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

Position Overview

This role is for a Labor and Delivery Registered Nurse (RN) in a high-acuity setting. The position involves managing labor, delivery, and postpartum care for a diverse patient population, including those with high-risk pregnancies. The ideal candidate must be equipped with critical thinking skills and possess experience in high acuity obstetric care.

Facility Information

Location: City, State

Type: Level II Trauma Center with a Level IV NICU

Unit Details

• Labor & Delivery Beds: 34 (15 labor rooms, 12 antepartum rooms, 4 OB ED, 3 OR)
• Postpartum Beds: 18
• Patient Volume: Up to 300 deliveries per month
• Patient Ratios:
• 1:1 active labor
• 1:2 non-active laboring
• 1:2-3 antepartum, depending on acuity

Patient Types

• High acuity conditions such as hypertension, magnesium administration, C-sections (33% rate), preterm labor, and more.
• Care for vaginal deliveries, inductions, and postpartum hemorrhage.
• Transition care for postpartum patients and newborns.

Qualifications

• Required Certifications: BLS, NRP, Intermediate FHM (AWHONN)
• Minimum Experience: 2 years for L&D RN; 5+ years preferred. Travelers may be accepted based on experience.
• Solid experience in high acuity labor management is essential.
• Familiarity with EPIC electronic medical records is mandatory.

Responsibilities

• Manage high-risk obstetric patients, performing cervical checks and interpreting fetal monitoring strips.
• Assist in the operating room and provide care as a second set of hands for newborns when necessary.
• Work collaboratively with a team, including CNAs, scrub techs, and resource RNs to ensure optimal patient care.
• Functioning as a charge nurse may be required, alongside patient assignments.

Support and Resources

• CNA support, transporting, restocking, and assisting in the OR.
• 24/7 respiratory therapy support for high-risk deliveries.
• Available resource RNs and break nurses scheduled for each shift.

Orientation and Training

• Comprehensive orientation includes hospital training and unit-specific preparation.
• Hands-on training with preceptor support for at least two weeks, followed by an independent week.

Scheduling

• Weekend rotation requirements apply; expect variability based on needs.
• Shifts are 12 hours, with typical hours of 0700-1930 or 1900-0730. Specific scheduling for ANM includes 1900-0700 shifts.
• Scheduling is conducted in six-week cycles, released two weeks prior to the start date.

Additional Information

The position involves working in a dynamic and fast-paced environment, requiring dedication and a commitment to providing high-quality care in obstetrics. Interested candidates are encouraged to apply for this rewarding opportunity in patient-centered healthcare.