RN - Labor/Delivery (L&D)

Labor and Delivery Registered Nurse (RN)

This position requires a dedicated Labor and Delivery Registered Nurse to work 4 shifts of 12 hours each week, totaling 48 hours. Overtime is applicable after 48 hours worked in a week. The role involves providing high-quality care for patients in a challenging, fast-paced environment.

Located in Tacoma, WA, this facility serves as a Level II Trauma Center and features a Level IV NICU.

The Labor and Delivery RN will manage a variety of high-acuity patient types, including but not limited to:

• Hypertension
• Administration of magnesium
• C-sections (33% rate)
• Preterm labor
• Insulin drips
• Vaginal deliveries and inductions
• Post-partum hemorrhage management

The RN is expected to ensure full recovery for both the birthing patient and newborn following vaginal births or C-sections.

In accordance with AWHONN guidelines, the patient-to-nurse ratios are:

• 1:1 for active labor
• 1:2 for non-active laboring patients
• 1:2-3 for antepartum patients, depending on acuity

• Basic Life Support (BLS)
• Neonatal Resuscitation Program (NRP)
• Intermediate Fetal Heart Monitoring (FHM) Certification (AWHONN)

Candidates should possess:

• High acuity experience in labor management and delivery of high-risk obstetric patients
• The ability to triage obstetric patients and circulate in the operating room
• Skill in cervical checks and interpretation of fetal monitoring strips
• Competence as a second set of hands during newborn procedures when needed

The unit is supported by:

• 1 CNA who assists with transports, restocking, and room clean-up
• Scrub Techs (LPNs with NRP certification)
• A Receptionist/Health Unit Coordinator (HUC)
• A free-floating Charge Nurse
• Phlebotomy services
• Break Nurses (2 scheduled per shift)
• Respiratory Therapists available 24/7
• Laborist on staff 24/7
• Anesthesiologist during daytime hours, with shared coverage after hours

New hires will undergo a comprehensive orientation, including:

• Preceptor training covering hospital orientation, and subsequently 2 weeks on the unit followed by 1 week of independent practice
• Standardized orientation for Charge Nurses

The schedule operates in 6-week increments, with shifts typically from:

• 0700 to 1930
• 1900 to 0730

This position requires a weekend rotation, with every other weekend mandatory. The time off requests should be submitted prior to contract approval, with discussions for incidental days off with the Charge Nurse or Manager.

Scrub colors will be provided by the facility. Parking is available at no charge in designated areas.