RN - 19350466

Tacoma General Hospital•Tacoma, WA

3d•Onsite

About The Position

The L&D Registered Nurse works in a Level II Trauma Center and Level IV NICU, caring for high-acuity labor and delivery patients. The role covers active and non-active labor management and antepartum care. The unit has 34 L&D beds, including 15 labor rooms, 12 antepartum rooms, 4 OB ED rooms, and 3 operating rooms, plus 18 postpartum beds. The unit handles up to 300 deliveries per month. Patient ratios are 1:1 for active labor, 1:2 for non-active labor, and 1:2–3 for antepartum patients depending on acuity. Patient populations and cases include hypertension, magnesium administration, C-sections (33% rate), preterm labor, occasional insulin drips, vaginal deliveries, epidurals, inductions, robust antepartum care, multiple births, and postpartum hemorrhage. The unit has CNA support for transport and room clean-up, free-floating NRP-certified LPN scrub techs, a charge nurse, phlebotomy services, a resource RN, scheduled break nurses, 24/7 respiratory therapy for high-risk deliveries, and 24/7 anesthesia coverage. Orientation includes hospital- and unit-specific training, with a preceptor program consisting of two weeks on the unit and one week independently. Weekend rotation is every other weekend, and scheduling varies based on needs. Shifts are 0700–1930 and 1900–0730. Scrub colors are provided and must not be worn outside the facility; free parking is available in designated areas.

Requirements

At least 2 years of Labor & Delivery experience; 1 year may be considered upon review for first-time travelers.
BLS certification.
NRP certification.
Intermediate FHM (AWHONN) certification.
Labor management and delivery of high-risk obstetric patients.
Obstetric patient triage and operating-room circulation.
Ability to perform cervical checks and interpret fetal monitoring strips.
Ability to assist with receiving and recovering normal newborns as needed.
Familiarity with the EPIC EMR system.

Nice To Haves

Previous travel experience is preferred.

Responsibilities

Manage labor and delivery for high-risk obstetric patients.
Triage obstetric patients.
Circulate in the operating room.
Perform cervical checks and interpret fetal monitoring strips.
Assist with receiving and recovering normal newborns as needed.
Provide care for antepartum patients and patients in active or non-active labor.