Labor & Delivery RN
Silverdale, Washington
St Michael Medical Center

Labor & Delivery 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 multiple prior travel assignments).
• Required certifications: BLS, ACLS, NRP, and an active Washington RN license (pending license submissions accepted; temp license takes ~4 weeks).
• 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.

Unit Details

• Unit: Birthing Center / Mother Baby
• Total L&D beds: 34

  • 2 OR suites for C-sections
  • 2 triage beds
  • 14 postpartum beds
• Average births: 150-180 per month (~2,133 deliveries in 2022)
• Staffing ratios follow AWHONN guidelines:

  • 1:2 for L&D
  • 1:3-4 for couplets (mother-baby)
• Charge nurse role is a free charge position on both shifts.
• Support staff includes one surgical tech 24/7 and a patient care assistant with clerical duties each shift.
• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP) in the nursery.
• 24/7 OB anesthesia provider with call room on unit.
• Respiratory therapy equipment available (vents, CPAP, BiPAP), typically one assigned to family birth.
• Tele/monitor techs available for PACU after C-section; RNs read their own strips.
• Electronic Fetal Monitoring (EFM) system: Centricity-perinatal.

Patient Population & Common Diagnoses

• Gestational age: 33 weeks and above.
• High-risk patients including preeclampsia, diabetes, psychosocial issues, and positive illicit substance use.

Scheduling & Work Environment

• Contract length: 13 weeks.
• 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 department; travelers must work in both Labor & Delivery and Postpartum units.
• Must be able to transition babies 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

Unit Policies & Additional Notes

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms.
  • No artificial nails or nail enhancements (tips, resin wraps, acrylics, gels, nail art, etc.).
  • Natural fingernails only, clean, well-manicured, no longer than ¼ inch beyond fingertip.
  • No open lesions or breaks in skin integrity on cuticles, hands, or forearms.
• Manager is supportive and provides feedback to ensure quality care.
• Travelers are expected to be adaptable to workflows, policies, and feedback.

This opportunity is ideal for L&D nurses with solid experience who are comfortable working independently in a busy birthing center with a supportive team and comprehensive resources.