nurse - Labor & Delivery

Job Title: Registered Nurse - Labor & Delivery
Location: Show Low, Arizona
Schedule: Full-Time | Night Shift
Pay Range: $31.00–$47.00 per hour
Openings: 5

Job Overview

A healthcare organization in Show Low, Arizona, is seeking experienced Registered Nurse - Labor & Delivery for permanent night-shift opportunities.

The L&D RN will provide comprehensive care throughout labor, delivery, recovery, postpartum, and couplet care. This unit manages both routine and high-risk obstetric patients, including patients with pre-eclampsia and fetal distress.

Because an OB provider and neonatologist are not continuously in-house, nurses must have strong assessment skills, excellent fetal monitoring competency, and the ability to recognize and respond to obstetric emergencies until the provider arrives.

Responsibilities

• Provide nursing care throughout labor, delivery, recovery, and postpartum
• Perform comprehensive maternal and fetal assessments
• Monitor fetal heart rate patterns and uterine activity
• Recognize fetal distress and initiate appropriate nursing interventions
• Care for patients with pre-eclampsia and other high-risk obstetric conditions
• Respond confidently to obstetric emergencies while awaiting provider arrival
• Assist with vaginal deliveries and Cesarean sections
• Provide preoperative and postoperative nursing care for C-section patients
• Provide couplet care to mothers and newborns when department census and workflow require it
• Manage antepartum and triage patients
• Administer medications, IV therapies, blood products, and treatments according to established protocols
• Collaborate with physicians, nursing leadership, respiratory therapy, pharmacy, scrub techs, and other members of the care team
• Educate patients and families regarding labor, delivery, postpartum recovery, breastfeeding, newborn care, and discharge planning
• Maintain accurate and timely clinical documentation
• Follow infection-control, patient-safety, and maternal-newborn care standards
• Participate in required call rotation
• Float to other hospital units, most commonly Medical-Surgical, when operationally necessary

Qualifications

Required

• Current Registered Nurse license or eligibility for Arizona licensure
• Minimum of three years of Labor & Delivery nursing experience
• Recent C-section experience
• Strong experience caring for high-risk obstetric patients
• Proficiency in fetal heart rate monitoring and interventions for fetal distress
• Experience caring for patients with pre-eclampsia
• Ability to independently assess and respond to obstetric emergencies
• Ability to provide both Labor & Delivery and couplet/postpartum care
• Current Basic Life Support certification
• Current Advanced Cardiovascular Life Support certification
• Current Neonatal Resuscitation Program certification
• Current Intermediate or Advanced Fetal Monitoring certification
• Strong clinical judgment, prioritization, and emergency-response skills
• Ability to work night shifts and participate in call rotation

Preferred

• More than three years of Labor & Delivery experience
• Previous high-risk obstetric nursing experience
• Experience working in an L&D department without continuous in-house OB coverage
• Previous postpartum, Mother-Baby, or couplet-care experience
• Experience floating to Medical-Surgical or other inpatient units

Department Information

The Labor & Delivery department includes:

• 7 Labor & Delivery beds
• 2 triage beds
• 10 postpartum beds
• Approximately 1–3 births per day
• Approximately 830 births annually
• Typical nursing ratio of approximately 1:2
• Respiratory Therapist available on the unit 24/7
• 24/7 in-house pharmacy
• OB scrub technician support
• Patient Care Technicians and Health Unit Secretary support
• Nurse Manager available to provide patient-care assistance when needed
• OB and Neonatology providers are not continuously in-house

Schedule & Call

• Full-time night-shift position
• Approximately one call shift per four-week scheduling period
• Floating may be required based on hospital census, typically to Medical-Surgical

Benefits

• Competitive compensation based on experience and qualifications
• Comprehensive health and wellness benefits
• Retirement savings programs
• Paid time off
• Continuing-education and professional-development opportunities
• Maternal-newborn nursing career advancement opportunities

If you are an experienced Labor & Delivery RN with strong fetal monitoring, C-section, and high-risk obstetric skills who can confidently respond to emergencies in a community hospital environment, we would love to hear from you.