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

Assignment Overview

• Shift: Nights, 4x10hrs
• Hours: 40 hrs/wk
• Start Date: Oct 5, 2026
• Length: 15 weeks
• Openings: 1

Description

American Traveler is hiring a Labor & Delivery RN for a night shift break nurse role requiring 2+ years of L&D experience and Epic proficiency in a high-acuity Birth Center.

Details

• Birth Center unit within a Level II Trauma Center with Level IV NICU
• 34 L&D beds including 15 labor rooms, 12 antepartum, 4 OB ED, and 3 OR spaces
• 18-bed Postpartum unit
• High acuity patient population including hypertension, Mg administration, C-sections (33% rate), preterm labor, insulin drips, vaginal deliveries, epidurals, inductions, PROM, multiple births, and postpartum hemorrhage
• Up to 300 deliveries per month
• Patient ratios per AWHONN guidelines: 1:1 active labor, 1:2 non-active laboring, 1:2-3 antepartum depending on acuity
• This is a scheduled Break Nurse position, working 4x12-hour shifts for 48 hours per week
• Shift schedule: 10-hour nights (1900-0730)
• Weekend rotation required every other weekend, subject to variability based on need
• No mandatory on-call requirements, though may pick up available open shifts
• Floating required to Antepartum (within L&D) and occasionally Postpartum (4th floor), within scope and experience
• Uses Epic EMR, Alaris CareFusion IV pumps, Pyxis medication dispensing, Centricity/Qx fetal surveillance monitors, CAD Solaris epidural pumps, Panda Warmers, and Coviden SCDs

Requirements

• Active WA or compact RN license
• Current certifications: BLS, NRP, and Intermediate Fetal Heart Monitoring (AWHONN)
• Minimum 2 years of L&D RN experience required, with previous travel experience preferred; 5+ years strongly preferred
• High acuity experience including labor management, delivery of high-risk OB patients, OB triage, OR circulation, cervical checks, and fetal monitoring strip interpretation
• Ability to serve as second set of hands for newborn recovery and APGAR scoring as needed
• Epic EMR experience required

Additional Information

• Provide comprehensive labor and delivery nursing care including triage, labor management, and delivery support for high-risk OB patients
• Support includes CNA staff, LPN scrub techs (NRP certified), receptionist/HUC, floating charge nurse, resource RN (pending staffing), and 24/7 RT and Laborist coverage
• NICU RTs attend high-risk deliveries and respond when fetal monitoring strips indicate concern
• Anesthesia coverage is scheduled during day shift and shared after 1700
• Orientation includes hospital orientation plus 2 weeks on unit and 1 week of independent practice, beginning 3 weeks before residents start on the floor
• Holiday coverage expected on a fair and equitable basis
• RTO requests must be submitted prior to contract approval; incidental days off require discussion with CANM or Manager
• Schedules are built in 6-week increments and released 2 weeks prior to the start of each schedule cycle; block schedules cannot be guaranteed
• Scrubs are facility-provided and must not be worn outside the facility
• Free badge-access parking available in designated areas
• First-time travelers considered upon review