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

Assignment Overview

• Shift: Days, 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, requiring a minimum of 2 years of L&D experience and Epic proficiency.

Details

• Work in a 34-bed Birth Center including 15 labor rooms, 12 antepartum beds, 4 OB ED rooms, and 3 ORs, with an associated 18-bed postpartum unit
• High-acuity patient population including hypertension, magnesium administration, C-sections (33% rate), preterm labor, vaginal deliveries, epidurals, inductions, antepartum care, PROM, multiple births, and postpartum hemorrhage
• Unit delivers up to 300 patients per month
• Patient ratios follow AWHONN guidelines: 1:1 active labor, 1:2 non-active laboring, 1:2–3 antepartum depending on acuity
• Shift times are 0700–1930 (days) or 1900–0730 (nights), 10-hour shifts
• Weekend rotation is every other weekend, though frequency may vary based on unit needs
• Holiday coverage required on a fair and equitable basis
• Floating may be required to antepartum (within L&D) and occasionally postpartum (4th floor), as well as additional assignments within scope and experience
• No mandatory on-call requirements
• EMR: Epic (experience required)
• IV pumps: Alaris CareFusion; medication dispensing: Pyxis; fetal surveillance: Centricity/Qx; epidural pumps: CAD Solaris; Panda Warmers; Covidien SCDs

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 only 1 year of experience will not be considered
• Epic EMR experience required
• Ability to manage and deliver high-risk OB patients, triage OB patients, circulate in the OR, perform cervical checks, and read/interpret fetal monitoring strips
• Ability to serve as a second set of hands 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

• Unit is supported by CNAs, scrub techs (LPN/NRP-certified), a receptionist/HUC, free-floating charge nurses, phlebotomy, respiratory therapy (24/7), and a laborist (24/7), with residents, fellows, midwives, and anesthesia also available
• RN is ultimately responsible for phlebotomy; resource RN availability is dependent on staffing
• Traditional orientation consists of 1 day NEO and 2 days on the unit; orientation is conducted during day shift regardless of assigned shift
• Scrubs are provided by the facility and are not to be worn outside of the facility
• Free badge-access parking is available in designated areas
• First-time travelers will be considered on a case-by-case basis
• RTO requests must be submitted prior to contract approval; incidental days off (24–48 hours) should be discussed with the charge nurse or manager
• Schedules are made in 6-week increments and released 2 weeks before the period begins; a block schedule cannot be guaranteed