Labor & Delivery RN - High-Risk L&D

Job Summary

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.

A minimum of 2 years of Labor & Delivery experience is required, but candidates with 3–5+ years of recent high-risk L&D experience are strongly preferred.

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.

Key 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:

o   Magnesium sulfate

o   Insulin

o   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.

Required Experience

Candidates must have:

·        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

Preferred Experience

Strong preference will be given to candidates with:

·        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

Required Certifications

·        Active Registered Nurse license meeting Washington State practice requirements

·        BLS – Basic Life Support

·        NRP – Neonatal Resuscitation Program

Preferred Certifications

Highly preferred credentials include:

·        ACLS – Advanced Cardiovascular Life Support

·        AWHONN Advanced Fetal Monitoring

·        AWHONN Intermediate Fetal Monitoring

Candidates should ensure all required credentials remain current throughout the assignment.

Epic Experience – Required

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

Key Clinical Skills

Strong candidates should be comfortable with:

·        High-risk Labor & Delivery

·        Electronic fetal monitoring

·        Fetal heart rate interpretation

·        Active labor management

·        Maternal assessment

·        Induction of labor

·        Labor augmentation

·        Magnesium sulfate administration

·        Insulin administration

·        Heparin administration

·        Cesarean-section circulation

·        Antepartum nursing

·        Postpartum nursing

·        Mother/Baby care

·        Immediate newborn assessment

·        Newborn Vitamin K administration

·        Newborn eye prophylaxis

·        Maternal emergency response

·        Fetal distress recognition

·        Patient and family education

Float Requirements

Floating is required for this position.

Candidates must be willing and clinically capable of floating to:

·        Postpartum

·        Antepartum

·        Mother/Baby

·        Related maternal-child units

·        Sister facilities when required

Floating assignments will depend on staffing and patient-care needs.

Schedule Requirements

·        Night Shift

·        7:00 PM – 7:30 AM

·        Four 12-hour shifts per week

·        48 hours per week

·        Weekend and holiday coverage may be required based on department scheduling.

·        Candidates must maintain flexibility regarding floating and unit assignments.

Ideal Candidate

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.

This opportunity may be a strong fit for professionals currently working as a:

·        Labor & Delivery RN

·        High-Risk L&D RN

·        Travel L&D RN

·        Obstetrics RN

·        High-Risk OB RN

·        Maternal Child Health RN

·        Women's Services RN

·        L&D / Mother-Baby RN

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on experience, education, licensure, certifications, clinical skills, and the requirements of the position.