Labor and Delivery RN
Tacoma, WA
Thrive Staffing
4x12 hrs, Nights

Job Description

We are seeking a skilled and dedicated Labor and Delivery Registered Nurse (RN) to join our team. This position requires a strong background in high-acuity obstetric care, labor management, and delivery of high-risk patients.

General Information

• L&D Beds: 34 (15 labor rooms, 12 antepartum, 4 OB ED, 3 OR)
• Postpartum Beds: 18
• Deliveries: Up to 300 per month

Patient Types

The nurse will care for patients with various conditions, including:

• Hypertension
• Magnesium administration
• C-sections (33% rate)
• Preterm labor
• Insulin drips (rarely)
• Vaginal deliveries
• Epidurals and inductions
• Robust antepartum care
• Premature rupture of membranes (PROM)
• Multiple births
• Postpartum hemorrhage

Patient Ratios

• 1:1 for active labor
• 1:2 for non-active laboring
• 1:2-3 for antepartum, based on acuity

Required Certifications

• BLS
• NRP
• Intermediate Fetal Heart Monitoring (AWHONN)

Skills Required

The ideal candidate will have:

• Experience in high-acuity labor management
• The ability to triage obstetric patients
• Experience circulating in the OR
• Proficiency in cervical checks and fetal monitoring strip interpretation
• Ability to assist with the care of newborns post-delivery

Support on the Unit

• 1 CNA to assist with transports, restocking, and cleanup
• Available scrub techs who are LPNs and NRP certified
• Receptionist/Health Unit Coordinator available
• Free-floating charge nurse
• Phlebotomy support
• Break nurses scheduled for each shift
• Respiratory therapy available 24/7
• Laborist services available 24/7
• Support from residents/fellows and additional physicians/midwives

Technology and Equipment

• EMR: EPIC required
• IV pumps: Alaris CareFusion
• Medication dispensing system: Pyxis
• Fetal Surveillance Monitors: Centricity/Qx
• Epidural Pumps: CAD Solaris
• Panda Warmers
• Coviden Sequential Compression Devices (SCDs)

Orientation

The orientation process consists of:

• Hospital orientation plus 2 weeks on the unit and 1 week independently
• 6 shifts of unit orientation for Assistant Nurse Manager (ANM)

Scheduling

• Weekend rotation: Every other weekend, though this can vary based on needs
• Shift times: 0700-1930, 1900-0730 for RNs; 1900-0700 for ANMs
• Schedule released 2 weeks prior to the start date
• No mandatory call requirements for RNs
• Holidays: Expected, and fair distribution among staff

Location

This position is located in a vibrant community, offering a supportive environment for both professional growth and personal well-being.