Clinical Nurse (RN) – Per Diem Level II | Labor & Delivery | Days

Clinical Nurse (RN) – Per Diem Level II | Labor & Delivery | Day Shift

Howard University Hospital | Washington, DC

The Clinical Nurse – Per Diem (RN) is a Registered Nurse reporting to the Clinical Nursing Administrator and embedded in the Howard University Hospital Labor & Delivery unit — part of a comprehensive Women and Infant Services program serving the Washington, DC metro area. Through collaboration with the interdisciplinary team, you will deliver safe, effective, patient- and family-centered care to antepartum, intrapartum, and immediate postpartum patients.

You will exemplify HUH’s CARES values, adhere to ANA standards of practice, and fulfill our nursing mission and vision.

• Perform rapid, comprehensive assessments and develop individualized plans of care for antepartum, intrapartum, and immediate postpartum patients across the full spectrum of acuity
• Monitor and interpret electronic fetal monitoring (EFM) strips using NICHD terminology; communicate nonreassuring findings and elevate via SBAR and chain of command as indicated
• Initiate, manage, and titrate oxytocin inductions and augmentations per protocol; recognize and respond to uterine tachysystole and fetal heart rate abnormalities
• Provide skilled intrapartum nursing support through all stages of labor; assist with vaginal, operative vaginal, and cesarean deliveries; function as scrub or circulating nurse in the OR as required
• Administer magnesium sulfate, corticosteroids, antihypertensives, and other high-risk obstetric medications safely per protocol
• Provide immediate newborn stabilization at delivery and initiate neonatal resuscitation per NRP guidelines pending NICU response
• Assess and manage postpartum hemorrhage (PPH) including uterine massage, fundal assessment, quantitative blood loss (QBL) measurement, and hemorrhage bundle activation
• Recognize and elevate obstetric emergencies including shoulder dystocia, cord prolapse, uterine rupture, amniotic fluid embolism, and maternal sepsis; participate in emergency drills and debriefs
• Establish rapport with patients and families under high-stress conditions, providing emotional, psychological, and spiritual support throughout the L&D experience; support skin‑to‑skin contact and early breastfeeding initiation
• Document patient care, assessments, and outcomes accurately in the electronic health record; communicate irregularities and continuing care needs across nursing teams
• Delegate tasks appropriately to non‑licensed personnel and assistants
• Adhere to infection control protocols, medication administration and storage procedures, and controlled substance regulations
• Participate in unit performance improvement programs, and engage in education, engagement, and practice committees
• Maintain and grow clinical knowledge through educational workshops, professional publications, and professional societies
• Perform other duties as assigned consistent with the scope of this role

• Associate Degree in Nursing (ADN) required;
  Bachelor of Science in Nursing (BSN) preferred
• Graduate of an accredited school of nursing
• Minimum three (3) years of bedside RN experience in a Labor & Delivery setting
• Current, active RN license in the District of Columbia
• Current BLS and ACLS certification through the American Heart Association (AHA) required
• Neonatal Resuscitation Program (NRP) certification through the American Academy of Pediatrics (AAP) required
• Fetal Heart Monitoring certification required (AWHONN Intermediate or Advanced)
• Nationally recognized nursing certification in obstetric nursing (e.g., RNC‑OB) highly desirable

With over 150 years of caring for our community in the Washington, DC area, Howard University Hospital has a world‑renowned reputation for high‑quality, patient‑centric care. As the nation’s only teaching hospital located on the campus of a Historically Black University, we offer a superior learning environment built on groundbreaking research and exceptional patient outcomes.

• Highly competitive per diem compensation
• Flexible scheduling within defined per diem commitment
• Professional practice environment grounded…