RN - 19485796

Tacoma General Hospital • Tacoma, WA

4d

About The Position

The Labor and Delivery Registered Nurse (RN) provides labor, delivery, and postpartum care in a high-acuity setting, including care for patients with high-risk pregnancies. The facility is a Level II Trauma Center with a Level IV NICU. Its Labor and Delivery unit has 34 beds: 15 labor rooms, 12 antepartum rooms, four OB ED beds, and three operating rooms. The postpartum unit has 18 beds and 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.

The patient population includes high-acuity cases involving conditions such as hypertension, magnesium administration, preterm labor, and cesarean sections, which account for 33% of deliveries. The RN cares for vaginal deliveries, inductions, postpartum hemorrhage, and the transition of postpartum patients and newborns. The position requires critical thinking and solid experience in high-acuity obstetric care.

The role includes 12-hour shifts, typically 0700–1930 or 1900–0730. Weekend rotation applies, and schedules may vary according to needs. Scheduling is arranged in six-week cycles and released two weeks before the cycle begins. Orientation includes hospital and unit-specific training, at least two weeks of hands-on preceptor support, and a subsequent independent week. Support includes CNAs, transporting and restocking assistance, scrub techs, resource RNs, break nurses, and 24/7 respiratory therapy support for high-risk deliveries.

Requirements

• At least 2 years of Labor and Delivery RN experience.
• Solid experience in high-acuity labor management.
• BLS certification.
• NRP certification.
• Intermediate FHM (AWHONN) certification.
• Familiarity with EPIC electronic medical records is mandatory.

Nice To Haves

• 5 or more years of Labor and Delivery RN experience.
• Travelers may be accepted based on experience.

Responsibilities

• Manage high-risk obstetric patients.
• Perform cervical checks and interpret fetal monitoring strips.
• Provide care for labor, delivery, postpartum patients, and newborn transitions.
• Assist in the operating room and provide a second set of hands for newborns when needed.
• Collaborate with CNAs, scrub techs, resource RNs, and other team members to provide patient care.
• Function as a charge nurse when required, in addition to patient assignments.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed