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

Registered Nurse - Labor and Delivery

Location: Seattle, Washington Employment Type: Travel/Contract Start Date: ASAP Contract Length: 8 weeks. No extensions offered after the original contract.

Schedule

• Shift: Night, 4x12 hours (19:00 to 07:30), 12 hours per day, 48 hours per week
• Weekends and Holidays: Work every other weekend and holidays as needed
• Time Off: Pre-approved time off is case by case
• Posting: Schedule posted every 6 weeks and adjusted to meet unit needs

Unit Details

• Unit: Labor and Delivery (High Risk/High Volume L&D, all types)
• Rooms and Beds: 31 rooms, 31 beds, 4 ORs
• Volume: Average daily census of 15 per day; 500-600 deliveries per month
• Patient Population: Midwifery clients, private OB patients, Adult Recovery Services (substance recovery), and community care clinic patients
• Staffing: Follows AWHONN guidelines

Role Responsibilities

• Functions as Baby Nurse during delivery and continues newborn care until transfer to postpartum (hard stop, do not screen if not able)
• Circulates in the OR (hard stop, do not screen if not able)
• Provides newborn care, including eye care, Vitamin K injections, thigh sticks, and newborn assessments
• Administers and monitors heparin, insulin, and magnesium sulfate
• Works in fast-paced, high-acuity environments

Required Qualifications

• Valid RN license in Washington
• 1 year of Labor and Delivery experience, including experience within the last year
• BLS issued by American Heart Association or Canadian Heart & Stroke Foundation
• NRP (Neonatal Resuscitation Procedure)
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with high-risk patients
• Experience as an OB circulator
• Experience with newborn assessment
• Experience with Epic

Eligibility and Float

• First-time travelers accepted
• Permanent employees of other facilities in the system may be eligible for a travel contract if separated for at least 3 months
• Active compact license is honored
• Float required to antepartum and postpartum units, and may float to other facilities in the system that provide mother/baby care
• Float policy acknowledgement required; may be required to float to another facility within a reasonable distance

Onboarding and Compliance

• Identification: Government-issued photo ID, Social Security card, and E-Verify attestation
• Background Check: Completed within 90 days of start, covering all locations lived or worked in the past 7 years, updated annually. Includes SSN trace, Death Master Index, county, nationwide, national sex offender, FACIS Level 3, and education verification. International search required if lived or worked internationally in the past 7 years.
• Background Disqualifiers: Open or active hits, any felony case, more than one DUI charge, or any sex offender hit
• Exclusion Lists: EPLS/GSA/SAM and HHS/OIG checks within 30 days of start, updated monthly
• Washington State Patrol/WATCH Search: Required within 90 days of start
• Education Verification: Third-party verification of nursing degree; transcripts only if international education
• Multi-State Compact License: Must complete the WA Multi-State Licensed Demographic Attestation before starting, along with the WA Board of Nursing MSL demographic survey and Nursys e-Notify registration
• Physical Exam: Within 1 year of start, signed by an MD, NP, PA, DO, or APRN. Must indicate free of infectious disease and ability to work with or without accommodation.
• Tdap: Within 10 years; declination accepted
• TB: IGRA/QuantiFERON or 2 PPDs within 12 months of start; annual update (1 PPD or TB titer). Positive TB requires proof of past positive and a chest X-ray.
• MMR (Measles, Mumps, Rubella): 2 vaccines at least 28 days apart or positive titer; low titer options or signed declination
• Varicella: 2 vaccines or positive titer; signed declination accepted
• Drug Screen: 9-panel drug screen within 12 months of start; instant results acceptable
• Flu Vaccine (2026-27): Required during flu season (9/1 to 3/30), or declination on form. Working candidates must provide vaccine or declination by 10/31.
• COVID: Vaccination record preferred; declination not required. Candidates without documentation must follow infection prevention measures for unvaccinated caregivers.
• Respirator Fit Test and RespSafety Clearance: Fit test required (any mask type acceptable); RespSafety medical clearance required annually
• References: Minimum of 2 references covering 1 year of employment within the last 3 years in a comparable specialty; dates in month/year format
• Employment Application: Required, covering at least the last 5 years of employment
• Training: Annual regulatory modules (about 3.5 hours) and L&D specialty-specific modules
• Badge Photo: Not required for this facility