RN - 19434161

Tacoma General Hospital•Tacoma, WA

About The Position

The Labor and Delivery Registered Nurse provides care to patients during labor, delivery, and postpartum recovery in a high-acuity setting. The unit manages high-risk obstetric cases, including hypertension, magnesium administration, preterm labor, and C-sections; its C-section rate is 33% and it handles up to 300 deliveries per month. The facility has 34 labor and delivery beds: 15 labor rooms, 12 antepartum beds, four OB emergency department beds, and three operating rooms. There are 18 postpartum beds. 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 role includes triaging obstetric patients, circulating in the operating room, performing cervical checks, interpreting fetal monitoring strips, and assisting with newborn recovery as needed. Unit support includes a CNA, LPN scrub techs with NRP certification, a receptionist/HUC, charge nurse support for floating, phlebotomy services, respiratory therapy available 24/7, and a laborist with residents and fellows in-house 24/7. Orientation consists of comprehensive hospital orientation, two weeks on the unit, and one week of independent practice. Orientation takes place on day shifts regardless of scheduled shifts. Shifts are 7:00 AM–7:30 PM or 7:00 PM–7:30 AM. Weekend rotation is every other weekend, though it may vary based on needs. Holidays are distributed equitably, with opportunities for the ANM to pick up shifts if needed. Free parking is available in designated areas, and facility-provided scrubs cannot be worn outside.

Requirements

  • BLS (Basic Life Support) certification.
  • NRP (Neonatal Resuscitation Program) certification.
  • Intermediate Fetal Heart Monitoring certification through AWHONN.
  • High-acuity experience managing labor and delivering high-risk obstetric patients.
  • Ability to triage OB patients and circulate in the operating room.
  • Ability to perform cervical checks and interpret fetal monitoring strips.
  • Ability to assist with newborn recovery as needed.

Responsibilities

  • Provide care to patients during labor, delivery, and postpartum recovery.
  • Manage high-acuity and high-risk obstetric patients.
  • Triage obstetric patients.
  • Circulate in the operating room.
  • Perform cervical checks.
  • Interpret fetal monitoring strips.
  • Assist with newborn recovery as needed.

Benefits

  • Free parking in designated areas
  • Facility-provided scrubs
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