Labor and Delivery Nurse
Grand Coulee, WA
American Traveler
3x12 hrs, Days

Job Description

American Traveler is seeking an experienced RN for a Labor & Delivery position in an acute care setting, requiring at least 1 year of experience and intermediate EFM skills.

Responsibilities

• Work in a small Labor & Delivery unit with 2 L&D rooms at a Critical Access Hospital (CAH)
• Typical patient volume is 50-60 births annually
• Patient ratio is typically 1:1, occasionally 1:2, often only one OB nurse per shift
• Care for antepartum, laboring, postpartum, and newborn patients with common cases including diabetes, gestational diabetes, advanced maternal age, and no known high-risk cases
• C-sections performed in main OR with PACU recovering; OB nurses care only for the baby during these cases
• Shifts are 12 hours, with day and night schedules (6a-6:30p, 6p-6:30a) and schedules typically blocked and set four weeks at a time
• Weekend shifts required every other weekend; holiday coverage as needed
• Possible floating to Acute MedSurg if there are no OB patients
• Uses Cerner EMR and Fetal Link EFM system
• No nurse aides or surgical tech support on this unit
• Provide comprehensive care for women during labor, delivery, and post-partum periods, including fetal monitoring and managing titratable drips
• RNs are responsible for monitoring patients on magnesium without monitor tech support
• All OBs are Family Practice physicians, in-clinic during the day and available within 20 minutes after hours
• Anesthesia is on call and not in-house around the clock
• Respiratory support is limited to nasal cannula and non-rebreather; no RT in-house
• Initial one-day unit orientation provided
• No specific scrub color required; clean and professional attire expected
• Charge nurse covers the entire hospital, not unit-specific

Requirements

• Active WA or Compact RN license required
• Current certifications: BLS, ACLS, NRP, and intermediate or advanced C-EFM
• At least 1 year of RN experience in Labor & Delivery, antepartum, and postpartum settings
• Proficient in titrating drips such as insulin and magnesium
• Must be able to work on the Acute MedSurg floor as needed

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts