Labor & Delivery RN
Silverdale, Washington
St Michael Medical Center

Job Opportunity: Registered Nurse - Labor & Delivery

Location: Silverdale, Washington
Contract Length: 13 weeks (approximately 3 months)
Specialty: Labor & Delivery (L&D)

Job Description

Seeking an experienced Labor & Delivery RN for a travel contract in a hospital setting. The unit is a Birthing Center/Mother Baby unit with:

• 34 total L&D beds
• 2 OR suites for C-sections
• 2 triage beds
• 14 postpartum beds
• Approximately 150-180 births per month (over 2,100 deliveries in the past year)

Required Qualifications

• Minimum 2 years of L&D nursing experience (1 year considered if candidate has multiple prior travel contracts)
• Active Washington RN license (pending license submissions accepted; temporary license takes ~4 weeks)
• Certifications: BLS, ACLS, NRP (Neonatal Resuscitation Program)
• Prefer intermediate or advanced Fetal Heart Monitoring (FHM) certification
• 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
• Able to titrate drips such as Magnesium, Pitocin, and Insulin

Prior travel experience:

• No first-time travelers accepted; prior travel experience required

Unit & Patient Care Details

• Patient population: Pregnant patients 33 weeks gestation and above, including high-risk cases such as preeclampsia, diabetes, psychosocial issues, and positive illicit substance use
• Nurse-to-patient ratios: 1:2 in L&D, 1:3-4 in couplets (mother-baby)
• Charge nurse role is a free charge position on both shifts
• Support staff includes one surgical tech 24/7 and a patient care assistant with clerical duties each shift
• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner (NNP) coverage
• 24/7 OB anesthesia provider on unit with call room
• Respiratory therapy equipment available, typically one RT assigned to family birth
• Telemetry/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic Fetal Monitoring system: Centricity-perinatal

Scheduling & Work Environment

• Block scheduling available upon request
• Weekend requirement: every other weekend (days: Sat & Sun; nights: Fri & Sat)
• Holiday rotation with permanent staff
• Standby call with 45-minute response time when placed on standby
• Floating limited to mother-baby and postpartum units only; no NICU or outside department floating
• Travelers expected to function in postpartum with routine mom and baby competencies and attend low-risk deliveries
• Scrubs and locker provided
• Orientation includes 8 hours compliance training, 8 hours EPIC training, plus 2-3 twelve-hour unit-specific shifts

Unit Policies & Notes

• Strict surgical hand scrub policy:

  • No jewelry on hands or forearms
  • No artificial nails or enhancements (tips, acrylics, gels, nail art, etc.)
  • Natural, well-manicured nails no longer than ¼ inch beyond fingertip
  • No open lesions or breaks in skin integrity on hands, forearms, or cuticles
• 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 birthing center environment.