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)
Unit: Birthing Center / Mother Baby

Job Description

Seeking an experienced L&D RN for a travel contract. The role involves working in a busy birthing center with approximately 150-180 births per month. The unit includes 34 total beds: 2 OR suites for C-sections, 2 triage beds, and 14 postpartum beds.

Required Qualifications

• Minimum 2 years of L&D nursing experience (1 year considered if candidate has multiple prior travel contracts)
• Active Washington State RN license (pending license submissions accepted; temp license takes ~4 weeks)
• Current certifications: BLS, ACLS, NRP
• 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
• Ability to titrate drips including Magnesium, Pitocin, and Insulin
• Prior travel experience required (no first-time travelers)
• Must provide 2 years of references with application

Unit Details & Patient Population

• Follows AWHONN guidelines for nurse-to-patient ratios: 1:2 in L&D, 1:3-4 in couplets
• Common patient diagnoses: pregnancies 33 weeks and above, high risk cases including preeclampsia, diabetes, psychosocial issues, and positive illicit substance use
• 24/7 in-house OB/GYN hospitalist and Neonatal Nurse Practitioner support
• 24/7 OB anesthesia provider available on unit
• Surgical tech available 24/7; patient care assistant with clerical duties on each shift
• Respiratory therapist equipment available, typically assigned to family birth
• Tele/monitor techs available for PACU after C-section; RNs read their own strips
• Electronic fetal monitoring system: Centricity-perinatal

Work Schedule & Orientation

• 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
• No floating outside the Mother Baby unit; travelers must function in postpartum and attend low-risk deliveries
• Scrubs and locker provided
• Orientation includes:

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

Unit Policies & Additional Notes

• Strict surgical hand scrub policy:

  • No jewelry on hands/forearms
  • No artificial nails or enhancements; natural, well-manicured nails only (no longer than ¼ inch)
  • No open lesions or breaks in skin integrity on hands/forearms
• Manager emphasizes quality work and provides feedback to travelers
• Travelers should be adaptable to unit workflows, policies, and procedures

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