L&D Break Nurse
Tacoma, WA
American Traveler
4x10 hrs, Nights

Assignment Overview

• Shift: Nights, 4x10hrs
• Hours: 40 hrs/wk
• Start Date: Sep 8, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Labor & Delivery Break Nurse position requiring WA or compact RN licensure and prior high-acuity L&D experience.

Details

• Work in the Birth Center unit of a Level II Trauma Center with a Level IV NICU
• 34 L&D beds including 15 labor rooms, 12 antepartum, 4 OB ED, and 3 OR
• 18-bed Postpartum unit
• This is a Break Nurse position, scheduled 2 per shift
• High acuity patient population including hypertension, Mg administration, C-sections (33% rate), preterm labor, insulin drips, vaginal deliveries, epidurals, inductions, antepartum, PROM, multiple births, and postpartum hemorrhage
• Up to 300 deliveries per month
• Patient ratios follow AWHONN guidelines: 1:1 active labor, 1:2 non-active laboring, 1:2-3 antepartum depending on acuity
• 10-hour night shifts, 40 hours per week
• Shift times 1900-0730
• Weekend rotation required every other weekend, though schedule may vary based on need
• No mandatory call requirements, though may pick up available open shifts as needed
• Floating required to Antepartum (within L&D) and occasionally Postpartum (4th floor), within scope and experience
• Schedules are made in 6-week increments and released 2 weeks prior to the schedule starting
• Block schedules cannot be guaranteed

Requirements

• Active WA or compact RN license required
• Current certifications: BLS, NRP, and Intermediate Fetal Heart Monitoring (AWHONN)
• Minimum 2 years of L&D RN experience required; candidates with previous travel experience preferred, 5+ years ideal
• First-time travelers considered upon review
• High acuity L&D experience required, including labor management and delivery of high-risk OB patients
• Ability to triage OB patients and circulate in OR
• Skilled in cervical checks and reading/interpreting fetal monitoring strips
• Ability to serve as second set of hands to receive and recover normal newborns as needed
• EPIC EMR experience required

Additional Information

• Provide labor and delivery nursing care as a scheduled Break Nurse, relieving unit staff during shifts
• Support includes CNAs, LPN scrub techs (NRP certified), receptionist/HUC, free-floating charge nurse, and resource RN pending staffing needs
• RT support available 24/7, including NICU RTs for high-risk deliveries
• Laborist coverage available 24/7 with residents, fellows, and additional physicians/midwives on call
• Anesthesia coverage scheduled during day shift and shared after 1700
• Uses Alaris CareFusion IV pumps, Pyxis medication dispensing, Centricity/Qx fetal monitors, CAD Solaris epidural pumps, Panda warmers, and Coviden SCDs
• Orientation includes hospital NEO (1 day) and 2 days on the unit, with orientation occurring during day shift even though the position is for nights
• Cardiac rhythm test not required for this unit
• Holiday coverage expected on a fair and equitable basis
• RTO requests must be submitted and approved prior to contract approval
• Scrub color provided by facility; scrubs must not be worn outside the facility
• Free badge-access parking available in designated areas