Labor and Delivery Registered Nurse
Silverdale, Washington
St Michael Medical Center

L&D RN Travel Opportunity - Washington (Silverdale)

Position Overview

• Seeking an experienced Labor & Delivery (L&D) Registered Nurse for a travel contract.
• Must have 2 full years of L&D experience (1 year considered if candidate has multiple prior travel contracts).
• Active WA nursing license required; pending license submissions accepted (temp license takes ~4 weeks).
• Required certifications: BLS, ACLS, NRP.
• Must be comfortable attending deliveries independently, circulating in C-sections, assisting with catching and transitioning babies.
• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience.
• RNs are required to titrate drips such as Magnesium, Pitocin, and Insulin.

Contract Length

• 13 weeks

Unit Details

• Birthing Center / Mother Baby unit with 34 total beds:

  • 2 OR suites for C-sections
  • 2 triage beds
  • 14 postpartum beds
• Approximately 150-180 births per month (2,133 deliveries in 2022).
• Nurse-to-patient ratios follow AWHONN guidelines:

  • 1:2 in L&D
  • 1:3-4 in couplets (mother-baby)
• Free charge nurse role on both shifts.
• One surgical tech available 24/7.
• Patient care assistant with clerical duties on each shift.
• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP).
• 24/7 OB anesthesia provider with call room on unit.
• Respiratory therapy equipment available (vents, CPAP, BiPAP).
• Tele/monitor techs available for PACU after C-section; RNs read their own strips.
• Electronic fetal monitoring system: Centricity-perinatal.

Scheduling & Work Environment

• Block scheduling available upon request.
• Weekend requirement: every other weekend (days: Sat & Sun; nights: Fri & Sat).
• Holiday rotation with permanent staff.
• Standby call with 45-minute response time when placed on standby.
• No floating outside the Mother Baby unit; travelers must function in postpartum and attend low-risk deliveries.
• Scrubs and locker provided.
• Orientation includes:

  • 8 hours compliance training with manager
  • 8 hours EPIC training
  • 2-3 twelve-hour shifts for unit-specific orientation

Patient Population & Common Diagnoses

• Patients 33 weeks gestation and above.
• High-risk cases including preeclampsia, diabetes, psychosocial issues, and positive illicit substance use.

Unit Policies

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms.
  • No artificial nails or enhancements; natural, well-manicured nails no longer than ¼ inch.
  • No open lesions or breaks in skin integrity on cuticles, hands, or forearms.

Additional Notes

• Manager is supportive and provides feedback to ensure quality care.
• Travelers are expected to be adaptable to workflows, policies, and procedures.
• Prior travel experience is preferred but not explicitly required. Candidates with 1 year of experience must have multiple prior travel contracts to be considered.

Summary:
This is a 13-week travel contract for an experienced L&D RN with at least 2 years of specialty experience (or 1 year plus multiple prior travel contracts). The role requires strong clinical skills in labor, delivery, postpartum care, and C-section support, with certifications in BLS, ACLS, and NRP. The unit is busy, high-acuity, and follows AWHONN staffing guidelines, offering a supportive environment with comprehensive orientation and scheduling flexibility.