Labor & Delivery RN - High-Risk L&D
About The Position
We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 26-week travel assignment in Seattle, Washington. This position requires a nurse who is comfortable working in a high-acuity, fast-paced Labor & Delivery environment and managing complex, high-risk obstetric patients. Candidates should have strong fetal monitoring skills, experience with high-risk medications, and the ability to independently manage laboring patients while responding quickly to maternal and fetal emergencies. The RN must also be willing to float to Postpartum, Antepartum, Mother/Baby, and potentially related sister facilities based on staffing and patient-care needs. The ideal candidate is a highly experienced high-risk Labor & Delivery RN who is confident managing complex obstetric patients in a fast-paced environment. You should be comfortable with high-acuity maternal care, advanced fetal monitoring, cesarean-section circulation, newborn care, and floating across maternal-child health units.
Requirements
- Minimum 2 years of Labor & Delivery RN experience
- Recent experience in a high-acuity, fast-paced L&D environment
- High-risk obstetric nursing experience
- Strong electronic fetal monitoring skills
- Experience independently managing actively laboring patients
- Experience with high-risk medication administration
- Experience circulating during cesarean deliveries
- Experience providing immediate newborn care
- Ability to float to Postpartum, Antepartum, and Mother/Baby units
- Ability to work effectively in a high-volume environment with rapidly changing patient conditions
- Active Registered Nurse license meeting Washington State practice requirements
- BLS – Basic Life Support
- NRP – Neonatal Resuscitation Program
- Recent hands-on Epic experience is required for this assignment.
- Candidates should be comfortable with: Electronic nursing documentation, Medication administration documentation, Fetal monitoring documentation, Patient assessments, Care plans, Orders and results review, Interdisciplinary communication within the electronic health record.
Nice To Haves
- 3+ years of recent high-risk Labor & Delivery experience
- 5+ years of high-risk L&D experience
- Experience in a large tertiary-care or high-volume maternity center
- Complex maternal-fetal cases
- High-risk antepartum experience
- Mother/Baby nursing experience
- Postpartum nursing experience
- Previous travel nursing experience
- Experience floating between related maternal-child health units
- ACLS – Advanced Cardiovascular Life Support
- AWHONN Advanced Fetal Monitoring
- AWHONN Intermediate Fetal Monitoring
Responsibilities
- Provide comprehensive nursing care to patients throughout labor, delivery, and immediate postpartum recovery.
- Independently manage actively laboring patients in a high-acuity environment.
- Perform ongoing maternal and fetal assessments.
- Monitor and interpret electronic fetal heart rate patterns.
- Identify changes in maternal or fetal condition and escalate concerns promptly.
- Manage patients undergoing induction and augmentation of labor.
- Administer and monitor high-risk medications including: Magnesium sulfate, Insulin, Heparin.
- Provide nursing care for high-risk pregnancies and complex obstetric conditions.
- Assist physicians and providers during vaginal deliveries and obstetric procedures.
- Circulate during cesarean deliveries and other applicable procedures.
- Prepare patients for operative deliveries when required.
- Provide immediate newborn care after delivery.
- Perform newborn assessments within scope and facility policy.
- Administer routine newborn medications such as Vitamin K and ophthalmic prophylaxis as ordered.
- Support safe transitions between Labor & Delivery, Postpartum, Antepartum, and Mother/Baby units.
- Provide patient and family education throughout labor, delivery, recovery, and postpartum care.
- Maintain accurate and timely documentation in Epic.
- Follow evidence-based obstetric practices and AWHONN staffing and safety standards.
- Collaborate with obstetricians, midwives, anesthesia providers, neonatal teams, and other nursing staff.
- Respond appropriately to maternal and neonatal emergencies.
- Float to other appropriate units or related facilities when required.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
