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.

• 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 elevate 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

• 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

• 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.

• Electronic nursing documentation
• Medication administration documentation
• Fetal monitoring documentation
• Patient assessments
• Care plans
• Orders and…