High-Risk Labor & Delivery RN
Seattle, WA
Access Healthcare
3x12 hrs, Days

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Seattle, Washington

Position Overview

• Employment Type: Travel/Contract
• Contract Length: 12 weeks
• Unit: High Risk/High Volume Labor & Delivery (L&D)
• Float Required: Postpartum / Antepartum; may float to sister facilities providing Mother/Baby care
• Schedule: Posted every 6 weeks; work every other weekend and holidays as needed
• Average Daily Census: 15 patients/day; 500-600 deliveries/month
• Rooms/Beds: 31

Experience Requirements

• Minimum 3-5 years of nursing experience required (no exceptions)
• Must have 3-5 years experience in high acuity and high pace environments
• Highly prefer candidates with 5 years of high-risk experience; will consider 3+ years if high-risk experience is present
• Prior travel experience required; first-time travelers not accepted
• Must have current supervisory references
• Must pass clinical review and provide proof of current NURSYS verification

Patient Population & Diagnoses

• Midwifery clients
• Private OB patients
• Adult Recovery Services (substance recovery support)
• Community care clinics

Key Responsibilities & Skills

• Function as Baby Nurse during delivery and provide newborn care until transfer to postpartum (HARD STOP requirement)
• Circulate in the OR (HARD STOP requirement)
• Provide newborn care including eye care, Vitamin K injections (thighs), and newborn assessments (HARD STOP requirement)
• Administer medications such as Heparin, Insulin, Magnesium Sulfate
• Use EPIC electronic health record system (EPIC HARD STOP)
• Perform electronic fetal monitoring
• Staffing follows AWHONN guidelines

Certifications Required

• Required:

  • BLS (Basic Life Support)
  • NRP (Neonatal Resuscitation Program)
• Preferred:

  • ACLS (Advanced Cardiac Life Support)
  • AWHONN Advanced and Intermediate certifications
• Must provide proof of all required certifications with submission

Compliance & Documentation Requirements

• Background check within 45 days of start, covering all locations lived/worked in past 7 years
• Education verification required (nursing degree)
• Employment application covering at least last 5 years (7 years for APN/Subcontractors)
• Minimum of 2 supervisory references covering 1 year of employment within last 3 years
• Skills checklist updated annually (applicable units)
• Physical exam within 1 year of start, signed by MD, NP, PA, or DO
• Fit mask test required for travel candidates (updated annually)
• Immunizations and health documents required:

  • TDAP (within 10 years or declination)
  • Negative TB test or chest X-ray (updated annually)
  • MMR (Measles, Mumps, Rubella) vaccination or positive titer
  • Hepatitis B vaccination or signed declination
  • Varicella vaccination or positive titer
  • Seasonal flu vaccine or declination (required during flu season)
  • COVID vaccine or declination
• Drug screening: 10 panel drug screen within 90 days of start (no instant tests)
• Respirator safety clearance required for travel candidates (annual)

Additional Requirements

• Must have current supervisory references
• Must provide proof of required certifications and NURSYS verification
• Must pass clinical review
• Must be able to float to related units as needed
• Pre-approved time off handled case-by-case

Important Notes

• Candidates without the required high-risk L&D experience or newborn care skills (circulating, newborn assessments, Vitamin K injections) will not be considered
• EPIC experience and electronic fetal monitoring certification are mandatory
• This position does not accept first-time travelers; prior travel experience is mandatory

This role is ideal for experienced Registered Nurses with strong high-risk labor and delivery backgrounds who have prior travel contract experience and are comfortable working in a fast-paced, high-acuity environment.