L&D RN
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Registered Nurse (L&D)

Location

• Silverdale, Washington

Contract Length

• 13 weeks

Unit Details

• Birthing Center / Mother Baby unit
• 34 total L&D beds
• 2 OR suites for C-sections
• 2 triage beds
• 14 postpartum beds
• Approximately 150-180 births per month (2,133 deliveries in 2022)
• Staffing ratios follow AWHONN guidelines:

  • Labor & Delivery: 1:2
  • Couplets (mother/baby): 1:3-4

Required Qualifications

• Active Washington RN license (pending license acceptable; temp license takes ~4 weeks)
• BLS, ACLS, and NRP certifications required
• Minimum 2 years of L&D nursing experience (1 year considered if candidate has multiple prior travel contracts)
• 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
• Must be able to titrate drips including Magnesium, Pitocin, and Insulin

Experience Requirements

• Prior travel experience required (no first-time travelers)
• Director requests 2 years of references with each application

Patient Population and Common Diagnoses

• Gestational age 33 weeks and above
• High-risk pregnancies including preeclampsia, diabetes, psychosocial issues, and positive illicit substance use

Staffing and Support

• Free charge nurse on both shifts (charge nurse takes assignment)
• One surgical tech available 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 assigned to family birth as needed
• Telemetry/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal

Scheduling and Shifts

• 12-hour day shifts
• Block scheduling available upon request
• Weekend requirement: every other weekend (days: Sat & Sun; nights: Fri & Sat)
• Holiday rotation with permanent staff
• Standby call with 45-minute response time when placed on standby

Floating and Unit Scope

• No floating to NICU or outside department
• Labor travelers must function in postpartum with routine mom and baby competencies
• Must be able to transition babies and attend low-risk deliveries

Orientation

• 8-hour compliance orientation with manager
• 8-hour EPIC training
• 2-3 twelve-hour shifts of unit-specific orientation

Unit Policies and Environment

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms
  • No artificial nails or nail enhancements (tips, acrylics, gels, nail art, etc.)
  • Natural fingernails only, clean and well-manicured, no longer than ¼ inch beyond fingertip
  • No open lesions or breaks in skin integrity on cuticles, hands, or forearms
• Scrubs and locker provided
• Manager emphasizes quality work and provides feedback; travelers should be adaptable to workflows, policies, and feedback

This position is ideal for experienced L&D RNs with prior travel experience seeking a supportive and well-staffed birthing center environment.