About This Position
Shift: Rotating, 3x12hrs
Hours: 36 hrs/wk
Start Date: Dec 14, 2026
Length: 18 weeks
Openings: 1
American Traveler is hiring an RN for a Labor & Delivery/LDRP position requiring Intermediate Fetal Monitoring certification and the ability to independently interpret fetal strips.
Acute care Critical Access Hospital LDRP unit with 15 total beds (7 L&D, 8 postpartum) and one C-section OR suite
Unit averages 58 births per month
Patient population is mainly obstetric/neonatal, including hypertension and GDM cases, with deliveries generally not performed under 36 weeks gestation
Follows AWHONN staffing ratios: 1:1 for patients on pitocin, magnesium, or insulin drips and 1:3 for couplet care
RNs titrate drips including pitocin, insulin, and magnesium
Charge nurse present each shift and typically takes a patient assignment
CNAs support the unit with vitals, transfer paperwork, and patient mobility
Uses Meditech EMR and Philips telemetry monitors with a Traceview/PIP EFM system
12-hour shifts with day/night rotation (0645-1915, 1845-0715)
Block scheduling allowed; no self-scheduling
Every other weekend and every other holiday required
Call or standby required depending on staffing needs
Floating required to Medsurg and ER as needed, with permanent staff typically floated first
Unit-specific orientation consists of 3 shifts
Active RN license (ND State or Compact)
BLS certification required; Intermediate Fetal Monitoring certification required
ACLS, NRP, and STABLE certifications preferred
Minimum 2 years of RN experience required
Must be able to independently read and interpret fetal strips
Strong critical thinking skills and ability to follow quality metrics
Previous travel nursing experience preferred
Copy of driver's license required for consideration
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 employment dates and rehire eligibility
Provide direct nursing care to obstetric and neonatal patients, including fetal monitoring and drip titration
Change into facility-provided maroon surgical scrubs upon arrival to the unit
Respiratory therapy equipment (vents, CPAP, BiPAP, high flow) is present on the unit, but RNs are only responsible for basic troubleshooting
No OB/neonatologist or anesthesia coverage in-house 24/7
Unit operates with a locked-unit policy requiring staff to remain at the desk as needed
Successful nurses on this unit are adaptable to change, strong critical thinkers, and effective communicators
Must reside at least 50 miles from the facility
Candidates may not have been directly employed (full time, part time, or PRN) with any CommonSpirit-affiliated facility, including CHI or Dignity, within the past 12 months
All requested RTO must be submitted upfront; additional RTO requests will not be approved after submission
Experience
Fetal Heart Monitoring Certification, RN License, Fetal monitoring, BLS Certification, Driver's License
