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

Job Opportunity: Labor and Delivery Registered Nurse

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

Job Summary

Seeking experienced Registered Nurses for a high-risk, high-acuity Labor and Delivery unit. The role involves working night shifts in a fast-paced environment with a focus on maternal and newborn care, including postpartum and antepartum float responsibilities.

Work Schedule

• Night shift: 7:00 PM to 7:30 AM (3 shifts per week, 12 hours each)
• Work every other weekend and holidays as needed
• Schedule posted every 6 weeks to meet unit needs

Unit Details

• High Risk/High Volume Labor & Delivery with approximately 500-600 deliveries per month
• 31 beds and rooms, 4 operating rooms
• Patient diagnoses include midwifery clients, private OBs, adult recovery services for substance recovery, and community care clinics
• Staffing follows AWHONN guidelines
• Use of EPIC electronic health records and electronic fetal monitoring required

Key Responsibilities

• Function as Baby Nurse during delivery and provide newborn care until transfer to postpartum
• Circulate in the OR (hard stop requirement)
• Provide newborn care including eye care, Vitamin K injections, thigh assessments
• Administer medications such as Heparin, Insulin, Magnesium Sulfate
• Float to postpartum/antepartum and sister facilities providing Mother/Baby care

Required Qualifications

• Valid RN license in Washington
• Minimum 3 years of Labor and Delivery experience, including experience within the last year
• At least one completed travel assignment
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience in supervisory roles
• Minimum 3 years experience working in high acuity and high pace environments
• Experience with EPIC electronic health records

Required Documentation & Compliance

• Physical exam within 1 year of start, signed by MD, NP, PA, or DO
• Immunizations and health screenings including:

  • TDAP (within 10 years or declination)
  • Negative TB test or chest X-ray within 12 months, updated annually
  • MMR (Measles, Mumps, Rubella) vaccination or positive titer
  • Hepatitis B vaccination or signed declination
  • Varicella vaccination or positive titer
  • Seasonal flu vaccine or declination during flu season
  • COVID vaccination record preferred (declinations accepted)
• 9-panel drug screen within 12 months of start
• Respirator fit testing (annual, travel only)
• Background checks including multi-state and Washington-specific searches, education verification, and employment history verification
• Minimum of 2 professional references covering at least 1 year of employment in a comparable specialty/setting within the last 3 years
• Employment application covering at least the last 5 years
• Skills checklist updated annually for applicable units
• Completion of required WorkRamp training modules and facility-specific regulatory and specialty modules prior to start and annually thereafter
• Float policy acknowledgment required

Additional Notes

• Candidates must be able to float to related units and sister facilities as needed
• Pre-approved time off is considered on a case-by-case basis
• EPIC training and electronic fetal monitoring certification are mandatory
• This position requires working in a high-volume, high-acuity environment with a focus on maternal and newborn care

This opportunity is ideal for experienced Labor and Delivery RNs with strong clinical skills in high-risk obstetrics and newborn care, who have prior travel contract experience and are ready to work in a dynamic, fast-paced hospital setting.