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

Registered Nurse (L&D) - Travel Contract

Location: Silverdale, Washington
Contract Length: 13 weeks

Unit Overview

• Birthing Center / Mother Baby unit with 34 total beds

  • 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:

  • Labor & Delivery: 1:2
  • Couplets (mother/baby): 1:3-4
• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP) coverage
• 24/7 OB anesthesia provider on unit
• Respiratory therapist assigned to family birth area
• Surgical tech available 24/7; patient care assistant with clerical duties on each shift
• Telemetry/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal

Required Qualifications

• Active Washington RN license (pending license submissions accepted; temp license takes ~4 weeks)
• Minimum 2 years L&D nursing experience (1 year considered if multiple prior travel contracts completed)
• Certifications: BLS, ACLS, NRP (Neonatal Resuscitation Program)
• Preferred: Intermediate or advanced Fetal Heart Monitoring (FHM) certification
• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience
• Comfortable independently attending deliveries, circulating in C-sections, assisting with catching and transitioning babies
• Able to titrate drips including Magnesium, Pitocin, and Insulin

Experience & Skills

• Experience with high-risk pregnancies including:

  • Patients 33 weeks gestation and above
  • Preeclampsia, diabetes, psychosocial issues, positive illicit substance use
• Must be adaptable to unit workflows, policies, and open to feedback
• No first-time travelers accepted; 2 years of references required with application

Work Schedule & Environment

• Night shift, 12-hour shifts, 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 applicable
• Free charge nurse role on both shifts (charge nurse takes assignment)
• No floating outside the Mother Baby unit; Labor travelers must also function in Postpartum with routine mom and baby competencies and attend low-risk deliveries
• Scrubs and locker provided

Orientation & Training

• Unit-specific orientation includes:

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

Unit Policies

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms
  • No artificial nails or enhancements (tips, 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

Additional Notes

• Manager is supportive and provides feedback to ensure quality care
• Travelers expected to be flexible and adaptable to unit practices and feedback

This opportunity is ideal for experienced L&D RNs with prior travel experience seeking a supportive and well-staffed Mother Baby unit in Washington.