Labor & Delivery RN
Puyallup, WA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 5, 2026
• Length: 15 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Labor & Delivery RN for a Birth Center role requiring at least 1 year of L&D experience and welcoming first-time travelers.

Details

• Work in the Birth Center unit of a Level III Trauma Center with 375 licensed beds
• Unit includes 9 LDR, 2 OB OR, 2 OB PACU, 11 Level II NICU, 4 bed Peds, 20 bed Mother/Baby, 18 bed START unit for Perinatal Addiction, and 3 OB ED beds (20 weeks and above)
• Level II Perinatal Center caring for patients 32 weeks and above
• Common diagnoses include hypertension, magnesium administration, and substance abuse medication management, with a high volume of low-risk patients needing intermittent monitoring
• Performs epidurals, fetal monitoring, and IV therapy
• Handles antepartum care requiring continued fetal monitoring and post-labor transition to Mother/Baby
• Unit averages 175-200 deliveries per month
• Patient ratios follow AWHONN and NANN guidelines: 1:1 for active labor and 1:2 for non-active laboring patients
• Uses Epic Stork and GE Centricity EMR systems
• Uses Alaris IV pumps and Pyxis medication dispensing system
• 12-hour night shifts from 1900-0700, with rotating weekends every other week
• No on-call requirements
• Schedule is created in 3-week increments
• Floating limited to areas of competency, with no floating to the START unit
• Traditional travelers may float between L&D and Mother/Baby units

Requirements

• Active WA or compact RN license required
• Minimum 1 year of Labor & Delivery experience required
• Current BLS and NRP certifications required
• Fetal monitoring certification required (AWHONN or Relias module)
• Strong L&D skills including cervical exams, antepartum and labor care, amnio infusion, epidurals, fetal monitoring, IV therapy, and Pitocin administration
• Post-partum experience with mother and baby beyond the initial 24-hour transition period, including basic breastfeeding support
• Experience with couplet care once mother and baby are stable
• Pyxis medication dispensing experience required
• Experience with HUGS security system preferred

Additional Information

• Provide comprehensive labor and delivery nursing care including cervical exams, fetal monitoring, and medication administration
• No CNAs on the unit; Surgery Techs available Monday-Friday 0600-1500, with phlebotomy support available
• NICU team attends deliveries at 34 weeks or less when needed
• Respiratory Therapy available 24/7 for high-risk deliveries or concerning fetal strips
• Hospitalist and Laborist OBGYN coverage available 24/7
• Support from OB Group, Midwife, and Family Practice Group
• Orientation includes New Employee Orientation (NEO) and two unit shifts covering delivery and C-section/triage experience
• Annual core competencies (HIPAA, OSHA, etc.), medication exam, and unit competency exam must be completed before arrival
• Holiday coverage required for one major and one minor holiday
• RTO requests require manager approval
• Scrubs provided by facility
• Free parking available
• First-time travelers are welcome to apply