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

Unit Overview

• 34 L&D beds: 15 labor rooms, 12 antepartum, 4 OB ED, 3 OR
• 18 Postpartum beds
• Approximately 300 deliveries per month
• High acuity patient population including hypertension, magnesium administration, C-sections (~33% rate), preterm labor, insulin drips (rare), vaginal deliveries, epidurals, inductions, PROM, multiple births, postpartum hemorrhage
• Transition care for mom and baby post vaginal and C-section deliveries

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 they have solid Charge Nurse experience and 3 years nursing experience

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

• Manage labor and delivery of high-risk OB patients
• Triage OB patients
• Circulate in OR
• Perform cervical checks
• Interpret fetal monitoring strips
• Assist as second set of hands for newborn care as needed

ANM (Antepartum Nurse Manager)

• Function as Charge Nurse for shifts
• Occasionally take patient assignments
• Manage OB ED patients
• Strong interpersonal and conflict resolution skills
• Staff education and rounding
• EPIC experience required for both roles

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: staffing dependent
• 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

Technology & Equipment

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

Floating Assignments

• L&D RNs may float to Antepartum (within L&D), Postpartum (4th floor occasionally), or other assignments within scope and experience
• ANM: No floating

Orientation

• 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 orientation includes 1 day NEO and 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 on-call requirements; may pick up open shifts as available
• No call for ANM
• Holiday work expected (fair and equitable); no holidays required for ANM but may pick up if desired
• Shift times:

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

Additional Notes

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

Contract Length

• 13 weeks (approximately 3 months)

Required Documentation & Compliance

Includes but not limited to:

• Flu documentation
• Annual core competencies
• BLS and NRP certification
• Criminal background check
• Drug screen
• Licenses and certifications
• Immunizations and titers (Hep B, MMR, Varicella, TDAP)
• HIPAA training
• Physical exam and PPD test
• Skills checklist and unit competency

This position is ideal for experienced L&D RNs and ANMs comfortable with high acuity OB patients, EPIC EMR, and working in a busy birth center environment.