RN - Labor/Delivery (L&D)

Tacoma General HospitalTacoma, WA
Onsite

About The Position

This position is located at a Level II Trauma Center with advanced Neonatal Intensive Care Unit (NICU) services. The facility is equipped with a robust Labor and Delivery unit, handling a diverse range of high-acuity obstetric cases. Responsibilities will include caring for patients experiencing hypertension, magnesium administration, C-sections (approximately 33% C-section rate), preterm labor, insulin drips (occasionally, per protocol), various delivery methods including vaginal deliveries and inductions, high acuity antepartum and postpartum cases, multiple births, and postpartum hemorrhage management. Staffing ratios are in accordance with AWHONN guidelines: 1:1 for active labor, 1:2 for non-active laboring patients, and 1:2-3 for antepartum based on acuity. The unit is supported by CNAs for transports, restocking, and assisting in the operating room, with phlebotomy and 24/7 Respiratory Therapy services available. Orientation includes hospital training followed by unit-specific onboarding, CAP and unit training, and preceptorship. Weekend rotation is every other weekend with some variability. Shift times are typically 7:00 AM to 7:30 PM and 7:00 PM to 7:30 AM. The schedule is created in six-week cycles and released two weeks prior. Free parking is available, and scrubs are provided.

Requirements

  • Minimum of 2 years of nursing experience in Labor and Delivery.
  • Intermediate Fetal Monitoring certification (AWHONN) is required.
  • BLS and NRP certifications are mandatory.
  • Demonstrated experience in managing high acuity obstetric patients and charge nurse responsibilities.
  • Strong interpersonal skills with the ability to educate and assist in conflict resolution.

Nice To Haves

  • 5+ years of Labor and Delivery nursing experience preferred.
  • Previous travel experience is preferred.

Responsibilities

  • Manage labor and delivery of high-risk obstetric patients.
  • Triage and assess obstetric patients effectively.
  • Circulate in the operating room during surgical procedures.
  • Conduct cervical checks and interpret fetal monitoring strips.
  • Support the delivery room team by attending to normal newborns as needed.
  • Ensure complete recovery and transition of both mother and baby following births.

Benefits

  • Opportunity to pick up additional shifts as needs arise.
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