Labor and Delivery Registered Nurse
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Labor & Delivery Registered Nurse (RN)

Location: Silverdale, Washington
Specialty: Labor & Delivery (L&D)

Contract Length

• 13 weeks

Required Experience

• Minimum 2 years of L&D nursing experience (will consider 1 year if candidate has multiple prior travel contracts)
• Prior travel experience required (No first-time travelers)

Licenses & Certifications

• Active Washington State RN License (Pending license submissions accepted; temp license takes ~4 weeks)
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NRP (Neonatal Resuscitation Program)
• Preferred: Intermediate or advanced Fetal Heart Monitoring (FHM)

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: 1:2 for L&D, 1:3-4 for couplets (mother-baby pairs)

Patient Population & Common Diagnoses

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

Skills & Responsibilities

• Must have LDRP (Labor, Delivery, Recovery, Postpartum) experience
• Comfortable attending deliveries independently and circulating in C-sections
• Able to assist with catching and transitioning newborns
• Responsible for titrating drips such as Magnesium, Pitocin, and Insulin
• Free charge nurse role on both shifts (charge nurse does not take patient assignment)
• Must be able to function in postpartum care and transition babies; no floating outside the department or to NICU

Team & Support

• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP)
• 24/7 OB anesthesia provider with call room on unit
• One surgical tech available 24/7
• Patient care assistant with clerical duties on each shift
• Respiratory therapist equipment available (vents, CPAP, BiPAP)
• Tele/Monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal

Scheduling & Shifts

• Block scheduling available upon request
• Weekend requirement: every other weekend (days: Sat & Sun; nights: Fri & Sat)
• Holiday rotation with permanent staff
• Night shift hours: 1900-0730, every other weekend (Fri and Sat nights)
• Call/standby requirement: 45-minute response time when on standby

Orientation & Onboarding

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

Unit Policies & Notes

• Strict surgical hand scrub policy: no jewelry on hands/forearms, no artificial nails or enhancements, natural fingernails only (clean, well-manicured, ≤ ¼ inch)
• No open lesions or breaks in skin integrity on hands/forearms
• Scrubs and locker provided
• Manager is supportive and provides feedback to ensure quality care
• Travelers must be adaptable to unit workflows, policies, and feedback

This position is ideal for experienced L&D RNs with prior travel experience who are comfortable working independently in a busy, high-acuity birthing center.