Labor and Delivery RN
Silverdale, Washington
St Michael Medical Center

L&D RN - Birthing Center/Mother Baby

Location: Silverdale, Washington Contract Length: 13 weeks Shift: Nights, 12 hours per day, 36 hours per week

Required Qualifications

• Valid RN license in Washington
• Labor and Delivery (2 years of experience)
• Labor and Delivery experience within the last year
• One completed travel assignment
• BLS
• ACLS
• NRP (Neonatal Resuscitation Program)
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience circulating for C-sections

Unit Details

• Unit: Birthing Center/Mother Baby, L&D
• Beds: 13 L&D beds, 2 triage beds, 14 postpartum beds, 2 OR suites on the unit for C-sections
• Volume: About 170-190 births per month on average; 2,104 deliveries in 2025
• Ratios (AWHONN guidelines): 1:2 L&D, 1:3-4 couplets
• Common patients: 32 weeks and above, high risk, preeclampsia, diabetic, psych/social issues, positive elicit substance use
• Titratable drips: Magnesium, Pitocin, and Insulin (RNs required to titrate drips)
• Charge nurse: Free charge, both shifts
• Support staff: One surgical tech 24/7, plus a patient care assistant with clerical duties on each shift
• Physician and provider coverage: 24/7 in-house OBGYN/hospitalist; 24/7 NNP in the nursery; 24/7 OB anesthesia provider with a call room on the unit
• Respiratory therapy: Typically one RT assigned to family birth

Floating and Scheduling

• Mother baby and postpartum are one unit
• No floating to NICU or outside the department
• Block scheduling when requested in contracts
• Weekends: every other weekend; Nights work Friday and Saturday
• Holidays: rotate with permanent staff
• Standby: response time is 45 minutes when placed on standby

Orientation and Work Environment

• Orientation: an 8-hour compliance day with the unit-based educator, an 8-hour EMR class, and 2-3 12-hour shifts of unit-specific orientation
• Scrubs and a locker are provided
• Surgical hand scrub policy: remove all jewelry from hands and forearms; no artificial nails or nail enhancements; natural fingernails only, clean, well-manicured, and no longer than ¼ inch beyond the fingertip; no open lesions or breaks in skin integrity of cuticles, hands, or forearms
• The manager gives feedback to travelers and expects them to be open and adaptable to workflows, policies, procedures, and feedback