RN - 19433982

Good Samaritan Hospital•Puyallup, WA

12d

About The Position

Provide comprehensive nursing care in a Level III Trauma Center, with a focus on labor and delivery. The unit includes 9 Labor, Delivery, Recovery (LDR) beds, 2 obstetric operating rooms, 2 obstetric PACU beds, 11 Level II NICU beds, 4 pediatric beds, 20 Mother/Baby beds, an 18-bed START unit for perinatal addiction, and 3 OB Emergency Department beds for patients at 20 weeks’ gestation and above. The facility is a Level II Perinatal Center serving patients 32 weeks and above and handles approximately 175–200 deliveries per month. The role includes care for active and non-active labor, antepartum and postpartum patients, with common conditions including hypertension, magnesium administration, and substance abuse management. Ratios are 1:1 for active labor and 1:2 for non-active labor. Staff may float between Labor & Delivery and the Mother/Baby Unit only when competent; staff do not float to the START unit. The department has no CNAs. Surgery technicians are available Monday through Friday and are transitioning out over time. Phlebotomy services are available, NICU attendance is available as needed for patients at 34 weeks’ gestation or less, and respiratory therapy, an OB group, and a laborist are available 24/7. The EMR systems are EPIC Stork and GE Centricity; the unit uses Alaris IV pumps and Pyxis medication dispensing. Orientation includes two distinct NEO training shifts focused on patient care and surgical support. Annual core competencies, a medication examination, and a unit competency assessment are required before arrival. Schedules are created in three-week increments, with shifts from 0700–1900 or 1900–0700. Weekend rotation is every other weekend, and holiday expectations are one major and one minor holiday per year. Time-off requests require manager approval. Scrub color is provided and free parking is available.

Requirements

At least 1 year of Labor & Delivery experience.
BLS (Basic Life Support) certification.
NRP (Neonatal Resuscitation Program) certification.
Fetal Monitoring Certification (AWHONN or Relia's module).
Strong Labor & Delivery experience, including cervical exams, amnio infusion, fetal monitoring, and IV administration.
Experience with antepartum and postpartum care.
Experience with Pyxis medication dispensing.
Ability to administer couplet care once mother and baby are stable.

Nice To Haves

First-time travelers are welcome.

Responsibilities

Provide comprehensive nursing care to labor and delivery patients in a Level III Trauma Center.
Care for antepartum and postpartum patients, including patients with hypertension, those receiving magnesium, and those needing substance abuse management.
Perform cervical exams, amnio infusion, fetal monitoring, and IV administration.
Provide postpartum care, including basic breastfeeding support.
Provide couplet care once both mother and baby are stable.
Float between Labor & Delivery and the Mother/Baby Unit when competent; do not float to the START unit.
Complete required orientation, annual core competencies, medication examination, and unit competency assessment.
Work every other weekend and one major and one minor holiday per year.