Travel Nurse RN - Labor and Delivery
Tacoma, WA
Care Career
4x12 hrs, Nights
Referral Bonus

Labor & Delivery RN / Assistant Nurse Manager (ANM) – MultiCare Tacoma

Facility Address: 315 Martin Luther King Jr. Way, Tacoma, WA 98405
Facility: Level II Trauma Center | Level IV NICU

SHIFT & SCHEDULE

• Night shift: 7:00 PM–7:30 AM (12 hours)
• Guaranteed Hours: 48 per week
• 48-hour workweek; OT billable after 48 hours worked.
• Weekend rotation: Every other weekend, may vary based on staffing needs.
• No mandatory call for LD RN or ANM.
• Holidays: Fair and equitable rotation for LD RNs. ANMs are not required to work holidays.
• Schedule is released in 6-week increments, 2 weeks before the schedule begins.
• Block scheduling cannot be guaranteed.
• CAP-only schedule: Will switch from days to nights for the final 4 weeks.

POSITIONS & EXPERIENCE REQUIREMENTS

Labor & Delivery RN

• 2 years of experience with previous travel experience required; 5+ years preferred.
• First-time travelers considered upon review.
• High-acuity L&D experience required.
• Must be experienced in labor management and high-risk OB deliveries.
• Must be able to triage OB patients, circulate in the OR, perform cervical checks, and interpret fetal monitoring strips.
• Must be able to assist with receiving and recovering normal newborns as needed.

Assistant Nurse Manager (ANM)

• 3 years of nursing experience required.
• First-time travelers accepted with strong Charge Nurse experience.
• Previous Charge Nurse experience is a must.
• Will function as Charge Nurse, occasionally take patient assignments, and help manage OB ED patients.
• Must have strong interpersonal and communication skills, be willing to educate staff, conduct staff rounding, and assist with conflict management.

REQUIRED CERTIFICATIONS & EXPERIENCE

• BLS
• NRP
• Intermediate FHM (AWHONN)
• EPIC experience required.

PATIENT POPULATION & CLINICAL EXPERIENCE
High-acuity Labor & Delivery cases include:

• Hypertension and magnesium administration.
• C-sections (33% C-section rate).
• Preterm labor and insulin drips (rarely; follow protocol).
• Vaginal deliveries, epidurals, and inductions.
• High-risk antepartum, PROM, and multiple births.
• Postpartum hemorrhage.

Additional details:

• Up to 300 deliveries per month.
• Must support full recovery of the birthing patient and baby after vaginal and C-section deliveries.
• A second staff member may attend the birth and assign APGAR scores, but assistance with newborn care afterward is not guaranteed.

PATIENT RATIOS

• Active labor: 1:1
• Non-active labor: 1:2
• Antepartum: 1:2–3, depending on acuity
• Ratios follow AWHONN guidelines.

UNIT & FACILITY DETAILS

• Labor & Delivery beds: 34
• 15 labor rooms
• 12 antepartum rooms
• 4 OB ED rooms
• 3 ORs
• Postpartum: 18 beds
• Level IV NICU

EMR, EQUIPMENT & TECHNOLOGY

• EMR: EPIC
• IV pumps: Alaris CareFusion
• Medication dispensing: Pyxis
• Fetal surveillance: Centricity/Qx
• Epidural pumps: CAD Solaris
• Panda warmers
• Covidien SCDs

UNIT SUPPORT

• CNA support, transports, restocking, OR assistance, room cleanup, and instrument care.
• LPNs serve as scrub techs and are NRP certified.
• Receptionist/HUC available.
• Charge Nurse is free-floating.
• Phlebotomy available; RNs remain ultimately responsible.
• Break nurses: 2 scheduled per shift.
• Respiratory Therapy available 24/7.
• NICU RTs attend high-risk deliveries and concerning fetal monitoring situations.
• Laborist available 24/7.
• Residents and fellows in-house.
• Anesthesia: 1 scheduled during day shift; shared coverage after 5:00 PM.

FLOATING

• LD RNs may float to antepartum within L&D and occasionally postpartum on the 4th floor.
• Additional assignments may be given within scope and experience.
• ANMs do not float.

ORIENTATION

• Traditional orientation: 1 day NEO and 2 days on the unit.
• Orientation takes place on day shift, even for night-shift positions.
• LD RN CAP-only: Hospital orientation plus 2 weeks with a preceptor and 1 week independently. Schedule begins 3 weeks before residents arrive.
• ANM: 6 shifts of unit orientation paired with a Charge Nurse.
• Cardiac rhythm test is not required.