**Job Type:** Regular **Time Type:** Full time **Work Shift:** Rotating (United States of America) **FLSA Status:** Non-Exempt **When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.** Registered Nurse - Labor and Delivery Position Summary: The Labor and Delivery RN provides comprehensive, patient-centered care to women during labor, delivery, and the immediate postpartum period. This role adheres to the AWHONN standards for perinatal nursing practice, ensuring safe nurse-to-patient ratios, evidence-based care, and optimal outcomes for mothers and newborns. Essential Duties & Responsibilities: • Provide continuous assessment, planning, intervention, and evaluation of care for laboring patients. • Monitor fetal heart tones and maternal vital signs using electronic fetal monitoring and clinical judgment. • Administer medications, including epidurals and oxytocin, and manage IV therapy. • Assist with vaginal deliveries, cesarean sections, and emergency obstetric procedures. • Provide emotional support and education to patients and families throughout the childbirth experience. • Collaborate with obstetricians, midwives, anesthesiologists, and pediatric teams. • Maintain accurate and timely documentation in the electronic medical record (EMR). • Participate in emergency response situations such as postpartum hemorrhage, shoulder dystocia, and neonatal resuscitation. • Adhere to AWHONN-recommended nurse-to-patient ratios (e.g., 1:1 for active labor, 1:2 for postpartum couplets). • Follow unit-specific protocols, including contingency staffing and acuity-based assignments. Qualifications: • Current RN license in the state of practice. • Bachelor of Science in Nursing (BSN) preferred. • Minimum of 1 year of experience in labor and delivery or perinatal nursing. • Certification in Inpatient Obstetric Nursing (RNC-OB) preferred. • Current BLS, ACLS, and NRP certifications. • Proficiency in fetal monitoring interpretation (AWHONN Intermediate or Advanced Fetal Monitoring course preferred). • Other skills and competence: o Strong clinical assessment and critical thinking skills. o Ability to remain calm and effective in high-stress, emergent situations. o Compassionate communication and patient advocacy. o Team-oriented with a commitment to interdisciplinary collaboration. o Familiarity with AWHONN staffing standards and perinatal safety bundles **Job Description:** **Primary Responsibilities** 1. Works collaboratively with members of the CareTeam to ensure that patients receive skilled nursing care that meets their individual needs. This will be measured by Picker results. a. Assesses patients' needs, plans care and coordinates appropriate assignments for team members 100% of the time. b. Participates in team meetings. c. Establishes relationships with staff that promote a professional and productive work environment. d. Evaluates and documents outcomes of patient care. Actively participates in quality assurance programs. e. Communicates with other team members regarding patients. f. Serves as a resource for difficult or complex situations. Refers appropriate problems to nurse coordinator. g. Participates in presenting education programs to team members to ensure competence. h. Works with team members to monitor patient satisfaction and develop appropriate interventions. i. Administers medication according to nursing/hospital/unit policy/procedure without errors 100% of the time. 2. Provides direct patient care as a member of the CareTeam. a. Provides and documents competent nursing care based on scientific principles and uses the nursing process and meets policy. b. Administers medications according to nursing, hospital, unit policy and procedures and meets outcome measures. 3. Education is planned and provided according to care plan and predicted Length of Stay for every patient who is alert and able to comprehend. Family members and care givers are included in education as appropriate. a. Participates in the development of educational materials/presentations for patients and/or significant others and documents outcome in the medical record. b. Ensures that patients and significant others receive education regarding discharge and the community services available. 4. Works with the CareTeam members to manage the patient's stay in the hospital based on anticipated length of stay. Every patient has a targeted length of stay and a care plan that reflects that target. a. Works with team to plan care according to anticipated Length of Stay, clinical path and/or protocols. b. Collaborates with nurse coordinator, case managers, physicians and other departments to ensure appropriate LOS and discharge planning. c. Coordinates timely completion of procedures, tests and consults during hospital stay. d. Communicates clinical information to appropriate parties. e. Collaborates with team members to plan for improvements regarding patient care. f. Monitors LOS for observation patients and collaborates with nurse coordinators and case managers to ensure appropriate stay. g. Discharge planning begins day one for all patients. Family members are included in this process. h. All patients returning home receive a written discharge or instruction plan prior to discharge 100% of the time. **Required Qualifications** 1. Knowledge of nursing process, theories, and clinical expertise related to patient care, normally acquired through the completion of a nursing training program at an NLN accredited school of nursing. 2. Current registration in the Commonwealth of Massachusetts. 3. Interpersonal skills to interact with patients, families, and a multidisciplinary team of health-care personnel to resolve complex problems. 4. Able to acquire through training programs and continuing education technical knowledge related to assigned area. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity** **Employer/Veterans/Disabled**