Labor & Delivery RN
Seattle, Washington
Swedish Medical Center - First Hill Campus

Job Summary: Registered Nurse - Travel/Contract

Location: Seattle, Washington
Contract Length: 12 weeks

Experience Requirements

• Minimum 3-5 years of experience in a high acuity and high pace environment (3-5 years required, with preference for 5 years of high-risk experience).
• Must have high-risk labor and delivery (L&D) experience.
• No first-time travelers accepted; prior travel experience is required.
• Must have current supervisory references and proof of required certifications.
• Must pass clinical review and provide proof of current NURSYS verification.

Job Details

• Work every other weekend and holidays as needed; pre-approved time off is case-by-case.
• Float required between postpartum and antepartum units; may float to sister facilities that handle Mother/Baby care.
• Patient diagnoses include midwifery clients, private OBs, adult recovery services (substance recovery), and community care clinics.
• Use of EPIC electronic health record system and electronic fetal monitoring (EFM) required.
• Staffing follows AWHONN guidelines.

Unit & Procedures

• High Risk/High Volume Labor & Delivery unit with 4 operating rooms.
• Average daily census: 15 patients; 500-600 deliveries per month.
• Unit has 31 rooms and 31 beds.
• Schedule posted every 6 weeks to meet unit needs.

Key Responsibilities:

• Function as Baby Nurse during delivery and provide newborn care until transfer to postpartum (hard stop requirement).
• Circulate in the OR (hard stop requirement).
• Provide newborn care including eye care, Vitamin K injections (thighs), and newborn assessments (hard stop requirement).
• Administer medications such as Heparin, Insulin, Magnesium Sulfate.

Certifications Required

• Required:

  • BLS (Basic Life Support)
  • NRP (Neonatal Resuscitation Program)
• Preferred:

  • ACLS (Advanced Cardiac Life Support)
  • AWHONN Advanced and Intermediate certifications
• EFM certification (AWHONN or NCC) or completion of fetal heart rate monitoring assessment exam required for L&D RNs.

Licensure & Compliance

• Active compact nursing license accepted.
• Must provide current NURSYS verification.
• Background checks and verifications per Washington state and Providence Health and Services policies.
• Must complete required WorkRamp training modules as assigned by Providence.

Health & Safety Requirements

• Physical exam within 1 year of start.
• Fit mask testing required (updated annually).
• Immunizations and screenings required:

  • TDAP (within 10 years) or declination
  • Negative TB test or chest X-ray (annual updates)
  • MMR (Measles, Mumps, Rubella) vaccination or positive titer
  • Hepatitis B vaccination or signed declination
  • Varicella vaccination or positive titer
  • Seasonal flu vaccine or declination (required during flu season)
  • COVID vaccine or declination
• 10-panel drug screen within 90 days of start (no instant tests).
• Respirator safety clearance required annually for travel candidates.

References & Documentation

• Minimum of 2 supervisor references covering at least 1 year of employment within the last 3 years in a comparable specialty/setting.
• Employment application covering at least the last 5 years required.
• Skills checklists and competency exams as applicable to specialty and unit.

Additional Notes

• Candidates must have proof of all required certifications and references at submission.
• Must be able to circulate in the OR and provide newborn care as specified; candidates lacking these skills will not be considered.
• Floating to related units within the Providence system may be required.
• Pre-approved time off is limited and handled on a case-by-case basis.

This position is ideal for experienced Registered Nurses with strong high-risk labor and delivery backgrounds who have prior travel contract experience and are comfortable working in a fast-paced, high-acuity environment.