Labor & Delivery RN
Tacoma, WA
American Traveler
4x10 hrs, Nights

Assignment Overview

• Shift: Nights, 4x10hrs
• Hours: 40 hrs/wk
• Start Date: Jun 15, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Labor & Delivery position in a high-acuity Birth Center setting, requiring a minimum of 2 years L&D experience and Epic proficiency.

Details

• Work in a Birth Center with 34 L&D beds, including 15 labor rooms, 12 antepartum beds, 4 OB ED beds, and 3 ORs, plus an 18-bed postpartum unit
• High-acuity patient population including hypertension, magnesium administration, C-sections (33% rate), preterm labor, insulin drips, vaginal deliveries, epidurals, inductions, antepartum care, PROM, multiple births, and postpartum hemorrhage
• Responsible for full recovery of birthing patient and newborn transition after vaginal and C-section births; a second set of hands for newborn care is not guaranteed
• Unit delivers up to 300 babies per month
• Patient ratios follow AWHONN guidelines: 1:1 active labor, 1:2 non-active labor, 1:2–3 antepartum depending on acuity
• EMR: Epic (required)
• Equipment includes Alaris CareFusion IV pumps, Pyxis medication dispensing, Centricity/Qx fetal surveillance monitors, CAD Solaris epidural pumps, Panda Warmers, and Covidien SCDs
• 10-hour night shifts (1900–0730)
• Every other weekend rotation, though scheduling may vary based on unit need
• No mandatory on-call requirements; open shifts may be picked up voluntarily
• Floating may be required within L&D (antepartum) and occasionally to postpartum (4th floor) within scope and experience
• Holiday coverage expected on a fair and equitable basis

Requirements

• Active WA state or compact RN license required
• Required certifications: BLS, NRP, and Intermediate Fetal Heart Monitoring (AWHONN)
• Minimum 2 years of L&D experience required; 5+ years preferred; candidates with 1 year of experience will not be considered
• Previous travel nursing experience required for candidates with 2 years of L&D experience
• Epic EMR experience required
• Proficiency in labor management and delivery of high-risk OB patients, OB triage, OR circulation, cervical checks, and fetal monitoring strip interpretation
• Ability to receive and recover a normal newborn as needed
• At least one supervisor-level reference (Charge Nurse, Manager, Director, or above) required for consideration; a second reference will be needed prior to start

Additional Information

• First-time travelers will be considered on a case-by-case basis
• Unit support includes CNAs, scrub techs (LPN/NRP-certified), a receptionist/HUC, free-floating charge nurse, phlebotomy, scheduled break nurses (2 per shift), 24/7 RT coverage (with NICU RTs attending high-risk deliveries), 24/7 laborist, residents/fellows, and shared anesthesia coverage
• Traditional orientation consists of 1 day of NEO and 2 days on the unit; orientation is conducted during day shift regardless of assigned shift
• RTO requests must be submitted prior to contract approval; incidental days off should be discussed with the charge nurse or manager
• Scrubs are provided by the facility and must not be worn outside the building
• Free parking is available via badge access in designated areas