L&D Registered Nurse
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 submissions accepted; temporary license takes ~4 weeks)
• BLS, ACLS, and NRP certifications required
• Minimum 2 years of L&D experience (1 year considered if candidate has multiple prior travel contracts)
• Prior travel experience required (NO first-time travelers)
• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience
• Comfortable attending deliveries independently and circulating in C-sections
• Able to assist with catching and transitioning babies
• Able to titrate drips such as Magnesium, Pitocin, and Insulin

Clinical Environment & Support

• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP)
• 24/7 OB anesthesia provider with call room on unit
• One surgical tech available 24/7
• Patient care assistant with clerical duties on each shift
• Respiratory therapist typically assigned to family birth
• Telemetry/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal

Scheduling & Shifts

• 12-hour day shifts
• 36 hours per week
• Block scheduling available upon request
• Weekend requirement: every other weekend (days on Sat and Sun; nights on Fri and Sat)
• Holiday rotation with permanent staff
• Standby call with 45-minute response time when placed on standby

Orientation & Training

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

Unit Policies & Notes

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms
  • No artificial nails or nail enhancements (tips, 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
• Free charge nurse role on both shifts (charge nurse does not take patient assignment)
• No floating outside the Mother Baby/Postpartum unit; travelers must function in postpartum with routine mom and baby competencies and attend low-risk deliveries
• Scrubs and locker provided
• Manager encourages openness to feedback and adaptability to workflows and policies

Patient Population & Common Diagnoses

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

This position is ideal for experienced L&D RNs with prior travel assignments who are comfortable working independently in a busy birthing center environment.