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

Position Overview

The L&D Registered Nurse (RN) will be responsible for the care and management of high-risk obstetric patients, as well as supporting labor and delivery processes. This role requires a strong clinical background and proficiency in various obstetric care procedures.

Unit Information

• L&D Beds: 34 beds total
• Labor Rooms: 15 labor rooms
• Antepartum Beds: 12
• OB Emergency Department: 4
• Operating Room: 3
• Postpartum Beds: 18
• Monthly Deliveries: Up to 300

Patient Types

The unit handles a variety of patient cases, including:

• High acuity conditions such as hypertension
• Magnesium sulfate administration
• C-Section deliveries (approximately 33% C-section rate)
• Preterm labor and insulin drips
• Vaginal deliveries and epidural administration
• Robust antepartum care
• Pre-labor rupture of membranes (PROM)
• Multiple births and postpartum hemorrhage

Patient Ratios

The following patient-to-nurse ratios are maintained:

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

Required Certifications

• BLS (Basic Life Support)
• NRP (Neonatal Resuscitation Program)
• Intermediate Fetal Heart Monitoring (AWHONN)

Skills Required

The candidate must possess the following skills:

• Experience in managing and delivering high-risk obstetric patients
• Ability to triage obstetric patients
• Circulating experience in the operating room
• Conducting cervical checks and interpreting fetal monitoring strips
• Assisting in receiving and recovering normal newborns

Support on the Unit

The unit is supported by:

• One CNA to assist with transports, restocking, and room clean-up
• Scrub Techs who are LPNs and NRP certified
• A receptionist/Health Unit Coordinator (HUC)
• A break nurse is scheduled per shift
• 24/7 respiratory therapy support
• A laborist available around the clock
• Residents and fellows in-house for additional support

Technology and Equipment

Key technologies used in the unit include:

• EMR: EPIC (required)
• IV pumps: Alaris CareFusion
• Medication dispensing: Pyxis
• Fetal surveillance monitors: Centricity/Qx
• Epidural pumps: CAD Solaris
• Panda warmers for newborn care
• Coviden SCDs

Orientation and Training

Orientation includes a comprehensive training program:

• Preceptor-led hospital orientation followed by 2 weeks on the unit
• 1 additional week of independent practice
• Charge Nurses will provide guidance during the orientation

Scheduling and Time Off

The scheduling details are as follows:

• Weekend rotation is required approximately every other weekend, variability may occur based on needs
• Holiday expectations apply, with a fair and equitable distribution
• Request for time off (RTO) must be made prior to