Labor and Delivery Registered Nurse

Job Title: Labor and Delivery Registered Nurse Location: Show Low, Arizona Pay: $31.00–$47.00 per hour, based on experience and qualifications Schedule: Full-time day shift | One on-call shift per four-week schedule Employment Type: Permanent, Direct-Hire Position Sign-On Bonus: $10,000 total — $5,000 after 90 days and $5,000 after 12 months Relocation Assistance: Up to $5,000 may be available, typically paid with the first paycheck. Relocation assistance requires a one-year commitment and must be repaid if employment ends before that commitment is completed. Position Summary A hospital in Show Low, Arizona, is seeking experienced Labor and Delivery Registered Nurses to provide comprehensive care throughout labor, delivery, recovery, postpartum, and couplet-care services. Because an OB physician and neonatologist are not continuously in-house, this role requires strong assessment skills, fetal-monitoring expertise, and the ability to recognize and respond to obstetric emergencies until the provider arrives. The ideal candidate is confident caring for high-risk patients and can function independently in a smaller community hospital environment. Key Responsibilities Assess and monitor patients throughout labor, delivery, recovery, and postpartum care. Provide couplet care to postpartum patients and newborns when department census requires it. Interpret fetal-monitoring patterns and initiate appropriate interventions for fetal distress. Recognize and respond to obstetric emergencies until the physician arrives. Care for patients experiencing preeclampsia and other high-risk pregnancy complications. Assist with vaginal deliveries and cesarean sections. Prepare patients, equipment, supplies, and surgical areas for cesarean deliveries. Monitor maternal and fetal conditions and promptly communicate significant changes. Administer medications and treatments according to physician orders and established protocols. Provide education and emotional support to patients and their families. Collaborate with physicians, respiratory therapists, scrub technicians, patient-care technicians, and other clinical staff. Maintain accurate and timely clinical documentation. Participate in emergency response, patient stabilization, and newborn resuscitation when required. Follow infection-control, medication-safety, fetal-monitoring, and patient-care standards. Float to other hospital departments, typically medical-surgical units, when operationally necessary. Requirements Active Registered Nurse license or eligibility for licensure in Arizona. At least three years of Labor and Delivery nursing experience. Cesarean-section experience. Experience caring for high-risk obstetric patients. Strong labor assessment and emergency-response skills. Proficiency in fetal monitoring and interventions for fetal distress. Ability to provide Labor and Delivery, postpartum, newborn, and couplet care. Current Basic Life Support certification. Current Advanced Cardiovascular Life Support certification. Current Neonatal Resuscitation Program certification. Current intermediate or advanced fetal-monitoring certification. Availability for one on-call shift during each four-week schedule. Ability to work independently while awaiting the arrival of an OB provider. Preferred Qualifications More than three years of recent Labor and Delivery experience. Experience working in a facility without continuous in-house OB physician coverage. Strong clinical background in obstetric emergencies. Experience caring for patients with preeclampsia and other complex maternal conditions. Experience functioning in both Labor and Delivery and couplet-care settings. Experience assisting with newborn stabilization and resuscitation. Flexibility to assist medical-surgical or other nursing departments when needed. Department Information Seven Labor and Delivery beds Two obstetric triage beds Ten postpartum beds Approximately one to three births per day Approximately 830 births annually Typical nurse-to-patient ratio of 1:2 Respiratory therapist available in-house 24/7 Pharmacy available in-house 24/7 Support staff include OB scrub technicians, patient-care technicians, and health unit secretaries Nurse manager may assist with direct patient care when needed OB physician and neonatologist are not continuously in-house