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

Registered Nurse - Labor and Delivery

Location: Seattle, Washington Employment type: Travel/Contract Contract length: 13 weeks Shift: Night, 3x12 hours (19:00 to 07:30) Hours: 12 per day, 36 per week Unit: Labor and Delivery (L&D), high-risk and high-volume, all types Unit size: 4 ORs, 31 rooms, 31 beds Average daily census: 15 per day; 500-600 deliveries per month Schedule: Posted every 6 weeks and adjusted to meet unit needs

Patient Population

• Midwifery clients
• Private OB patients
• Adult recovery services supporting substance recovery
• Community care clinic patients

Role Responsibilities

• Functions as a Baby Nurse during delivery and provides continued care of the newborn until transfer to postpartum. Hard stop requirement; do not screen.
• Circulates. Hard stop requirement; do not screen.
• Provides newborn care, including eye care, thigh care, Vitamin K injections, and newborn assessments.
• Administers or manages heparin, insulin, and magnesium sulfate.
• Staffing follows AWHONN guidelines, and experience is valued.

Required Qualifications

• Valid RN license in Washington
• 1 year of Labor and Delivery experience, with experience within the last year
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with high-risk patients
• Experience as an OB circulator
• Experience functioning as a baby nurse during deliveries and providing newborn care until transfer to postpartum
• BLS certification issued by the American Heart Association or Canadian Heart & Stroke Foundation
• NRP (Neonatal Resuscitation Procedure) certification
• Experience with Epic

Scheduling and Eligibility

• First-time travelers are accepted.
• Pre-approved time off is handled case by case.
• Works every other weekend and holidays as needed.
• Float required: Postpartum and antepartum staff may float to sister facilities that provide mother/baby care. A float policy acknowledgement is required, and float to another facility within a reasonable distance may be required.
• Permanent employees of other facilities in the system are eligible for a travel contract if separated for at least 3 months.

Onboarding Requirements

• Background: Background check within 90 days of start covering all locations lived or worked in the past 7 years, updated annually. Washington State Patrol/WATCH search within 90 days of start.
• Education: Third-party education verification, including verification of the nursing degree.
• References: 2 references covering 1 year of employment within the last 3 years in a comparable specialty.
• Employment application: Covers at least the last 5 years of employment.
• Health documents:

  • Physical exam within 1 year of start, signed by an MD, NP, PA, or DO
  • Negative TB test (IGRA/TSPOT, QuantiFERON, or 2 PPDs) within 12 months, or positive TB history with chest X-ray
  • 9-panel drug screen within 12 months (instant screens accepted)
  • Tdap within 10 years (declination accepted)
  • Measles, mumps, rubella, and varicella: vaccination documentation, positive titer, or signed declination
  • Hepatitis B: signed declination, or positive titer plus vaccination series
  • Flu vaccine or declination during flu season
  • COVID vaccination record preferred; candidates without documentation are treated as unvaccinated under local masking policy
  • Fit test (any mask type acceptable) and RespSafety clearance, medically cleared annually for respirator use
• Competencies and checklists: Medication/pharmacology competency exam as applicable; skills checklist for the applicable unit, updated annually.
• Training: Annual regulatory modules (about 3.5 hours) and annual specialty-specific modules for L&D.