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

About the Facility

Level III Trauma Center with 375 licensed beds.

Unit Information

• 9 Labor, Delivery, Recovery (LDR) beds
• 2 Obstetric Operating Rooms (OB OR)
• 2 Obstetric Post Anesthesia Care Units (OB PACU)
• 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 Obstetric Emergency Department beds for patients 20 weeks and above

The START unit is an inpatient voluntary addiction medicine treatment program designed to support pregnant women seeking treatment for their addiction.

Position Details

• Minimum Experience: 1 year required
• Support for First-Time Travelers: Yes

Patient Types and Common Diagnoses

• Patients 32 weeks and above in a Level II Perinatal Center
• Conditions including hypertension, medication management for substance abuse
• High volume of low-risk patients requiring intermittent monitoring
• Antepartum care with continued fetal monitoring
• Post-labor care for stable patients and newborns transitioning to mother/baby unit
• 175-200 deliveries per month

Patient Ratios

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

Required Licenses and Certifications

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

Required Skills

• Strong experience in Labor and Delivery, including cervical exams, antepartum and labor management, epidural administration, and fetal monitoring
• Postpartum experience providing care to mothers and infants, including basic breastfeeding support
• Competency in couplet care once the mother and infant are stable
• Experience with HUGS Security system and Pyxis medication dispensing

Support Within the Department

• No CNAs on the unit
• Surgery Technicians available Monday through Friday (0600-1500), phasing out
• Phlebotomy services available
• NICU attendings for infants 34 weeks or less, if needed
• Respiratory Therapy available 24/7 for high-risk deliveries
• Hospitalist and Laborist (OBGYN) available 24/7
• Support from Midwife and Family Practice Group

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. Traditional travelers will float between L&D and Mother/Baby units, but will not float to the START unit.

Orientation

• NEO orientation provided
• Shadowing for two shifts: one focused on patients delivering and one on C-sections or triage
• Completion of annual core competencies, medication exam, and unit competency exam required before arrival

Scheduling

• Weekend rotation: every other weekend
• Holiday Expectations: one major and one minor holiday
• Requests for time off will be approved through the manager
• Shift Times: 0700-1900 or 1900-0700