DescriptionIn-House Contract Registered Nurse — Labor, Delivery, Recovery & Postpartum

Location:
Clarksville, ArkansasDepartment: Labor, Delivery, Recovery & Postpartum (LDRP) Reports to: LDRP Director or designeeAssignment Length: 12 weeks Base Pay: $50.00 per hourSchedule: Assigned 12-hour shifts; days or nights based ondepartment needs Position Type: Temporary, in-house contract employee Position Summary: Johnson Regional Medical Center (JRMC) is seeking an experienced LDRP Registered Nurse for a12-week in-house contract assignment.
The RN provides safe, compassionate, family-centered care throughout labor, delivery, recovery, and the postpartum period, along with newborn and mother–baby couplet care. The successful candidate must demonstrate competency in labor management, postpartum nursing, newborn care, and couplet care. This assignment requires the ability to function independently following hospital orientation and validation of required competencies. Contract Eligibility and Terms Base compensation is $50.00 per hour. Assignment duration is 12 consecutive weeks, with start and end dates established in the written agreement. Applicants must not have worked at JRMC during the six months immediately preceding the contract start date, including work as an employee, PRN employee, agency nurse, or other contract nurse. Previous JRMC employees must be eligible for rehire. This is a direct, in-house employment assignment with JRMC. Scheduled weekly hours, shift assignment, weekend requirements, holiday coverage, and any call obligations will be specified in the written agreement. Overtime, applicable differentials, incentive eligibility, benefits eligibility, and any guaranteed hours will be addressed in the written agreement and applicable hospital policies.



Completion of the assignment does not guarantee renewal or permanent employment. Extensions require mutual written agreement. The employee must maintain all required licenses, certifications, competencies, and employment qualifications throughout the assignment.
Essential

Responsibilities:
Labor and Delivery Perform and document maternal assessments, obstetric history, labor progress, pain assessments, and individualized plans of care. Assess fetal status through appropriate monitoring; recognize concerning patterns and promptly communicate findings. Provide nursing care during spontaneous, induced, and augmented labor. Administer and monitor medications, IV fluids, and blood products according to authorized orders, hospital policies, and validated competencies. Safely manage high-alert obstetric medications, including oxytocin and magnesium sulfate, when ordered and within validated competency. Support patients receiving epidural or other prescribed analgesia and monitor maternal and fetal response. Prepare for and assist with vaginal and operative births within the assigned nursing role. Provide immediate maternal recovery care following delivery. Recognize and respond to obstetric emergencies, including hemorrhage, hypertensive emergencies, eclampsia, shoulder dystocia, cord prolapse, and suspected maternal sepsis. Assist with urgent or emergent cesarean birth preparation and care within validated competencies and hospital staffing arrangements.




Postpartum CarePerform and document postpartum assessments, including bleeding, uterine tone, vital signs, pain, incision or perineal status, elimination, mobility, and emotional well-being. Recognize and elevate signs of postpartum hemorrhage, infection, hypertension, thromboembolism, and other complications. Administer medications and evaluate treatment response. Provide education on recovery, medications, warning signs, follow-up care, and when to seek emergency assistance. Assess psychosocial needs and communicate concerns requiring additional support or evaluation. Support feeding choices and provide breastfeeding assistance within nursing competency. Newborn CarePerform and document newborn transition assessments and ongoing assessments. Monitor respiratory status, temperature, feeding, intake and output, weight, and other clinical findings. Recognize and respond to respiratory distress, hypoglycemia, temperature instability, feeding difficulty, jaundice, suspected infection, and other changes in condition. Administer ordered medications and prophylaxis and complete required screenings according to hospital policy. Initiate neonatal resuscitation and stabilization within NRP training and validated competency. Assist with preparation for transfer when a newborn requires a higher level of care. Teach parents and caregivers safe sleep, feeding, cord care, infant security, and newborn warning signs. Mother–Baby Couplet Care Independently manage assigned mother–baby couplets based on acuity, competency, and the department’s staffing plan. Maintain separate, accurate assessments, medication administration records, plans of care, and documentation for the mother and newborn. Coordinate care while assessing

📌 Icu Rn (Piedrafita del Cebrero)
🏢 Cleveland Area Hospital
📍 Piedrafita del Cebrero