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

Job Description

We are seeking a highly skilled and dedicated Labor and Delivery Registered Nurse (RN) with a minimum of 2 years of experience in Labor and Delivery. The ideal candidate should be proficient in circulating and serving as the primary nurse in the operating room for C-Sections and should be comfortable working in Postpartum and Antepartum settings.

Facility Overview

Located in Tacoma, WA, this facility is a Level II Trauma Center and Level IV NICU, accommodating a variety of high-acuity patient needs.

Unit Information

• Labor and Delivery Beds: 34 (15 labor rooms, 12 antepartum, 4 OB ED, 3 OR)
• Postpartum Beds: 18
• Monthly Deliveries: Up to 300

Patient Types

The unit serves a diverse high-acuity population including:

• Hypertension
• Magnesium administration
• C-sections (33% C-section rate)
• Preterm labor
• Insulin drips (rarely used)
• Vaginal deliveries and epidurals
• Inductions
• Multiple births and postpartum hemorrhage cases

Patient Ratios

Per AWHONN guidelines, the patient ratios are as follows:

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

Required Certifications

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

Skills Required

• High acuity experience in labor management and delivery of high-risk OB patients
• Ability to triage OB patients
• Circulating in the OR
• Cervical checks and interpreting fetal monitoring strips
• Assistance with normal newborn care

Support on the Unit

The unit is supported by:

• CNA for transports and basic assistance
• Scrub Techs who are NRP certified
• Receptionist/unit coordinator
• Free-floating Charge Nurse
• Phlebotomy services
• Resource RN (pending staffing)
• Scheduled break nurse
• Respiratory Therapy available 24/7
• Laborist on-site 24/7
• Anesthesia services during the day with shared coverage at night

Technology and Equipment

• Electronic Medical Record (EMR): EPIC
• IV pumps: Alaris CareFusion
• Medication dispensing: Pyxis
• Fetal Surveillance Monitors: Centricity/Qx
• Epidural Pumps: CAD Solaris
• Panda Warmers
• Coviden SCDs

Orientation

• Candidates will undergo a comprehensive orientation program, including hospital orientation, unit-specific training, and independent work phases.

Scheduling

The scheduling structure is as follows:

• Weekend rotation required, typically every other weekend
• Fair and equitable holiday expectations
• Shift times: 0700-1930, 1900-0730
• Schedules are generated in 6-week increments and released 2 weeks prior to the start date

Additional Notes

• Scrub color will be provided by the facility
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