Registered Nurse - Labor & Delivery (L&D)

Planned Systems International, Inc. • Tacoma, WA

3d • Onsite

About The Position

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking experienced Registered Nurses to provide comprehensive nursing care in the Labor & Delivery Unit at Madigan Army Medical Center (MAMC), Joint Base Lewis-McChord (JBLM), in Tacoma, Washington. The nurse cares for patients throughout antepartum, labor, delivery, and postpartum periods, including those with high-risk or complex medical and obstetric needs. The role requires strong clinical judgment and compassionate care in a fast-paced, high-acuity maternal-child healthcare environment.

The position is performed onsite, with no telework allowed, under a personal services arrangement. The nurse must meet government qualification, credentialing, security, and onboarding requirements and may be rotated throughout MAMC clinical areas as needed. Duty hours are assigned from the listed day, evening, or night shifts; four-hour shifts may also be implemented if needed by the unit.

Requirements

• Must be a U.S. citizen.
• Minimum Associate's degree in nursing from a school accredited by ACEN and/or CCNE. For education outside the United States, CGFNS reports are accepted for overseas degree verification.
• BLS certification.
• ACLS certification.
• NRP certification.
• AWHONN Intermediate or Advanced Fetal Monitoring qualification.
• A minimum of one year of qualifying experience as a Registered Nurse in a Labor & Delivery Unit within the past two years.
• Must pass a TB test.
• Subject to a background/security investigation.
• Willingness to comply with DHA vaccination requirements.
• Must complete pre-employment drug screening.
• Must maintain good personal hygiene and a well-groomed, professional appearance in accordance with policy at the place of performance.

Responsibilities

• Provide comprehensive Labor & Delivery nursing care, including care for high-risk obstetric patients.
• Provide antepartum care for patients generally greater than 18 weeks gestation.
• Perform complex treatments, including IV push medications, complex dressing changes, and IV magnesium infusions, including medication titration when required.
• Assess patients, distinguish normal from abnormal clinical findings, and report significant changes to the appropriate provider.
• Provide intraoperative and circulating nurse support for pregnant and postpartum patients.
• Provide immediate post-anesthesia and postoperative care following surgical procedures.
• Operate and monitor specialized monitoring, therapeutic, and resuscitative equipment.
• Monitor invasive and non-invasive procedures and ensure equipment is functioning properly.
• Monitor patient progress, document care in the electronic health record, interpret laboratory results, and report abnormal findings to physicians.
• Coordinate care with Anesthesia, OB-GYN, midwives, and Family Medicine providers.
• Provide patient handoff and reports covering procedures, patient condition, nursing interventions and responses, specialized care, and equipment needs.
• Demonstrate knowledge of neonatal transitional care.
• Participate in nursing reports, patient-care conferences, discharge planning, and multidisciplinary care coordination.
• Follow established infection-control protocols.
• Maintain professionalism, composure, and effective communication with patients and families, including in stressful or difficult situations.
• Work within the RN's scope of practice and rotate throughout MAMC clinical areas as needed.

Benefits

• Paid leave.
• Options for employer-sponsored group medical, dental, and vision coverage.
• Short-term and long-term disability insurance.
• Life insurance and AD&D coverage.
• Legal services, identity theft, and accident insurance.
• Flexible spending account and health savings account options for pre-tax savings on qualified expenses.
• Company-sponsored 401(k) retirement plan with an employer contribution match that is immediately vested.
• Professional courses and certifications.
• Tuition reimbursement programs.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree