Labor and Delivery Nurse
Grand Coulee, Washington
Coulee Medical Center

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

Location: Grand Coulee, Washington
Contract Length: 26 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 of experience in L&D, neonatal antepartum, and postpartum care
• Must be able to work on an Acute MedSurg floor
• Prior travel experience is not explicitly required

Unit Details

• L&D Beds: 2 rooms
• Postpartum beds are in acute care rooms if stay is longer than 24 hours
• C-Sections performed in OR; OB nurses care for baby but do not circulate in OR
• Birth volume: 50-60 births per year
• Nurse-to-patient ratio: Generally 1:1, may occasionally be 1:2
• No nurse aides or surgical techs on the unit; RNs handle all patient care
• Charge nurse covers entire hospital, not specific to L&D unit

Clinical Responsibilities

• RNs are required to titrate drips (common drips: insulin, magnesium)
• Monitor patients on magnesium sulfate without dedicated telemetry techs
• Use of Fetal Link EFM system for fetal monitoring
• Manage common diagnoses such as diabetes, gestational diabetes (GDM), advanced maternal age (AMA), and patients without prenatal care; high-risk patients are generally referred out

Staffing & Scheduling

• 12-hour shifts: 6:00 AM – 6:30 PM and 6:00 PM – 6:30 AM
• Schedules are typically set and blocked together, released 4 weeks in advance
• Weekend requirement: Typically every other weekend
• Holiday coverage: As needed
• Floating: May be required to float to Acute MedSurg if no OB patients

Additional Information

• OB/Neonatologist coverage: Family Practice OBs available in clinic during the day; on-call after hours with ~20-minute response time
• Anesthesia: On call
• Respiratory therapy equipment available (nasal cannula, non-rebreather, high flow for newborns), but no RT staff on site
• Department-specific orientation: 1 day on unit
• Dress code: No specific scrub color required, but must be clean and professional