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

Birth Center RN / ANM Opportunity

Location: Tacoma, Washington
Specialty: Birth Center (Labor & Delivery)
Contract Length: 13 weeks

Unit Overview

• Labor & Delivery Beds: 34 total

  • 15 labor rooms
  • 12 antepartum
  • 4 OB Emergency Department
  • 3 Operating Rooms
• Postpartum Beds: 18
• Approximately 300 deliveries per month
• C-section rate: 33%

Patient Types & Acuity

• High acuity OB patients including:

  • Hypertension
  • Magnesium administration
  • C-sections
  • Preterm labor
  • Insulin drips (rare)
  • Vaginal deliveries
  • Epidurals
  • Inductions
  • Robust antepartum care
  • PROM (Premature Rupture of Membranes)
  • Multiple births
  • Postpartum hemorrhage
• Expectation to fully recover birthing patient and baby post-delivery
• Second set of hands may assist with newborn care but not guaranteed

Patient Ratios (per AWHONN guidelines)

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

Required Certifications

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

Experience Requirements

• L&D RN:

  • Minimum 2 years experience with previous travel experience preferred (5+ years ideal)
  • High acuity labor management and delivery of high-risk OB patients
  • Ability to triage OB patients, circulate in OR, perform cervical checks
  • Skilled in reading/interpreting fetal monitoring strips
  • Able to assist as second set of hands for newborn care as needed
• Antepartum Nurse Manager (ANM):

  • Charge Nurse experience required
  • Minimum 3 years nursing experience
  • Experience managing OB ED patients and high acuity patient types
  • Strong interpersonal and staff management skills
  • Willingness to educate staff, conduct rounding, and assist with conflict resolution
• EPIC EMR experience is required for all 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: 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

Technology & Equipment

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

Floating Expectations

• L&D RNs may float to:

  • Antepartum (within L&D)
  • Postpartum (4th floor, occasionally)
  • Other assignments within scope and experience
• ANMs do not float

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 (orientation during day shifts even if position is nights)
• 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
• ANM: no call required
• Holiday work: required for RNs (fair and equitable), optional for ANM
• Time off requests require prior approval
• 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 positions will switch from days to nights for 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 the facility
• Free parking and badge access in designated areas

Summary

This is a high-acuity Birth Center position requiring experienced L&D RNs or ANMs with strong clinical and interpersonal skills. EPIC experience and required certifications are mandatory. The unit supports a busy delivery volume with a comprehensive team and advanced technology. Orientation is thorough, and scheduling offers some flexibility with no mandatory call. This role is ideal for healthcare professionals seeking a challenging and supportive environment in a well-established birth center.