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

Job Opportunity: Labor & Delivery Registered Nurse (L&D RN)

Location: Silverdale, Washington
Contract Length: 13 weeks

Job Summary

Seeking an experienced L&D RN for a travel contract in a busy birthing center with approximately 150-180 births per month. The unit includes 34 L&D beds, 2 OR suites for C-sections, 2 triage beds, and 14 postpartum beds.

Required Qualifications

• Experience: Minimum 2 years L&D nursing experience (1 year considered only if candidate has multiple prior travel contracts)
• Prior Travel Experience: Required (No first-time travelers)
• Licenses/Certifications:

  • Active Washington RN license (pending license submissions accepted; temp license takes ~4 weeks)
  • BLS, ACLS, NRP certifications required
  • Preferred: Intermediate or advanced Fetal Heart Monitoring (FHM) certification
• Skills:

  • 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

Unit Information & Environment

• Patient Population: Gestational age 33 weeks and above; includes high-risk patients such as preeclampsia, diabetic, psychosocial issues, and positive illicit substance use
• Staffing Ratios:

  • L&D: 1:2 nurse-to-patient ratio
  • Couplets (mother/baby): 1:3-4 ratio
• Support Staff:

  • One surgical tech 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 typically assigned to family birth
  • Tele/Monitor techs available for PACU after C-section; RNs read their own strips
• Equipment: Centricity-perinatal electronic fetal monitoring system

Scheduling & Work Environment

• Shifts: 12-hour shifts with block scheduling available upon request
• Weekend Requirement: Every other weekend (Days: Sat & Sun; Nights: Fri & Sat)
• Holiday Requirement: Rotate with permanent staff
• Call/Standby: Standby response time is 45 minutes
• Floating: No floating outside of Labor & Delivery/Postpartum unit; must be able to function in postpartum and attend low-risk deliveries
• Orientation:

  • 8 hours compliance training with manager
  • 8 hours EPIC training
  • 2-3 twelve-hour shifts of unit-specific orientation
• Dress Code: Scrubs and locker provided

Unit Policies & Additional Notes

• Strict surgical hand scrub policy: no jewelry on hands/forearms, no artificial nails or enhancements, natural fingernails only (clean, well-manicured, ≤ ¼ inch), no open lesions or breaks in skin integrity
• Manager emphasizes quality work and provides feedback; travelers should be adaptable to workflows, policies, and procedures

This position is ideal for experienced L&D RNs with prior travel experience who are comfortable working independently in a high-volume, high-acuity birthing center.