Labor and Delivery RN
Puyallup, WA
Thrive Staffing
3x12 hrs, Nights

About the Facility

Located in a dynamic healthcare environment, this facility is a Level III Trauma Center with 375 licensed beds.

Unit Information

The unit consists of:

• 9 Labor and Delivery Rooms
• 2 OB Operating Rooms
• 2 OB Post-Anesthesia Care Units
• 11 Level II Neonatal Intensive Care Unit (NICU) beds
• 4 Pediatric beds
• 20 Mother/Baby unit beds
• 18 bed START unit for Perinatal Addiction
• 3 OB Emergency Department beds (for patients 20 weeks and above)

The START unit is designed as an inpatient voluntary addiction medicine treatment program, focused on supporting pregnant women who seek treatment for addiction.

Minimum Requirements

• Minimum of 1 year of experience required
• First-time travelers are accepted

Patient Types and Common Diagnoses

The facility handles a variety of cases, including:

• Conditions that typically arise in a Level II Perinatal Center for patients 32 weeks and above
• Hypertension and magnesium administration
• Medication management for substance abuse
• A high number of low-risk patients needing intermittent monitoring
• Epidurals and fetal monitoring
• IV administration

On average, the facility sees 175-200 deliveries per month.

Patient Ratios

The unit adheres to AWHONN and NANN guidelines for patient ratios:

• 1:1 for active labor
• 1:2 for non-active laboring patients

Qualifications and Certifications

• Current BLS certification
• NRP certification
• Fetal monitoring certification (AWHONN or equivalent module)

Skills Required

• Strong experience in Labor & Delivery
• Proficient in performing cervical exams, antepartum and labor care, amnio infusion, epidural placement, fetal monitoring, and IV administration
• Postpartum experience with mothers and babies following the transition period (first 24 hours) including basic breastfeeding support
• Experience with couplet care after stabilization of mother and baby
• Familiarity with the HUGS Security system and Pyxis

Support Within the Department

Support services available include:

• No Certified Nursing Assistants (CNAs) on the unit
• Surgical Technicians available Monday through Friday
• Phlebotomy services
• NICU attending for infants 34 weeks or less if needed
• Respiratory Therapy available 24/7 for high-risk deliveries
• Hospitalist services available 24/7
• OB Group and Laborist (OBGYN) coverage 24/7
• Midwife and Family Practice Group support

Technology and Equipment

The unit utilizes the following technology and equipment:

• Electronic Medical Records (EMR): EPIC Stork, GE Centricity
• IV pumps: Alaris
• Medication dispensing: Pyxis (experience required)

Floating Requirements

Float assignments will only be made to areas where the nurse is competent. Travelers will float between Labor & Delivery and the Mother/Baby unit, but not to the START unit.

Orientation and Training

Orientation to the unit includes:

• NEO orientation
• Two shifts focused on patient delivery and C-section triage
• Completion of annual core competencies (HIPAA, OSHA, etc.), medication exam, and unit competency exam