Travel Labor & Delivery RN; L&D

Job Summary

We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 26-week travel assignment in Spokane, Washington.

This position is ideal for an RN with at least 2 years of recent Labor & Delivery experience who is comfortable caring for both routine and high-risk obstetric patients in a fast-paced acute-care environment.

The Labor & Delivery RN will provide comprehensive nursing care throughout labor, delivery, and immediate postpartum recovery. Candidates should be confident with fetal monitoring, active labor management, inductions, augmentation, VBAC/TOLAC, antepartum care, high-risk pregnancies, and maternal emergencies.

• Provide direct nursing care to patients throughout labor, delivery, and immediate postpartum recovery.
• Perform ongoing maternal and fetal assessments.
• Monitor fetal heart rate patterns, contractions, and labor progression.
• Recognize abnormal fetal monitoring findings and elevate concerns appropriately.
• Independently manage actively laboring patients.
• Care for patients undergoing induction and augmentation of labor.
• Administer oxytocin and other medications according to physician orders and facility protocols.
• Provide nursing care for high-risk obstetric patients.
• Care for antepartum patients and patients with pregnancy-related complications.
• Support and monitor patients undergoing VBAC/TOLAC.
• Provide care for patients with pre-eclampsia and hypertensive disorders of pregnancy.
• Care for obstetric patients with diabetes.
• Manage patients with multiple gestation pregnancies.
• Assist physicians and other providers during vaginal deliveries and obstetric procedures.
• Prepare patients for cesarean delivery when required.
• Respond quickly and appropriately to maternal and fetal emergencies.
• Administer medications, IV fluids, blood products, and other treatments as ordered.
• Provide patient and family education throughout the labor and delivery process.
• Maintain accurate and timely documentation using Epic.
• Participate in shift handoffs and interdisciplinary communication.
• Follow hospital safety, infection-control, and clinical-care standards.
• Float to appropriate units when required based on staffing and patient-care needs.

Candidates must have:

• Minimum 2 years of Labor & Delivery RN experience
• Recent acute-care hospital experience
• Strong high-risk Labor & Delivery experience
• Experience independently caring for actively laboring patients
• Electronic fetal monitoring experience
• Antepartum care experience
• Experience with induction and augmentation of labor
• Experience caring for patients with pre-eclampsia
• Experience managing diabetes during pregnancy
• Experience with multiple gestations
• Experience with VBAC/TOLAC
• Experience recognizing and responding to maternal and fetal emergencies

• Active Registered Nurse license meeting Washington State practice requirements
• BLS – Basic Life Support
• ACLS – Advanced Cardiovascular Life Support
• NRP – Neonatal Resuscitation Program
• AWHONN Intermediate Fetal Monitoring
• FHM / Fetal Heart Monitoring certification or competency as required by the facility

All licenses and certifications must remain current throughout the assignment.

• Previous travel nursing experience
• Experience working in a large acute-care hospital
• Experience in a high-volume Labor & Delivery department
• Experience with high-risk maternal-fetal cases
• Epic charting experience
• Experience working closely with NICU or neonatal teams
• Strong understanding of obstetric emergency response and maternal-fetal assessment

Strong candidates should be comfortable with:

• Labor and delivery nursing
• High-risk obstetrics
• Electronic fetal monitoring
• Fetal heart rate interpretation
• Maternal assessment
• Labor progression assessment
• Antepartum care
• Induction of labor
• Oxytocin administration
• Labor augmentation
• VBAC/TOLAC monitoring
• Pre-eclampsia management
• Diabetes in pregnancy
• Multiple gestation pregnancies
• Vaginal delivery assistance
• Cesarean-section preparation
• Maternal emergency response
• Fetal distress recognition
• Immediate postpartum care
• Patient and family education

• Night Shift
• 7:00 PM – 7:00 AM
• Four 12-hour shifts…