Registered Nurse - Labor & Delivery (L&D)

Planned Systems International•Tacoma, WA

1d•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, Joint Base Lewis-McChord, in Tacoma, Washington. Nurses care for patients during antepartum, labor, delivery, and postpartum periods, including those with high-risk or complex medical and obstetric needs. The role requires sound clinical judgment and compassionate care in a fast-paced, high-acuity maternal-child healthcare environment. The position is performed onsite; telework is not allowed. Nurses may be rotated among MAMC clinical areas as needed and work under a personal services arrangement. Duty schedules include day, evening, and night shifts, with listed start and end times varying by assignment. Four-hour shifts may also be implemented if needed by the unit. The position requires U.S. citizenship, qualifying education and credentials, recent Labor & Delivery experience, and completion of government qualification, credentialing, security, and onboarding requirements. Employees must pass a TB test, undergo a background/security investigation and pre-employment drug screening, and comply with DHA vaccination requirements. Contract workers are expected to maintain good personal hygiene and a well-groomed, professional appearance in accordance with the policy at the place of performance.

Requirements

U.S. citizenship.
At least an associate 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.
Current unrestricted RN license (noted in the overview).
BLS certification.
ACLS certification.
NRP certification.
AWHONN Intermediate or Advanced Fetal Monitoring qualification.
At least one year of qualifying experience as a Registered Nurse in a Labor & Delivery Unit within the past two years.
Pass a TB test.
Subject to a background/security investigation.
Willingness to comply with DHA vaccination requirements.
Complete pre-employment drug screening.
Contract workers must maintain good personal hygiene and a well-groomed, professional appearance in accordance with policy at the place of performance.

Responsibilities

Provide comprehensive nursing care throughout Labor & Delivery, including high-risk obstetric care.
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/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 appropriate patient handoffs, including procedures performed, 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.
Employer-sponsored group medical insurance options.
Dental insurance options.
Vision insurance options.
Short-term disability coverage options.
Long-term disability coverage options.
Life insurance options.
AD&D coverage options.
Legal services options.
Identity theft coverage options.
Accident insurance options.
Flexible spending account options.
Health savings account options.
Company-sponsored 401(k) plan with an employer contribution match that is immediately vested.
Professional courses and certifications.
Tuition reimbursement programs.