Labor and Delivery RN
Seattle, WA
Access Healthcare
4x12 hrs, Nights

Labor and Delivery Registered Nurse (Night, 4x12)

Location: Seattle, Washington Contract length: 13 weeks Shift: Night, 4x12 hours (19:00 to 07:30), 12 hours/day, 48 hours/week Schedule: Posted every 6 weeks and to meet unit needs. Pre-approved time off is considered case by case. Work every other weekend and holidays as needed. Employment eligibility: Permanent employees of other facilities in the health system are eligible for a travel contract if separated for at least 3 months. First-time travelers are accepted.

Unit Details

• High-risk/high-volume L&D (all types)
• 4 ORs, 31 rooms, 31 beds
• Average daily census: 15/day; 500-600 deliveries/month
• Staffing follows AWHONN guidelines

Role Responsibilities

• Functions as baby nurse during delivery and continues newborn care until transfer to postpartum (hard stop)
• Circulates (hard stop); provides newborn care including eye care, vitamin K injections, thigh care, and newborn assessments
• Administers or manages heparin, insulin, and magnesium sulfate
• Patient populations include midwifery clients, private OB patients, adult recovery services supporting substance recovery, and community care clinic patients
• Float required: postpartum/antepartum. May float to sister facilities that provide Mother/Baby care.

Required Qualifications

• Valid RN license in Washington
• Labor and Delivery experience of 1 year, with experience within the last year
• BLS issued by American Heart Association or Canadian Heart & Stroke Foundation
• NRP (Neonatal Resuscitation Procedure)
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Experience working with high-risk patients
• Experience as an OB circulator
• Experience functioning as a baby nurse during delivery and continuing newborn care until transfer to postpartum
• Experience with Epic

Onboarding and Compliance

• Background check within 90 days of start, covering locations lived or worked in the past 7 years; updated annually
• Washington State Patrol search required by state law within 90 days of start
• 9-panel drug screen within 12 months of start
• TB screening: IGRA/QuantiFERON or 2 PPDs within 12 months, or proof of past positive TB with a chest X-ray
• Measles, mumps, rubella: 2 MMR vaccines (28+ days apart) or positive titer
• Varicella: 2 vaccines or positive titer
• Hepatitis B: signed declination, or positive titer plus vaccination
• Tdap within 10 years (declination acceptable)
• Flu vaccine or declination during flu season; COVID vaccination record preferred, or declination
• Physical exam within 1 year of start, signed by MD, NP, PA, DO, or APRN
• Fit mask testing and RespSafety medical clearance (travel)
• Government-issued photo ID and Social Security card (for I-9); E-Verify attestation required
• 2 references covering 1 year of employment within the last 3 years in a comparable specialty
• Employment application covering at least the last 5 years
• Float policy acknowledgement
• Annual regulatory modules (about 3.5 hours) and specialty-specific modules
• Skills checklist for the applicable unit, updated annually