Nurse (Labor & Delivery)

Overview

This position is located at Naval Medical Center Camp Lejeune (NMCCL) Camp Lejeune, NC.

This is an employed civilian Nurse ( Labor & Delivery) position that affords job security, a competitive salary, bonuses, moving expenses, full malpractice coverage, up to 26 days paid vacation, 11 days paid Federal Holidays, a sick leave benefit, CME opportunities, and a first-class health and retirement benefit package.

Nurse ( Labor& Delivery)

Benefits: https://civilianmedicaljobs.com/benefits/

Responsibilities

Provides comprehensive specialized nursing care to complicated and routine antepartum, intrapartum, postpartum, and perioperative obstetric patients and their neonates.

Assesses, plans, implements, and evaluates complicated and routine obstetric and neonatal patients who require close observation for subtle changes in condition. Consistently utilizes advanced assessment skills to identify difficult patient care problems, formulates plans to meet complex patient care needs, and continually revises goals and objectives according to changes in maternal/fetal status.

Monitors, evaluates, and documents the status of laboring patients through frequent checks of blood pressure, heart rate, respiratory rate, oxygen saturation, and fetal monitor patterns and reports findings to the provider as appropriate. Recognizes the stages of labor and notifies the appropriate provider when delivery is imminent. Assists with precipitous deliveries.

Administers medications, including high risk medications, as ordered within the guidelines of nursing practice. Monitors patient response to medications, documents and adjusts therapy according to provider order and relevant policies. The incumbent has knowledge of adverse effects and precautions and initiates remedial measures as necessary. Monitors patients with epidurals in place, documents findings, and reports to anesthesia provider. Is responsible for the security of narcotics, high risk medications, and other controlled substances.

Assist physicians and nurse midwives in examination and treatment in the delivery room. Delivers babies in emergency situation. Confers with providers concerning instruments, sutures, special equipment and procedures unique to vaginal /instrument/cesarean delivery. Responsible for the setup of the delivery room and handles supplies and equipment including delivery lights, oxygen, suction machines, and maternal and fetal monitoring equipment. In accordance with command and unit policy, provides primary operating room circulating duties for Cesarean Sections and tubal ligations, and initiates and/or assists with operating room circulating duties for emergency obstetric surgeries including hysterectomy, dilation and curettage, and exploratory laparotomy following Cesarean delivery.

Provides post anesthesia care. Assesses and cares for obstetric patients that receive epidural, spinal, or general anesthesia. Has knowledge of common obstetric anesthetic agents including actions and adverse reactions in order to recognize positive and negative effects and respond appropriately. Must be able to recognize and respond to anesthetic complications and emergencies including, but not limited to, malignant hyperthermia, laryngospasm, bronchospasm, and cardiac arrhythmias.

Teaches patients and family members about disease processes, normal newborn and postpartum care, pre and post-operative care, pre and post diagnostic procedures; expected and possible adverse reactions to medications; health promotion. Initiates discharge planning / teaching upon admission of each patient. Actively participates in multidisciplinary discharge planning. Provides emotional support to patients, family members and significant others. Provides comprehensive nursing care to patients / families experiencing perinatal and neonatal loss. Coordinates follow-up care for patients and family members who have experienced perinatal or neonatal loss.

Performs other duties as assigned.

Conditions of Employment:

Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
This position has specific initial background investigation and periodic re-verification requirements since its duties require interaction with children and youth under the age of eighteen (18) years of age on a recurring basis.
Selectees will be required to sign a statement (Condition of Employment) consenting to seasonal influenza vaccinations or must provide a recognized exemption.
This position is a Testing Designated Position subject to pre-employment screening and random drug testing. Selectees will be required to consent to participation in random drug urinalysis testing.
A pre-placement medical examination is required.
Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
Must be able to obtain and maintain current Basic Life Support (BLS) certification through the American Red Cross. Advanced certification (e.g., ALS) does not supersede BLS.
Must be able to obtain and maintain certification in Neonatal Resuscitation Program (NRP).
Applicants must be able to fulfill non-privileged professional credential requirements.
This position may include shift work (evenings, weekends, holidays).
This position may require rotating shifts (i.e. work schedule that requires employees to continuously rotate from one shift to another at predetermined intervals).
This position may require the incumbent to work during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules.
This position may require the incumbent to work on call during irregular work hours which may include evenings, weekends, holidays, and/or varying work schedules.
This position may require the incumbent to work weekends and/or holidays.
Moderate to heavy lifting up to 50 pounds is required.
Position is designated as Inclement Weather Essential. The incumbent must make every attempt to report for work on time and/or remain on duty during severe weather conditions.
Position is designated as Mission Essential. The incumbent will be required to report to work during times of contingency operations, natural disasters, extreme weather or other emergency situations.
Position requires employee to wear a uniform and/or protective clothing.
One year trial/probationary period may be required.
Position is being filled at the GS-05/07/09/11 target GS-11 level. Duties described reflect the full performance GS-11 level. Duties will be performed in a developmental capacity under close supervision. This recruitment provides promotion opportunity to the target grade of the position without further competition when selectee is eligible and recommended by management.
Management may select at any of the grade levels announced. This recruitment provides promotion opportunity to the target grade of the position without further competition when selectee is eligible and recommended by management. Duties described reflect the full performance GS-11 level. If not selected at the full performance, duties will be performed in a developmental capacity under close supervision.

Qualifications

Must be a US Citizen

Basic Requirement for Nurse (Labor & Delivery):
Degree: A graduate or higher level degree, bachelor's degree, associate degree, or diploma from an accredited professional nursing educational program is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts).
Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination.
Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.
Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States.
In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below:GS-05: Education/Experience: A diploma or associate degree in professional nursing and one full year of professional nursing experience which includes one year of professional nursing, or of at least GS-4 level practical nurse or nursing assistant experience under the supervision of a professional nurse which includes caring for the labor & delivery patient, taking vital signs and patient documentation. OR Education: A bachelor's degree in Nursing with no experience. GS-07: Education/Experience: A bachelor's degree in Nursing and at least one full year of professional nursing experience (equivalent to the GS-5 grade level) which includes providing care to labor & delivery patients, assisting with procedures and obtaining vital signs. OR Education/Experience: A diploma or associate degree in professional nursing and two full years of professional nursing experience which includes providing care to labor & delivery patients, assisting with procedures and obtaining vital signs.OR Education: At least one full year of graduate education in a professional nursing educational program. OR Superior Academic Achievement: In order to be creditable under this provision, Superior Academic Achievement must have been gained in Nursing at the baccalaureate level. Superior Academic Achievement is based on: (1) Class Standing - Applicants must be in the upper third of the graduating class in the college, university, or major subdivision, such as the College of Liberal Arts or the School of Business Administration, based on completed courses; OR (2) Grade-Point Average (G.P.A.) - Applicants must have a grade-point average of either (a) 3.0 or higher out of a possible 4.0 ("B" or better) as recorded on your official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or (b) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum.; OR (3) Honor Society Membership - Applicants may be considered eligible based on membership in one of the approved national scholastic honor societies listed by the Association of College Honor Societies.
A professional nursing program and one year of experience equivalent to at least the GS-5 level which includes providing care to labor & delivery patients, assisting with procedures and obtaining vital signs. OR one full year of graduate education from a professional nursing program.GS-09: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-7 grade level or above) which includes providing care to labor & delivery patients, providing patient education and performing patient assessments OR Education: A master's degree in professional nursing.EXEMPTION: You are exempt from the qualification requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status OR two full years of progressively higher-level graduate education or a master's or equivalent degree from a professional nursing program.
GS-11: Education/Experience: A diploma, associate degree, or bachelor's degree in Nursing from a professional nursing program and possession of at least one full year of professional nursing experience (equivalent to the GS-9 grade level or above) which includes providing nursing care to labor & delivery or postpartum patients, administering medications and providing lactation education to patients or staff. OR Education: A PhD or equivalent doctoral degree from a professional nursing educational program or related medical science field including but not limited to Nursing.
Completion of all requirements for a doctoral degree (Ph.D. or equivalent) from a professional nursing program OR 3 full years of progressively higher level graduate education from a professional nursing program.

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As part of UNC Health, you’ll have the opportunity to grow your career while working in a community hospital setting that values connection, compassion, and clinical excellence. Here, your voice matters, your skills are valued, and your care makes a lasting difference. Join our dedicated Labor & Delivery team at Holly Springs Hospital—where every birth is personal, and every nurse plays a vital role Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides competent nursing care consistent with professional nursing standards. Responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting. Responsibilities: 1. Maintains an environment of safety for patients, self and others and supports patient safety initiatives. 2. Participates in identifying and meeting learning needs of self. 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Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs. 7. Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems. 8. Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability. 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1 week ago

RN Clinical Nurse II - Labor and Delivery

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$34.22 - $48.38 / hour

Description 🚨 Calling All Labor & Delivery Nurses! 👶✨ 🌟 Make a Difference in Maternal Care at UNC REX! 🌟 Are you ready to play a vital role in safely bringing new life into the world? 🍼💗 UNC REX is seeking a full-time Clinical Nurse II to join our fast-paced, high-volume Labor & Delivery team on the night shift (three 12-hour shifts per week). 🌙💪 This is an exciting opportunity to provide critical, life-saving care in a highly collaborative environment. 🏥 About Our Unit: The UNC REX Labor & Delivery unit delivers comprehensive care throughout labor, delivery, and postpartum recovery. We care for both routine and high-risk antepartum and postpartum patients in a modern, well-equipped setting that includes: ✨ 3-bay OB Emergency Department (OBED) ✨ 20 Labor Rooms ✨ 3 Operating Rooms (ORs) ✨ 3 Post-Anesthesia Care Unit (PACU) bays Our nurses work closely with physicians, OB Hospitalists, Nursing Assistants, and Surgical Technologists to support Cesarean sections, emergency procedures, and complex obstetric care. 🤝🚑 We also partner with private practice OB/GYNs and Certified Nurse Midwives (CNMs) to ensure exceptional maternal and newborn outcomes. 👩‍⚕️👶 💡 What You Bring: ✔️ Strong teamwork and communication skills ✔️ Ability to think quickly and act decisively in high-acuity and emergency situations ⚡ ✔️ Commitment to patient- and family-centered care 💕 🌈 Why UNC REX? Join a dedicated, collaborative team focused on providing outstanding care to mothers and newborns. Your expertise on the night shift 🌙 plays a critical role in ensuring safe deliveries and positive patient experiences. 💙 Come grow your career at UNC REX—where every birth matters. ✨ We are seeking candidates with prior Labor & Delivery or inpatient Women’s Services experience who are passionate about delivering exceptional patient care in a fast-paced clinical environment. We also welcome experienced nurses from ICU, Stepdown, or Emergency Department settings who bring strong critical thinking skills, adaptability, and a collaborative approach to patient care. Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Provides competent nursing care consistent with professional nursing standards. Responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting. Responsibilities: 1. Maintains an environment of safety for patients, self and others and supports patient safety initiatives. 2. Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn. 3. Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care. 4. Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning. 5. With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all. 6. Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs. 7. Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems. 8. Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability. Other Information Other information: Education Requirements: ● Graduate of Accredited Nursing Program Licensure/Certification Requirements: ● NC RN Licensure ● ACLS ● BCLS ● NRP Professional Experience Requirements: ● One year experience working as a licensed RN Knowledge/Skills/and Abilities Requirements: ● Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other Rex staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions. Job Details Legal Employer: NCHEALTH Entity: UNC REX Healthcare Organization Unit: Rex Labor Delivery Operatng Rm Work Type: Full Time Standard Hours Per Week: 36.00 Salary Range: $34.22 - $48.38 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Night Job Location of Job: US:NC:Raleigh Exempt From Overtime: Exempt: No This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position. Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.