Labor & Delivery RN
Silverdale, WA
Malone Healthcare - Nursing
3x12 hrs, Nights
Referral Bonus

🏥 Unit Overview – Birthing Center / LDRP

This is a combined Labor, Delivery, Recovery, Postpartum (LDRP) unit:

• Total Beds: 34
• Postpartum Beds: 14
• C-section ORs: 2
• Triage Beds: 2
• Volume:
  • ~150–180 births/month
  • ~2,133 deliveries/year

👉 This is a moderate–high volume OB unit (not small, not huge)

👶 Patient Population

• 33+ weeks gestation
• High-risk cases:
  • Preeclampsia
  • Diabetes
  • Psych/social issues
  • Substance exposure

👉 Not just “easy deliveries”—you’ll see complex OB patients

📊 Ratios (AWHONN-Based)

• Labor: 1:2
• Couplet care: 1:3–4

✔️ These are standard/safe ratios

📋 Required Certifications

• BLS
• ACLS
• NRP
• FHM (preferred: intermediate/advanced)

🚨 MUST-HAVE SKILLS (Very Important)

You need to be fully functional in LDRP:

• Labor & delivery management
• Postpartum care
• Attend deliveries independently
• Circulate C-sections
• Assist with:
  • Catching baby
  • Newborn transition

👉 Translation:
This is a true all-in-one OB nurse role (not task-based)

💉 Drips You’ll Manage

• Magnesium
• Pitocin
• Insulin

✔️ You must be comfortable titrating drips

🏥 Support & Staffing

• Free charge nurse (huge plus ✅)
• 24/7 in-house coverage:
  • OB hospitalist
  • Neonatal Nurse Practitioner (NNP)
  • OB anesthesia
• Support staff:
  • 1 surgical tech (24/7)
  • Patient care assistant each shift

👉 This is actually a well-supported unit

🧠 Workflow Expectations

• Must:
  • Function in labor + postpartum
  • Transition newborns
  • Attend low-risk deliveries independently
• No floating outside OB
• But must cover mother-baby within the unit

⏱️ Scheduling

• Block scheduling available (nice perk ✅)
• Weekend requirement: every other
• Holidays: rotate
• Call/Standby: yes
  • Must respond within 45 minutes