Job info

Job Opportunity: Registered Nurse - Labor and Delivery

Location: Burien, Washington
Contract Length: 13 weeks

Job Description

Seeking a Labor and Delivery (L&D) Registered Nurse for a 13-week travel contract. This role involves working in a Labor, Delivery, Recovery, and Postpartum (LDRP) unit with a focus on providing comprehensive care to laboring moms, newborns, and postpartum patients. The unit includes triage, labor and delivery, postpartum care, special care nursery, and circulating in the OR for C-sections.

Unit Details

Unit: Labor & Delivery / Postpartum / Mother-Baby
L&D Beds: 14 (LDRP model - laboring moms stay in the same room throughout labor and recovery)
OR Suites: 2 (staffed for C-sections)
Triage Beds: 3 (triage experience required)
Special Care Nursery (Level II): 5 beds for babies >1800g with conditions such as phototherapy, blood glucose management, opiate withdrawal, antibiotics, respiratory support
Births per Year: Approximately 1000
Nurse-to-Patient Ratios:
- Active labor: 1:1
- Dedicated baby nurse at every birth
- Special care nursery: up to 1:3 (less based on acuity)
- Recovered moms: 1 nurse to 2-3 couplets
- Recovery phase: 1:1

Required Certifications & Licenses

Registered Nurse (RN) license in Washington State
BLS Certification
Neonatal Resuscitation Program (NRP) Certification

Experience Requirements

Minimum 2 years of nursing experience
Level II nursery experience required for Special Care Nursery
Experience in triage, labor and delivery, postpartum, and circulating in the OR for C-sections
Ability to float within the birth center (triage, labor and delivery, postpartum, nursery) but not outside the birth center unless agreed upon and experienced in that specialty
Scrubbing experience preferred but not required (designated PST available for the unit)

Skills and Responsibilities

Manage laboring patients including VBACs, multiples (twins), and at-risk patients (e.g., hypertension, hemorrhage)
Care for antepartum patients with preterm labor, infections, and post-op gynecological conditions
Circulate in C-section surgeries and assist as needed
Triage and transition normal newborns
Titrate drips such as Magnesium Sulfate and Pitocin per physician orders
Monitor epidurals after initiation and rate set by anesthesia
Interpret fetal heart monitoring strips independently (no monitor techs)
Work collaboratively in a team-oriented, traveler-friendly environment

Scheduling

12-hour shifts: 07:00-19:30 and 19:00-07:30
Typically 3 shifts per week
Every other weekend required (Friday-Saturday for nights, Saturday-Sunday for days)
Holiday rotation with permanent staff
No call or standby requirement

Orientation & Additional Information

2-day unit-specific orientation with a preceptor
Scrubs provided and required to be worn
Charge nurse on each shift oversees the department without patient load
Surgical tech available 24/7 for C-sections (does not provide bedside care for laboring patients)
OB or certified midwife in-house 24/7; neonatal hospitalists available weekdays with short transport time on weekends
Anesthesia dedicated to OB available on-site
Telemetry and centralized fetal heart monitoring available

Additional Notes

Must be a team player willing to assist wherever needed
Strong teamwork culture among current staff and providers
Traveler-friendly environment with opportunities to float within the birth center specialties

Discipline: Registered Nurse
Specialty: Labor and Delivery (LDRP)
State License Required: Washington RN license
Prior Travel Experience: Not specified as required