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

L&D RN

Location: Spokane, Washington Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Night (3x12 hours), 19:00 to 07:00 Hours: 12 hours per day, 36 hours per week Float: Position may float between units On-Call: Not required Weekends: Required, some weekend shifts Block Schedule: Not required 48 Hours Approved: Yes

Assignment Details

• Ratios: Labor 1:2, Antepartum (AP) 1:3
• Special requirements: Acute care high-risk Labor and Delivery, antepartum, pre-eclampsia, diabetes, multiples, VBAC/TOLAC, active management of laboring patients, induction/augmentation, and maternal emergencies

Facility Information

• Type: Short-term acute care, Level II Trauma Center, Level II Pediatric Trauma Center
• Total staffed beds: 629
• Teaching hospital: Yes
• Scrub color: RN any color; RRT any color; L&D not provided
• Charting: Epic (software familiarity, not a credential)
• Parking: No fee

Required Qualifications

• Valid RN license in Washington
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Labor and Delivery experience of at least 1 year, with experience within the last year
• Experience working with high-risk Labor and Delivery patients
• Experience with multiple births
• Experience with VBAC/TOLAC
• Experience with induction/augmentation of labor

Background, Screening, and Health Requirements

• Background check: Completed within 90 days of start, covering all locations lived or worked in the past 7 years, updated annually
• Washington State Patrol/WATCH search: Required within 90 days of start
• Drug screen: 9-panel drug screen within 12 months of start; instant tests accepted
• Physical exam: Within 1 year of start, signed by MD, NP, PA, DO, or APRN
• TB screening: IGRA/QuantiFERON or 2 PPDs within 12 months of start
• Immunizations:

  • Tdap within 10 years (declination accepted)
  • Measles, mumps, rubella: 2 MMR vaccines or positive titer
  • Varicella: 2 vaccines or positive titer
  • Hepatitis B: positive titer plus vaccination series, or signed declination
  • Influenza: vaccine or declination on the required form during flu season
  • COVID: latest vaccination record preferred; declination not required, but candidates without documentation are treated as unvaccinated
• Respirator clearance (RespSafety): Required for all travel candidates, renewed annually
• Fit test: Required for travel; completed onsite unless a valid record exists within 1 year. Any mask type is acceptable.

State Requirements

• RNs with an out-of-state compact (multistate) license working in Washington must complete the WA multistate licensed demographic attestation before starting, and a 6-hour suicide prevention training course from the WA Board of Nursing approved list, with certificate of completion.

Documents and Training

• Float policy acknowledgement: Required. The traveler may be required to float to another facility within a reasonable distance.
• Epic training: Complete Epic modules within one week of orientation; transcripts required.
• Annual training:

  • Regulatory modules, about 3.5 hours
  • Specialty-specific modules for L&D
• Badge photo: Passport-style, neutral background, JPEG format
• Contingent worker job-aide and attestation form: Required for this region
• Application history: Gaps and overlaps in employment must be explained