Labor and Delivery Nurse
Grand Coulee, Washington
Coulee Medical Center

Job Opportunity: Labor & Delivery Nurse (L&D)

Location: Grand Coulee, Washington
Contract Length: 16 weeks

Required Certifications

• ACLS
• BLS
• NRP (Neonatal Resuscitation Program)
• C-EFM (Electronic Fetal Heart Monitoring) — must have at least intermediate skill, advanced preferred

Experience Requirements

• Minimum 1 year experience in L&D, neonatal antepartum, and postpartum nursing
• Must be able to work on an Acute MedSurg floor
• Experience with neonatal antepartum, L&D, and postpartum care required
• Prior travel experience is not explicitly required

Unit Details

• L&D Beds: 2 rooms
• Postpartum beds are acute care beds; patients staying longer than 24 hours are transferred to acute care rooms
• C-Sections performed in OR; OB nurses care for babies but do not circulate in OR
• Births: Approximately 50-60 per year
• Nurse-to-patient ratio: Generally 1:1, may occasionally be 1:2; only 1 OB nurse staffed per shift
• No nurse aides or surgical techs on the unit; RNs provide all patient care
• Charge nurse covers entire hospital, not specific to L&D unit
• OBs are Family Practice OBs available in clinic during the day; after hours available within 20 minutes
• Anesthesia is on call, not in-house 24/7
• Respiratory therapy equipment available (nasal cannula, non-rebreather, high flow for newborns), but no RT staff in-house
• RNs responsible for monitoring patients on magnesium sulfate
• Fetal monitoring system: Fetal Link

Common Diagnoses

• Diabetes, Gestational Diabetes Mellitus (GDM)
• Advanced Maternal Age (AMA)
• No prenatal care cases generally referred out
• Unit does not typically take high-risk patients

Nursing Responsibilities

• RNs required to titrate drips such as insulin and magnesium
• Floating to Acute MedSurg floor when no OB patients present

Scheduling & Shifts

• 12-hour shifts: 6:00 AM – 6:30 PM and 6:00 PM – 6:30 AM
• Set schedules, typically with shifts blocked together
• Schedule released 4 weeks in advance
• Weekend requirement: Typically every other weekend
• Holiday coverage: Fill in as needed

Orientation & Dress Code

• Department-specific orientation: 1 day on the unit
• No specific scrub color required; must be clean and professional

This position is suitable for experienced L&D nurses comfortable with acute care and neonatal responsibilities, working in a small unit with limited support staff.