PIONEERS MEMORIAL HEALTHCARE DISTRICT·Brawley, California
The Labor and Delivery Nurse provides expert care for mothers and newborns during labor, delivery, and postpartum stages while collaborating with an interdisciplinary healthcare team. Responsibilities include monitoring maternal and fetal status, assisting in deliveries, performing newborn transitions, and managing obstetric emergencies.
Labor and Delivery Nurses provide expert care for mothers and newborns during labor, delivery, and postpartum stages. This role includes not only supporting labor and delivery but also floating to related departments such as postpartum, antepartum, and newborn nursery as needed. Additionally, L&D nurses are responsible for performing newborn transitions, ensuring smooth adaptation of newborns to extrauterine life.
This role requires clinical expertise, adaptability, and a compassionate approach to patient-centered care. The nurse collaborates with obstetricians, neonatologists, anesthesiologists, midwives, and other healthcare professionals to deliver safe, high-quality care.
Patient Assessment and Monitoring
Conduct comprehensive maternal assessments, including health history, contractions, dilation, and effacement.
Monitor maternal and fetal vital signs using electronic fetal monitors and manual methods.
Identify complications, such as preeclampsia, preterm labor, or fetal distress, and notify the healthcare team promptly.
Care During Labor and Delivery
Provide physical and emotional support during all stages of labor, including breathing techniques, positioning, and pain management.
Administer and manage medications such as Pitocin, analgesics, according to physician orders and hospital protocols.
Assist in vaginal and cesarean deliveries, including preparing sterile fields and instruments.
Support obstetricians or midwives during emergency procedures, such as shoulder dystocia, hemorrhage management, or fetal resuscitation.
Postpartum and Newborn Transitions
Perform initial assessments of newborns, including assessing and stabilizing newborns, assisting with resuscitation if needed, monitoring vitals, assigning apgars, medication administration.
Facilitate immediate skin-to-skin contact and support breastfeeding initiation.
Provide postpartum education to mothers and families, including guidance on lactation, newborn care, and warning signs of complications.
Emergency Management
Act swiftly during obstetric emergencies, such as cord prolapse, uterine rupture, or maternal hemorrhage.
Perform neonatal resuscitation if needed, adhering to Neonatal Resuscitation Program (NRP) guidelines.
Utilize critical thinking skills to triage and stabilize high-risk patients.
Documentation and Communication
Maintain accurate and timely documentation of maternal and fetal status, interventions, and outcomes in electronic health records.
Communicate effectively with patients, families, and the interdisciplinary team to ensure seamless, patient-centered care.
Advocate for the patient’s preferences and cultural considerations during the childbirth process.
Collaboration and Education
Participate in developing care plans tailored to each patient’s needs.
Educate patients and families on labor processes, pain relief options, and postpartum recovery.
Serve as a mentor or preceptor to nursing students and new hires.
Compliance and Quality Improvement
Adhere to California nursing practice laws, hospital policies, and Joint Commission standards.
Participate in quality improvement initiatives to enhance patient safety and outcomes in the labor and delivery unit.
Maintain certifications and attend continuing education to stay current in evidence-based practices.
Must have current licensure to practice registered nursing in the State of California.
Current AHA BLS required upon hire. ACLS, NRP and PALS certification as required by the Department. These certifications must be completed before the 90-day provisional period and must always be completed prior to being assigned to full patient (level 3 care- see cross training policy) care in that area. See policy HRD-00084 for all additional required certifications by department. These certifications must be completed before the 90-day provisional period and must always be completed prior to being assigned to full patient (level 3 care- see cross-training policy) care in that area.
Graduate of an accredited nursing program. Bachelor of Science in Nursing (BSN) preferred
Intermediate Fetal Monitoring
NCC certification preferred
Minimum 1-2 years of clinical experience in labor and delivery or maternal-child health nursing preferred.
Age of the population served: Newborn Infant/Pediatric Adolescent Adult Geriatric All x
Ability to follow written and oral instructions, must have the ability and desire to learn job functions outlined in the job description, must work as part of a team in order to achieve a common goal, and must maintain effective work relationships with those contacted in the course of work.
Scheduling is determined by patient care needs and includes weekends, holidays, nights, calls, etc...
Working every other weekend is a minimum requirement.
Shift and call assignments are modified to reflect department needs.
In staff emergencies, will be able to work on alternate shifts and/or rotating job schedules or similar activities, at intervals for limited periods of time as mandated by department needs.
Market context
California nursing roles often draw steady demand, especially for experienced RNs in procedural and critical care settings. Competition is strongest for candidates who already hold a California RN license, current BLS and ACLS, and recent ICU, ER, or PACU experience. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your certifications and highlight relevant bedside and procedural experience in your application.
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