Labor & Delivery RN
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Registered Nurse (L&D)

Location

• Silverdale, Washington

Contract Length

• 13 weeks

Unit Details

• Birthing Center / Mother Baby unit
• 34 total L&D 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: 1:2 in L&D, 1:3-4 in couplets (following AWHONN guidelines)

Required Qualifications

• Active Washington RN license (pending license acceptable; temporary license takes ~4 weeks)
• 2 years of L&D nursing experience (1 year considered if candidate has multiple prior travel contracts)
• Current certifications: BLS, ACLS, NRP (Neonatal Resuscitation Program)
• Preferred: Intermediate or advanced Fetal Heart Monitoring (FHM) certification
• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience
• Prior travel experience required (no first-time travelers)
• Ability to titrate drips including Magnesium, Pitocin, and Insulin
• Comfortable attending deliveries independently, circulating in C-sections, assisting with catching and transitioning babies
• Must be able to function in postpartum with routine mom and baby competencies and attend low-risk deliveries

Work Schedule

• Night shifts, 12 hours per shift, approximately 36 hours per week
• Weekend requirement: every other weekend (Saturday and Sunday)
• Holiday rotation with permanent staff
• Block scheduling available upon request
• Standby call with 45-minute response time when placed on standby

Orientation & Training

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

Unit Environment & Support

• Free charge nurse 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 therapist equipment available (vents, CPAP, BiPAP)
• Telemetry/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal
• Scrubs and locker provided

Unit Policies

• 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 and well-manicured, no longer than ¼ inch beyond fingertip
  • No open lesions or breaks in skin integrity on cuticles, hands, or forearms

Patient Population & Common Diagnoses

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

Additional Notes

• Manager is supportive and provides feedback to ensure quality care
• Travelers are expected to be adaptable to workflows, policies, procedures, and feedback
• No floating outside the Mother Baby unit; labor travelers must also work in postpartum and attend low-risk deliveries