Labor and Delivery Nurse
Grand Coulee, Washington
Coulee Medical Center

Labor & Delivery (L&D) Nurse - Washington (Grand Coulee)

Contract Length

• 13 weeks

Required Certifications

• ACLS
• BLS
• NRP (Neonatal Resuscitation Program)
• C-EFM (Electronic Fetal Heart Monitoring) — must have at least intermediate skill, advanced preferred

Experience Requirements

• Minimum 1 year experience in L&D, neonatal antepartum, and postpartum nursing
• Must be able to work on an Acute MedSurg floor
• Prior travel experience is not explicitly required

Unit Details

• L&D Beds: 2 rooms
• Postpartum beds are acute care beds; patients staying longer than 24 hours are transferred to acute care rooms
• C-Sections performed in OR; PACU used for recovery; OB nurses care for babies but do not circulate in OR
• Birth volume: 50-60 births per year
• Nurse-to-patient ratio: Generally 1:1, may occasionally be 1:2; only 1 OB nurse staffed per shift
• No nurse aides or surgical techs on the unit; RNs provide all patient care
• Charge nurse oversees entire hospital, not specific to L&D unit

Clinical Information

• Common diagnoses: Diabetes, Gestational Diabetes Mellitus (GDM), Advanced Maternal Age (AMA), no prenatal care; high-risk patients referred out
• RNs are required to titrate drips (common drips: insulin, magnesium)
• OB/Neonatologist coverage: Family Practice OBs available in clinic during the day; on-call after hours (within 20 minutes)
• Anesthesia: On call, not in-house 24/7
• Respiratory Therapy: No RT in-house; equipment includes nasal cannula, non-rebreather, and high flow for newborns if needed
• Tele/Monitor Techs: Not available; RNs monitor patients on magnesium sulfate
• EFM System: Fetal Link

Scheduling & Work Environment

• Shifts: 12-hour shifts (6:00 AM–6:30 PM and 6:00 PM–6:30 AM)
• Scheduling: Set schedules, typically blocked shifts, scheduled 4 weeks in advance
• Weekend requirement: Typically every other weekend
• Holiday requirement: Fill in as needed
• Floating: May float to Acute MedSurg if no OB patients
• Orientation: 1 day department-specific orientation on the unit
• Dress code: No specific scrub color required; must be clean and professional