Birth Center Labor & Delivery RN
Tacoma, WA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Birth Center RN Opportunity

Location: Tacoma, Washington
Specialty: Labor & Delivery (L&D), Antepartum, Postpartum

Contract Length

• 13 weeks

Unit & Patient Information

• Labor & Delivery Beds: 34 (15 labor rooms, 12 antepartum, 4 OB ED, 3 OR)
• Postpartum Beds: 18
• Approximately 300 deliveries per month
• Patient acuity includes:

  • Hypertension, magnesium administration
  • C-sections (~33% rate)
  • Preterm labor
  • Insulin drips (rare)
  • Vaginal deliveries, epidurals, inductions
  • Robust antepartum care, PROM, multiple births
  • Postpartum hemorrhage
• Care includes transition post vaginal births and C-section for mom and baby, with expectation of full recovery

Experience Requirements

• L&D RN & Antepartum Nurse Manager (ANM): Minimum 2 years experience required; 5+ years preferred
• Postpartum: Minimum 2 years experience for traditional travelers
• First-time travelers:

  • L&D RN: Considered upon review
  • ANM: Accepted if solid Charge Nurse experience and 3 years nursing experience
  • Postpartum: Uncertain

Patient Ratios (per AWHONN guidelines)

• 1:1 for active labor
• 1:2 for non-active laboring
• 1:2-3 for antepartum (acuity dependent)

Required Certifications

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

Skills & Responsibilities

L&D RN

• High acuity labor management and delivery of high-risk OB patients
• Ability to triage OB patients
• Circulate in OR, perform cervical checks
• Read and interpret fetal monitoring strips
• Provide second set of hands for newborn care as needed

Antepartum Nurse Manager (ANM)

• Functions as Charge Nurse for shift, occasionally takes patient assignments
• Manages OB ED patients
• Strong interpersonal and staff management skills
• Educates staff, conducts rounding, assists with conflict resolution
• Charge Nurse experience required

Technology & Equipment

• EMR: EPIC (required)
• IV Pumps: Alaris CareFusion
• Medication Dispensing: Pyxis
• Fetal Surveillance Monitors: Centricity/Qx
• Epidural Pumps: CAD Solaris
• Panda Warmers
• Coviden SCD’s

Unit Support Staff

• CNA: Assists with transports, restocking, OR assistance, room cleanup, instrument care
• Scrub Techs: LPNs, NRP certified
• Receptionist/HUC present
• Charge Nurse: Free floating
• Phlebotomy: Available, RN responsible
• Resource RN: Available depending on staffing
• Break Nurse: 2 scheduled per shift
• Respiratory Therapist: 24/7 coverage, NICU RTs attend high-risk deliveries
• Laborist: 24/7 coverage with residents/fellows and additional physicians/midwives
• Anesthesia: 1 scheduled during day shift, shared coverage after 5pm

Floating

• L&D RNs may float to antepartum (within L&D) and occasionally postpartum (4th floor) or other assignments within scope
• ANMs do not float

Orientation

• CAP Only: Hospital orientation + 2 weeks unit orientation + 1 week independent practice (starts 3 weeks before residents arrive)
• ANM: 6 shifts unit orientation paired with Charge Nurse
• Traditional: Neonatal resuscitation orientation (NEO) 1 day + 2 days on unit
• Cardiac rhythm interpretation exam required online prior to arrival

Scheduling & Shifts

• Weekend rotation: Every other weekend, variable based on need
• No mandatory call requirements; may pick up open shifts as available
• ANM: No call required
• Holiday work: Required, fair and equitable; ANM not required but may pick up shifts
• Shift times:

  • Day: 7:00 AM – 7:30 PM
  • Night: 7:00 PM – 7:30 AM
  • ANM night shift: 7:00 PM – 7:00 AM
• CAP Only: Switch from days to nights during last 4 weeks of contract
• Schedule cycle: Self-scheduling, Group C (last group to schedule)

Additional Notes

• Scrub color provided by facility; scrubs not to be worn outside the facility
• Free parking and badge access in designated areas

Required Documentation & Compliance

• Flu documentation, annual core competencies, COVID requirements
• CPR Certification: BLS
• Criminal background check and authorization
• Drug screen
• Licenses and certifications verification
• Immunizations and titers (Hep B, Hep C, MMR, Varicella, TDAP)
• Physical exam and PPD test
• HIPAA and confidentiality agreements
• Skills checklist and unit competency verification
• Other standard healthcare compliance screenings and forms