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

Job Opportunity: Labor and Delivery Nurse

Location: Seattle, Washington
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Description

• Work in a high-risk, high-volume Labor & Delivery (L&D) unit with approximately 500-600 deliveries per month.
• Float between postpartum and antepartum units; may also float to sister facilities providing Mother/Baby care.
• Patient population includes midwifery clients, private OBs, adult recovery services (substance recovery), and community care clinics.
• Utilize EPIC electronic medical records and electronic fetal monitoring.
• Staffing follows AWHONN guidelines.
• Unit includes 4 operating rooms and 31 beds/rooms.
• Schedule: Night shift, 4 shifts per week, 12 hours each (7:00 PM to 7:30 AM), posted every 6 weeks.
• Work every other weekend and holidays as needed; pre-approved time off considered case-by-case.

Required Qualifications

• Valid Registered Nurse (RN) license in Washington.
• Minimum 3 years of Labor and Delivery experience, including experience within the last year.
• At least 2 years of experience working in a high-acuity, high-pace environment.
• Experience working with high-risk patients.
• Current BLS certification issued by the American Heart Association or Canadian Heart & Stroke Foundation.
• Current Neonatal Resuscitation Program (NRP) certification.
• Current Pediatric Advanced Life Support (PALS) certification.
• Certification or demonstrated competency in Electronic Fetal Monitoring (EFM).
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Clinical Environment & Responsibilities

• High-risk, fast-paced L&D unit requiring strong clinical skills.
• Provide care for newborns immediately post-delivery.
• Circulate in operating rooms during deliveries.
• Use electronic fetal monitoring and EPIC EMR system.
• Follow AWHONN guidelines for staffing and patient care.

Schedule & Work Conditions

• Night shift: 7:00 PM to 7:30 AM, 4 shifts per week (48 hours/week).
• Work every other weekend and holidays as needed.
• Schedule posted every 6 weeks to meet unit needs.
• Floating between postpartum, antepartum, and sister Mother/Baby units required.

Required Documentation & Compliance

• Government-issued photo ID (Driver’s License or State ID).
• Social Security Card (as applicable).
• Background check within 90 days of start, covering all locations lived/worked in past 7 years; must be updated annually.
• Education verification (nursing degree) required; international education requires transcript/diploma.
• Employment application covering at least last 5 years of employment with month/year format.
• Physical exam within 1 year of start, signed by MD, NP, PA, or DO, indicating ability to work with or without accommodation.
• Immunizations and health screenings:

  • TDAP vaccine within 10 years or declination accepted.
  • Negative TB test or chest X-ray within 12 months, updated annually.
  • MMR (Measles, Mumps, Rubella) vaccination or positive titer with declination accepted.
  • Hepatitis B vaccination series or signed declination.
  • Varicella vaccination or positive titer with declination accepted.
  • Seasonal flu vaccine or declination during flu season.
  • COVID vaccination record preferred; declinations accepted.
• Drug screening: 9-panel drug screen within 12 months of start; instants acceptable.
• Respiratory safety clearance required annually for respirator use (travel only).
• Fit mask test required for travel candidates, updated annually.
• WA State Patrol background search required within 90 days of start for Washington placements.
• Completion of annual regulatory and specialty-specific training modules via LMS (Workramp).

Additional Requirements

• Must complete skills checklist annually for applicable units.
• Must complete medication/pharmacology competency exam as applicable.
• Must complete electronic fetal monitoring (EFM) certification or fetal heart rate monitoring assessment exam.
• Must acknowledge and comply with float policy (may be required to float to other nearby facilities).

Summary

This is a travel contract opportunity for experienced Labor and Delivery Registered Nurses with a strong background in high-risk obstetrics and newborn care. The role requires night shifts, floating between related units, and working in a fast-paced, high-acuity environment. Candidates must have current RN licensure, required certifications, and meet all health and compliance documentation prior to start. Prior travel experience is not required.

Note: Facility-specific details and pay rates have been excluded per privacy guidelines.