Labor & Delivery RN
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Registered Nurse - Labor & Delivery

Location: Silverdale, Washington
Specialty: Labor & Delivery (L&D)
Contract Length: 13 weeks

Job Description

Seeking an experienced Labor & Delivery RN for a travel contract in Washington. The role involves working 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.

Unit Details

• Patient Volume: About 2,133 deliveries annually (2022 data)
• Staffing Ratios:

  • L&D: 1 nurse to 2 patients
  • Couplets (mother and baby): 1 nurse to 3-4 patients
• Common Patient Types:

  • Pregnancies 33 weeks and above
  • High-risk cases including preeclampsia, diabetes, psychosocial issues, and positive illicit substance use
• Support Staff:

  • One surgical tech 24/7
  • Patient care assistant with clerical duties on each shift
  • 24/7 in-house OB/GYN and hospitalist coverage
  • 24/7 Neonatal Nurse Practitioner in nursery
  • 24/7 OB anesthesia provider with call room on unit
  • Respiratory therapist typically assigned to family birth
  • Telemetry/monitor techs available for PACU after C-section

Required Qualifications

• Minimum 2 years of L&D nursing experience (1 year considered if multiple prior travel contracts completed)
• Active Washington RN license (pending license submissions accepted; temporary license takes ~4 weeks)
• Current certifications:

  • BLS (Basic Life Support)
  • ACLS (Advanced Cardiovascular Life Support)
  • NRP (Neonatal Resuscitation Program)
• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience
• Comfortable independently attending deliveries and circulating in C-sections
• Able to assist with catching and transitioning newborns
• Able to titrate drips such as Magnesium, Pitocin, and Insulin

Experience Requirements

• Specialty Experience: 2 years in Labor & Delivery nursing (higher requirement takes precedence)
• Prior Travel Experience: Required; no first-time travelers accepted

Work Schedule & Environment

• Shifts: 12-hour shifts, including nights (3 nights every other week)
• Weekend requirement: Every other weekend (days: Sat & Sun; nights: Fri & Sat)
• Holiday rotation with permanent staff
• Block scheduling available upon request
• Call/standby: When on standby, response time is 45 minutes
• Floating: No floating outside the mother-baby unit; travelers must be competent in postpartum care and low-risk deliveries
• Scrubs and locker provided
• Orientation:

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

Unit Policies & Notes

• Strict surgical hand scrub policy:

  • No jewelry on hands or forearms
  • No artificial nails or enhancements; natural, well-manicured nails only (no longer than ¼ inch)
  • No open lesions or breaks in skin integrity on hands, cuticles, or forearms
• The unit manager is supportive and provides feedback to ensure quality care
• Travelers are expected to be adaptable to unit workflows, policies, and feedback

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