RN - 19434285

Tacoma General Hospital•Tacoma, WA

12d

About The Position

The Labor and Delivery Registered Nurse works in a 34-bed Labor and Delivery unit with 15 labor rooms, 12 antepartum beds, 4 OB ED beds, and 3 operating rooms. The unit handles up to 300 deliveries per month and cares for high-acuity patients and postpartum patients and newborns through recovery after vaginal births and C-sections. Patient care includes hypertension, magnesium administration, C-sections (33% rate), preterm labor, occasional insulin drips, vaginal deliveries, epidurals, inductions, antepartum care, PROM, multiple births, and postpartum hemorrhage. Staffing ratios are 1:1 for active labor, 1:2 for non-active labor, and 1:2–3 for antepartum, depending on acuity. The unit has support from CNAs, scrub techs, a receptionist/HUC, a free-floating charge nurse, phlebotomy services, resource RNs based on staff needs, scheduled break nurses, respiratory therapists available 24/7, and laborists with residents and fellows in-house 24/7. Anesthesiologists are scheduled during daytime shifts. Nurses may float to antepartum and postpartum units. Orientation includes hospital orientation, two weeks on the unit, and one week of independent practice. RN shift times are 0700–1930 or 1900–0730. Schedules are made in six-week increments and released two weeks before the start of each period. Weekend rotation is required every other weekend or as needed, and holiday expectations are equitable among staff. Time-off approval should be discussed before contract approval. Facility-provided scrubs must be worn only on-site; free parking is available in designated areas.

Requirements

BLS certification.
NRP certification.
Intermediate Fetal Heart Monitoring (AWHONN) certification.
Experience managing labor and delivery of high-risk obstetric patients.
Ability to triage OB patients and circulate in the operating room.
Proficiency in cervical assessments and reading and interpreting fetal monitoring strips.
Ability to support newborn care by receiving and recovering normal newborns as needed.
Weekend rotation every other weekend or as needed.
Equitable participation in holiday coverage.

Responsibilities

Manage labor and delivery care for high-risk obstetric patients.
Triage obstetric patients.
Circulate in the operating room.
Perform cervical assessments and interpret fetal monitoring strips.
Support newborn care, including receiving and recovering normal newborns as needed.
Provide postpartum and newborn transition care, supporting recovery after vaginal births and C-sections.
Float to antepartum and postpartum units as needed.