Labor and Delivery (L&D)

• A Labor and Delivery (L&D) Registered Nurse at Johns Hopkins Medicine provides specialized clinical care to patients during the antepartum, intrapartum, and immediate postpartum periods. This role focuses on supporting physiological birth, managing high-risk obstetric complications, and ensuring the safety of both parent and newborn within a premier academic medical center. Job Summary The L&D RN is responsible for the assessment, monitoring, and nursing management of laboring patients. Working in a collaborative, multidisciplinary environment, the nurse utilizes advanced fetal monitoring and clinical judgment to provide personalized care. The position requires a high degree of technical skill in assisting with vaginal deliveries and surgical interventions, while maintaining a compassionate and supportive atmosphere for families. Key Responsibilities
• Performing comprehensive admission assessments and ongoing physical evaluations of obstetric patients.
• Monitoring maternal vital signs and performing continuous or intermittent electronic fetal monitoring (EFM) to assess fetal well-being.
• Identifying and responding to clinical emergencies, such as fetal distress, cord prolapse, or postpartum hemorrhage.
• Managing the administration of medications, including oxytocin for labor induction and various analgesics or anesthetics.
• Supporting patients through natural labor techniques and assisting with the administration and monitoring of epidural anesthesia.
• Acting as a scrub or circulating nurse during Cesarean sections and other obstetric surgical procedures in dedicated OR suites.
• Assisting physicians and midwives with vaginal deliveries, instrumental deliveries, and the repair of lacerations.
• Providing immediate neonatal stabilization and care, including Neonatal Resuscitation Program (NRP) interventions if required.
• Educating patients and families on the labor process, pain management options, and initial breastfeeding techniques.
• Maintaining detailed and accurate documentation of labor progress, medications, and delivery outcomes in the electronic health record.

Qualifications

• and Requirements
• A valid and unencumbered Registered Nurse license in the state of Maryland or a recognized compact state.
• Bachelor of Science in Nursing (BSN) from an accredited program is required.