Labor and Delivery RN
Spokane, WA
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Labor and Delivery Registered Nurse (Travel/Contract)

Location: Spokane, Washington
Contract Length: 13 weeks
Shift: Night (3 shifts per week, 12 hours each, 7:00 PM – 7:00 AM)
Hours per Week: 36

Job Description

• Position floats between units.
• Some weekend shifts required.
• No on-call or block schedules required.
• Patient ratios: Labor 1:2, Antepartum 1:3.
• Special requirements include managing acute care high-risk labor and delivery cases such as:

  • Antepartum complications
  • Pre-eclampsia
  • Diabetes
  • Multiples pregnancies
  • VBAC/TOLAC (Vaginal Birth After Cesarean/Trial of Labor After Cesarean)
  • Active management of laboring patients
  • Induction and augmentation of labor
  • Maternal emergencies
• 48-hour shifts are not approved.

Required Qualifications

• Valid Registered Nurse (RN) license in Washington state.
• Minimum of 1 year of Labor and Delivery nursing experience, with experience within the last year.
• Current ACLS (Advanced Cardiac Life Support) certification.
• Current BLS (Basic Life Support) certification issued by the American Heart Association or Canadian Heart & Stroke Foundation.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Experience

• Specialty: Registered Nurse in Labor and Delivery.
• Required years of experience: Not explicitly stated; assume minimum 1 year in specialty or higher as per clinical track.
• Prior travel experience: Not required.

Background and Compliance Requirements

• Background check within 90 days of start, covering all locations lived/worked in the past 7 years; must be updated annually.
• Education verification required for nursing degree; international education requires additional documentation.
• Drug screening: 9-panel drug screen within 12 months of start.
• Minimum of 2 professional references covering at least 1 year of employment in a comparable specialty/setting within the last 3 years.
• Employment application covering at least the last 5 years of employment.
• NURSYS license verification required.
• State-specific searches and registry checks as required by Washington state law.

Health and Safety Requirements

• Physical exam within 1 year of start, signed by MD, NP, PA, or DO, confirming ability to work with or without accommodation.
• Fit mask test (respirator clearance) required for travel nurses, updated annually.
• Immunizations and documentation required:

  • Tetanus/Diphtheria/Tdap (within 10 years or declination accepted)
  • Negative TB test or chest X-ray within 12 months, 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 during flu season
  • COVID-19 vaccination documentation preferred (declinations accepted)
• Respiratory safety clearance required annually for travel nurses.

Training and Onboarding

• Completion of annual regulatory and specialty-specific training modules via LMS (Workramp).
• EPIC system training and transcript submission required prior to or shortly after orientation.
• Floating policy acknowledgment required; may be asked to float to other nearby facilities.

Additional Notes

• Passport-style photo required for badge issuance.
• Some state-specific forms and attestations may be required for multi-state licensed nurses.
• Candidates with international education must provide additional verification such as CES report.
• Candidates must comply with all facility and state-specific background and health screening requirements.

This position offers an opportunity to work in a high-acuity Labor and Delivery setting with a focus on complex maternal care in a travel nurse capacity.