Night Shift RN – OB / Rural Health (Cross-Trained for ER Coverage)
Overview
Join a rural healthcare setting where your obstetrics expertise makes a direct impact on patients and families—and where your flexibility and clinical confidence are valued. This night shift Registered Nurse role focuses on providing safe, high-quality rural health obstetric care, with the expectation you can also support the Emergency Department when there are no OB patients. You’ll use strong assessment skills, sound clinical judgment, and clear communication to deliver patient-centered care across the lifespan, including maternal/newborn and emergent situations.
Required Skills
- Competency in rural health obstetrics (antepartum, intrapartum, postpartum, and newborn care)
- Ability to float/support ER coverage when OB census is low
- Strong patient assessment skills (physical and psychosocial) and ability to develop/implement care plans
- Medication administration competence (including IV therapy, blood and blood components per policy)
- Ability to recognize, respond to, and intervene in life-threatening/emergent situations
- Accurate documentation and effective handoff/shift reporting
- Effective oral and written communication skills
- Ability to provide patient/family education and discharge teaching throughout hospitalization
- Proficiency with core nursing skills such as:
- Vital signs, I&O, glucose monitoring, specimen collection
- Wound care/dressing changes, catheterization, NG tubes/tube feedings, drains/enemas
- Airway/suctioning and basic oxygen administration
- Neurological assessments and fetal monitoring support (as applicable)
Nice to Have Skills
- 1+ year experience as a professional Registered Nurse
- Strong comfort level managing OB conditions such as:
- Preeclampsia/eclampsia, gestational diabetes, preterm labor, PROM
- Placenta previa, placental abruption
- Induction/augmentation of labor
- Scheduled/emergency cesarean sections and perioperative OB care
- Experience with fetal monitoring interpretation (FHR and uterine activity) and testing such as NSTs and challenge/stress testing (per policy)
- Newborn stabilization/resuscitation support experience (e.g., oxygen delivery/PPV, hypoglycemia, hyperbilirubinemia)
Preferred Education and Experience
- Graduate of an accredited School of Professional Nursing
- Preferred: One (1) year experience as a professional Registered Nurse
Other Requirements
- License: Registered Nurse currently licensed by the State of Texas
- Certifications:
- Current CPR certification
- ACLS and NRP required within 18 months of employment
- Physical requirements: Extended standing and walking; bending, stooping, twisting, reaching; lifting up to 50 lbs; occasional heavy lifting when assisting patients who may suddenly become weak or helpless
- Commitment to confidentiality, infection control, aseptic technique, safety guidelines, and professional conduct
- Ability to collaborate closely with patients, families, providers, and interdisciplinary teams; participate in committees and perform other duties as assigned
If you’re a capable night shift OB RN who thrives in a rural environment and is ready to step in where needed—including ER coverage when OB volume is low—apply today to be considered.