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

Labor & Delivery RN Travel Opportunity

Location: Silverdale, Washington
Unit: Birthing Center / Mother Baby

Job Summary

Seeking an experienced Labor & Delivery (L&D) Registered Nurse for a travel contract. The ideal candidate will have at least 2 years of L&D experience (1 year considered with multiple prior travel assignments), hold an active Washington RN license (pending license submissions accepted; temp license takes ~4 weeks), and current BLS, ACLS, and NRP certifications.

Unit Details

• Beds: 34 total (14 postpartum, 2 triage, 2 OR suites for C-sections)
• Birth Volume: Approximately 150-180 births per month (2,133 deliveries in 2022)
• Staffing Ratios:

  • L&D: 1:2
  • Couplets (postpartum): 1:3-4
• Support Staff:

  • 1 surgical tech 24/7
  • Patient care assistant with clerical duties each shift
• In-House Coverage:

  • OB/GYN and hospitalist 24/7
  • Neonatal Nurse Practitioner (NNP) 24/7 in nursery
  • OB anesthesia provider 24/7 with call room on unit
  • Respiratory therapist equipment available (vents, CPAP, BiPAP)
• Telemetry: Tele/Monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring System: Centricity-perinatal

Required Experience & Skills

• Minimum 2 years L&D experience preferred (1 year with multiple travel assignments considered)
• 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
• Experience titrating drips such as Magnesium, Pitocin, and Insulin
• Must be comfortable functioning in postpartum care and low-risk deliveries
• Must be adaptable to unit workflows, policies, and feedback

Certifications Required

• Active Washington RN license (pending license submissions accepted)
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NRP (Neonatal Resuscitation Program)
• Intermediate or advanced Fetal Heart Monitoring (FHM) preferred

Scheduling & Orientation

• Contract length: 13 weeks
• Block scheduling available upon request
• Weekend requirement: Every other weekend (days: Sat & Sun; nights: Fri & Sat)
• Holiday rotation with permanent staff
• Call/standby: When on standby, response time is 45 minutes
• Floating: No floating outside the Mother Baby unit; travelers must be competent in postpartum and low-risk deliveries
• Orientation:

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

Unit Policies & Notes

• Surgical hand scrub policy:

  • Remove all jewelry from hands and forearms
  • No artificial nails or enhancements (tips, acrylics, gels, nail art, etc.)
  • Natural, well-manicured fingernails no longer than ¼ inch beyond fingertip
  • No open lesions or breaks in skin integrity on hands, forearms, or cuticles
• Scrubs and locker provided
• Free charge nurse role on both shifts (charge nurse does not take patient assignment)
• Manager is supportive and provides feedback to ensure quality care
• Must be open and adaptable to unit workflows and feedback

Patient Population & Common Diagnoses

• Gestational age: 33 weeks and above
• High-risk patients including:

  • Preeclampsia
  • Diabetes
  • Psychosocial issues
  • Positive illicit substance use

This position offers a dynamic environment with a high birth volume and a supportive team, ideal for experienced L&D nurses comfortable with independent deliveries and comprehensive maternal-newborn care.