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

About the Position

This role involves providing comprehensive nursing care in a Level III Trauma Center with a focus on labor and delivery. The unit includes various specialized areas such as Mother/Baby units, NICU, and a START unit for perinatal addiction treatment.

Unit Information

• 9 Labor, Delivery, Recovery (LDR) beds
• 2 Obstetric Operating Rooms (OB OR)
• 2 Obstetric Post Anesthesia Care Unit (PACU) beds
• 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

Experience and Qualifications

• Minimum of 1 year of Labor & Delivery experience required
• First-time travelers are welcome

Patient Types and Common Diagnoses

• Level II Perinatal Center for patients 32 weeks and above
• Conditions include hypertension, magnesium administration, substance abuse management, and more
• Experience with antepartum care and postpartum care is essential
• 175-200 deliveries per month

Patient Ratios

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

Required Certifications and Licenses

• BLS (Basic Life Support)
• NRP (Neonatal Resuscitation Program)
• Fetal Monitoring Certification (AWHONN or Relia's module)

Essential Skills

• Strong experience in Labor & Delivery, including cervical exams, amnio infusion, fetal monitoring, and IV administration
• Postpartum care, including basic breastfeeding support
• Ability to administer couplet care once both mother and baby are stable
• Familiarity with HUGS Security systems and Pyxis medication dispensing

Department Support

• No CNAs on the unit
• Surgery Technicians available Monday through Friday, transitioning out over time
• Phlebotomy services available
• NICU attendance for patients 34 weeks gestational age or less as needed
• 24/7 Respiratory Therapy for high-risk deliveries
• Hospitalist available 24/7
• OB Group and Laborist available 24/7

Technology and Equipment

• EMR: EPIC Stork, GE Centricity
• IV Pumps: Alaris
• Medication Dispensing: Pyxis (experience required)

Floating Policy

Staff will only float to areas where they are competent. Floating can occur between Labor & Delivery and the Mother/Baby Unit, but will not include the START unit.

Orientation and Training

• NEO Orientation
• Training includes two distinct shifts focused on patient care and surgical support
• Annual core competencies, medication examination, and unit competency assessment will be required before arrival

Scheduling and Expectations

• Weekend rotation: Every other weekend
• Holiday expectations: One major and one minor holiday per year
• Approval for Request Time Off (RTO) through the manager
• Shift Times: 0700-1900 or 1900-0700
• Schedule cycles are created in three-week increments

Additional Information

• Scrub color provided
• Free parking available
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