Registered Nurse, Labor & Delivery - 36 hrs, Nights

About Our L&D Unit

Winchester Hospital’s Labor, Delivery, and Recovery (LDR) Unit is a high-performing, patient-centered environment supporting over 2,500 deliveries annually. The unit includes 10 labor beds, 2 triage beds, 2 operating rooms, and a dedicated tub room for labor support (non-water birth). The team maintains A1 standards for nurse-to-patient ratios and is supported by 24/7 in-house anesthesia and continuous neonatology coverage. We care for patients at or above 32 weeks gestation and collaborate closely with private practice Obstetricians and Physician Assistants. Staffing on each shift includes a strong core team of nurses along with surgical tech and administrative support. The unit has recently undergone extensive renovations, providing brand-new labor rooms designed with comfort and aesthetics, including modern bathrooms and glass showers, while OR upgrades and expanded storage enhancements are in progress.

The Role

As a Labor & Delivery Registered Nurse at Winchester Hospital, you will provide comprehensive, compassionate care throughout the labor, delivery, and immediate postpartum experience. You’ll work collaboratively with a multidisciplinary team to support safe, family-centered births while responding confidently to both routine and high-risk situations. This role offers the opportunity to practice across the full spectrum of L&D care—from triage and labor support to circulating in the OR, with opportunities to expand your skill set through cross‑training. Nurses are integral to maintaining exceptional patient outcomes, upholding quality standards, and delivering individualized care in a supportive and fast‑paced environment.

Principal Functions

• Exemplify Winchester Hospital’s values and PROMISE behaviors. Commit to making every encounter with our patients, patients’ families, co-workers, physicians and other customers the best that it can be.
• Comply with all Winchester Hospital policies and the Code of Business Conduct. Maintain current license, life support certification, and tuberculosis testing. Take responsibility for own safety as well as the safety of patients, families, co-workers, physicians and other customers.
• Utilize the nursing process to provide patient care.
• Assess the patient using methods such as observation, interview, and review of clinical data.
• Develop individualized plan of care including discharge plan based on assessment and in conjunction with physician orders to achieve desired outcomes.
• Evaluate and change care plan as appropriate.
• Implement plan of care.
• Direct licensed and unlicensed personnel to implement plan of care.
• Utilize the results of evidence-based research to improve clinical outcomes.
• Administer medications and perform treatments as ordered.
• Provide patient/family education to affect desired clinical outcomes.
• Observe and/or make periodic rounds on assigned patients independently, with physicians, and other members of the health care team.
• Report pertinent patient assessment data, plan of care and response to all appropriate members of the health care team.
• Document nursing process and other pertinent patient/family information completely and accurately.
• Participate in interdisciplinary patient care conferences. Communicate with other health care team members to resolve operational problems, patient satisfaction, and clinical initiatives.
• Complete competency for preceptor and/or charge nurse role at the direction/discretion of the nurse manager.
• Complete competencies for unit-specific responsibilities.
• Take on-call as needed.
• Participate in the following: mandatory training requirements as per unit/hospital policies, continuing education and in‑services to enhance knowledge, staff meetings, performance improvement initiatives, orientation of new staff, students and/or volunteers, and participation in community activities is encouraged.

Knowledge, Skills and Abilities

• Graduate of a state-approved and/or accredited RN program required.
• BSN (or obtain BSN within 5 years of hire) required.
• BSN upon hire preferred.
• Work experience in unit-specific specialty preferred.
• Basic computer knowledge.
• Excellent communication and customer service skills required.

License and Certification Required

• Massachusetts Registered Nurse License.
• Basic Life Support certification required for all registered nurses. Some departments require additional life support certification: A4 nurses also require Pediatric Advanced Life Support (PALS). Labor & Delivery, Mother/Baby Unit and Special Care Nursery nurses also require Neonatal Resuscitation Program (NRP). Maternal Child Health float pool nurses require NRP and if float onto A4, PALS is required. A1, ICU, Radiology, Ambulatory Care Unit, Cardiac Rehab, Cardiology, Endoscopy, Pain Center, and Med/Surg float pool nurses also require Advanced Cardiac Life Support (ACLS). Emergency Department, Walk-In Urgent Care, Urgent Care Woburn, and Post Anesthesia Care (PACU) unit nurses also require both ACLS and PALS.

Pay Range

$36.00 - $90.14

Equal Opportunity Employer / Veterans / Disabled