Labor and Delivery RN
Spokane, WA
Bestica
4x12 hrs, Nights
Referral Bonus

3421325

👩‍⚕️ Travel RN – Labor & Delivery

High-Risk L&D | Nights | 4×12s | Spokane, Washington

Start Date: August 31, 2026
Contract: 13 Weeks
Shift: Nights | 7:00 PM–7:00 AM
Schedule: 4×12-hour shifts
Patient Ratio: Labor 1:2 | Antepartum 1:3
EMR: Epic
Experience: 2+ Years
Travel Experience: Not Required
Weekend: Every other weekend / some weekend shifts
Call: None
Floating: Yes – Mother/Baby or other appropriate areas
Facility: Short-Term Acute Care | Level II Trauma | Level II Pediatric Trauma
Staffed Beds: 629
Annual Deliveries: Approximately 3,600

🌟 Assignment Overview

Take your next travel nursing assignment to Spokane, Washington, and join a high-acuity Labor & Delivery team in a large teaching hospital and Level II Trauma environment.

This is an excellent opportunity for an experienced L&D RN who is confident caring for high-risk laboring patients, antepartum patients and complex maternal conditions. Travel experience is not required for qualified L&D nurses who can function independently.

The unit manages approximately 3,600 deliveries annually, providing exposure to a wide range of obstetric cases and maternal-fetal medicine patients.

👶 High-Risk L&D Experience

The ideal candidate will have strong experience with:

• High-risk Labor & Delivery
• Antepartum care
• Active management of labor
• Induction and augmentation
• Pre-eclampsia/eclampsia
• Diabetes and GDM
• Multiple gestations
• VBAC/TOLAC
• Maternal emergencies
• Preterm labor
• Placenta previa/abruption
• PROM
• Malpresentations
• HELLP syndrome
• Cardiac patients
• Maternal hemorrhage
• Seizure disorders
• Uterine rupture

🩺 Key L&D Responsibilities

• Triage obstetrical patients
• Perform sterile vaginal examinations
• Assess effacement, dilation, station and fetal presentation
• Monitor fetal heart rate using external and internal monitoring
• Recognize and respond to abnormal fetal heart rate patterns
• Manage IUPC placement and calibration
• Assist with spiral electrode placement
• Perform NSTs and OCTs
• Initiate and maintain IV access
• Administer IV medications and blood products
• Manage Pitocin/oxytocin, magnesium sulfate, insulin drips and other high-risk medications
• Administer antihypertensives, anticoagulants, prostaglandins and terbutaline
• Assist with high-risk vaginal deliveries
• Circulate and scrub for C-sections
• Recover post-C-section patients
• Assist with forceps and vacuum-assisted deliveries
• Manage amnioinfusion
• Respond to hemorrhage and shock
• Assist with maternal emergencies and rapid response situations

🍼 Newborn & Neonatal Care

• Perform newborn assessments
• Obtain and document APGAR scores
• Assist with neonatal resuscitation
• Respond to infant/neonatal emergencies
• Provide newborn thermoregulation
• Manage radiant warmers
• Perform cord care
• Support newborn identification and security procedures
• Monitor and manage newborn hypoglycemia
• Provide parent education and discharge teaching
• Support breastfeeding and lactation needs
• Provide care for newborns following vaginal and cesarean deliveries

💗 Postpartum & Mother-Baby Care

• Perform postpartum assessments
• Monitor fundus, lochia and perineum
• Assess and care for C-section incisions
• Manage Foley catheters
• Perform wound assessments and care
• Support breastfeeding and use of breast pumps
• Manage postpartum hemorrhage
• Care for patients with pregnancy-induced hypertension
• Provide couplet care
• Care for patients following vaginal and cesarean delivery
• Support patients with multiple births and complex postpartum needs

💉 Specialized Procedures & High-Risk Skills

Experience with the following is highly valuable:

• Magnesium sulfate therapy
• Insulin drips
• PUBS
• Cervical cerclage
• External and internal fetal monitoring
• Amnioinfusion
• Version procedures
• D&C
• Tubal ligation
• Epidural anesthesia
• General anesthesia
• Nitrous oxide
• IV conscious sedation
• PCA
• Maternal cardiac monitoring
• Emergency response

🏥 Unit & Facility Highlights

• Approximately 27 beds
• Approximately 25 rooms
• Around 9 deliveries per day
• Approximately 3,600 deliveries annually
• High-risk MFM patient population
• Level II Trauma Center
• Level II Pediatric Trauma Center
• Teaching hospital
• Approximately 629 staffed beds
• Strong interdisciplinary support including:
  • Respiratory Therapy
  • IV Teams
  • Pharmacy
  • Radiology
  • Rapid Response Teams
  • Phlebotomy
  • Social Services
  • Physical Therapy
  • Transportation
  • Interpretation Services

📋 Required Qualifications

• Minimum 2 years of L&D RN experience
• Strong recent high-risk Labor & Delivery experience
• Ability to function independently
• Experience with antepartum and high-risk obstetric patients
• Experience with induction/augmentation and active labor management
• Experience with pre-eclampsia, diabetes, multiples and VBAC/TOLAC
• Epic experience required
• BLS required
• ACLS required
• NRP required
• AWHONN Intermediate required
• Fetal Heart Monitoring (FHM) required

📅 Schedule & Additional Details

• Night shift: 7:00 PM–7:00 AM
• 4×12-hour shifts
• Patient ratio approximately 1:2 in Labor
• Antepartum ratio approximately 1:3
• Weekend coverage required
• No on-call requirement
• Floating may be required to Mother/Baby or other appropriate areas
• Block scheduling is not guaranteed
• Up to 48 hours/week may be approved
• Two RTO requests may be considered
• Orientation provided
• Free parking

⭐ Why Consider This Assignment?

• Quick start – August 31, 2026
• High-acuity Level II Trauma environment
• Large 629-bed teaching hospital
• Approximately 3,600 deliveries annually
• Strong exposure to high-risk L&D and MFM
• Epic EMR
• Travel experience not required
• 12-hour night shifts
• Opportunity to care for complex maternal and neonatal populations
• Excellent clinical experience in a major healthcare setting
• Explore Spokane and the Pacific Northwest during your assignment

If you're an experienced L&D RN ready for a high-risk assignment with strong clinical variety, this Spokane opportunity is an excellent next step for your travel nursing career!