Labor & Delivery RN - High-Risk L&D

Job Description

Job Description

Job Summary

We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 26-week travel assignment in Seattle, Washington.

This position requires a nurse who is comfortable working in a high-acuity, fast-paced Labor & Delivery environment and managing complex, high-risk obstetric patients. Candidates should have strong fetal monitoring skills, experience with high-risk medications, and the ability to independently manage laboring patients while responding quickly to maternal and fetal emergencies.

A minimum of 2 years of Labor & Delivery experience is required , but candidates with 3–5+ years of recent high-risk L&D experience are strongly preferred .

The RN must also be willing to float to Postpartum, Antepartum, Mother/Baby, and potentially related sister facilities based on staffing and patient-care needs.

Key Responsibilities

· Provide comprehensive nursing care to patients throughout labor, delivery, and immediate postpartum recovery.

· Independently manage actively laboring patients in a high-acuity environment.

· Perform ongoing maternal and fetal assessments.

· Monitor and interpret electronic fetal heart rate patterns.

· Identify changes in maternal or fetal condition and escalate concerns promptly.

· Manage patients undergoing induction and augmentation of labor.

· Administer and monitor high-risk medications including:

o Magnesium sulfate

o Insulin

o Heparin

· Provide nursing care for high-risk pregnancies and complex obstetric conditions.

· Assist physicians and providers during vaginal deliveries and obstetric procedures.

· Circulate during cesarean deliveries and other applicable procedures.

· Prepare patients for operative deliveries when required.

· Provide immediate newborn care after delivery.

· Perform newborn assessments within scope and facility policy.

· Administer routine newborn medications such as Vitamin K and ophthalmic prophylaxis as ordered.

· Support safe transitions between Labor & Delivery, Postpartum, Antepartum, and Mother/Baby units.

· Provide patient and family education throughout labor, delivery, recovery, and postpartum care.

· Maintain accurate and timely documentation in Epic .

· Follow evidence-based obstetric practices and AWHONN staffing and safety standards.

· Collaborate with obstetricians, midwives, anesthesia providers, neonatal teams, and other nursing staff.

· Respond appropriately to maternal and neonatal emergencies.

· Float to other appropriate units or related facilities when required.

Required Experience

Candidates must have:

· Minimum 2 years of Labor & Delivery RN experience

· Recent experience in a high-acuity, fast-paced L&D environment

· High-risk obstetric nursing experience

· Strong electronic fetal monitoring skills

· Experience independently managing actively laboring patients

· Experience with high-risk medication administration

· Experience circulating during cesarean deliveries

· Experience providing immediate newborn care

· Ability to float to Postpartum, Antepartum, and Mother/Baby units

· Ability to work effectively in a high-volume environment with rapidly changing patient conditions

Preferred Experience

Strong preference will be given to candidates with:

· 3+ years of recent high-risk Labor & Delivery experience

· 5+ years of high-risk L&D experience

· Experience in a large tertiary-care or high-volume maternity center

· Complex maternal-fetal cases

· High-risk antepartum experience

· Mother/Baby nursing experience

· Postpartum nursing experience

· Previous travel nursing experience

· Experience floating between related maternal-child health units

Required Certifications

· Active Registered Nurse license meeting Washington State practice requirements

· BLS – Basic Life Support

· NRP – Neonatal Resuscitation Program

Preferred Certifications

Highly preferred credentials include:

· ACLS – Advanced Cardiovascular Life Support

· AWHONN Advanced Fetal Monitoring

· AWHONN Intermediate Fetal Monitoring

Candidates should ensure all required credentials remain current throughout the assignment.

Epic Experience – Required

Recent hands-on Epic experience is required for this assignment.

Candidates should be comfortable with:

· Electronic nursing documentation

· Medication administration documentation

· Fetal monitoring documentation

· Patient assessments

· Care plans

· Orders and results review

· Interdisciplinary communication within the electronic health record

Key Clinical Skills

Strong candidates should be comfortable with:

· High-risk Labor & Delivery

· Electronic fetal monitoring

· Fetal heart rate interpretation

· Active labor management

· Maternal assessment

· Induction of labor

· Labor augmentation

· Magnesium sulfate administration

· Insulin administration

· Heparin administration

· Cesarean-section circulation

· Antepartum nursing

· Postpartum nursing

· Mother/Baby care

· Immediate newborn assessment

· Newborn Vitamin K administration

· Newborn eye prophylaxis

· Maternal emergency response

· Fetal distress recognition

· Patient and family education

Float Requirements

Floating is required for this position.

Candidates must be willing and clinically capable of floating to:

· Postpartum

· Antepartum

· Mother/Baby

· Related maternal-child units

· Sister facilities when required

Floating assignments will depend on staffing and patient-care needs.

Schedule Requirements

· Night Shift

· 7:00 PM – 7:30 AM

· Four 12-hour shifts per week

· 48 hours per week

· Weekend and holiday coverage may be required based on department scheduling.

· Candidates must maintain flexibility regarding floating and unit assignments.

Ideal Candidate

The ideal candidate is a highly experienced high-risk Labor & Delivery RN who is confident managing complex obstetric patients in a fast-paced environment.

You should be comfortable with high-acuity maternal care, advanced fetal monitoring, cesarean-section circulation, newborn care, and floating across maternal-child health units.

This opportunity may be a strong fit for professionals currently working as a:

· Labor & Delivery RN

· High-Risk L&D RN

· Travel L&D RN

· Obstetrics RN

· High-Risk OB RN

· Maternal Child Health RN

· Women's Services RN

· L&D / Mother-Baby RN

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, clinical skills, and the requirements of the position.