Travel Labor & Delivery RN (L&D)

Job Summary

We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 13-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 setting.

The L&D RN will provide comprehensive nursing care throughout labor, delivery, and immediate postpartum recovery. Candidates should be confident managing actively laboring patients and have strong experience with high-risk obstetrics, fetal monitoring, antepartum care, induction and augmentation, VBAC/TOLAC, pre-eclampsia, diabetes in pregnancy, multiple gestations, and maternal emergencies.

Key Responsibilities

·        Provide direct nursing care to patients during labor, delivery, and immediate postpartum recovery.

·        Perform comprehensive maternal and fetal assessments.

·        Monitor fetal heart rate patterns, uterine activity, and labor progression.

·        Recognize abnormal fetal monitoring findings and escalate concerns promptly.

·        Independently manage actively laboring patients.

·        Care for patients undergoing induction and augmentation of labor.

·        Administer oxytocin and other medications according to provider orders and facility protocols.

·        Provide care for high-risk obstetric and antepartum patients.

·        Monitor and care for patients undergoing VBAC/TOLAC.

·        Provide nursing care for patients with pre-eclampsia and other hypertensive disorders of pregnancy.

·        Care for patients with diabetes during pregnancy.

·        Manage patients with multiple gestation pregnancies.

·        Assist physicians and providers during vaginal deliveries and obstetric procedures.

·        Prepare and support patients requiring cesarean delivery.

·        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 childbirth process.

·        Maintain accurate and timely documentation in Epic.

·        Participate in shift handoffs and interdisciplinary communication.

·        Follow infection-control, patient-safety, and clinical-care standards.

·        Float to appropriate units based on staffing and patient-care needs.

Required Experience

Candidates must have:

·        Minimum 2 years of Labor & Delivery RN experience

·        Recent acute-care hospital experience

·        High-risk Labor & Delivery experience

·        Experience independently managing 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 caring for diabetic obstetric patients

·        Experience with multiple gestation pregnancies

·        Experience with VBAC/TOLAC

·        Experience recognizing and responding to maternal and fetal emergencies

Required Licenses & Certifications

·        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 documented competency as required

All licenses and certifications must remain current throughout the assignment.

Preferred Qualifications

·        Previous travel nursing experience

·        Experience working in a large acute-care hospital

·        Experience in a high-volume Labor & Delivery unit

·        Experience with high-risk maternal-fetal cases

·        Epic charting experience

·        Experience working closely with NICU or neonatal teams

·        Strong knowledge of obstetric emergency response and maternal-fetal assessment

Key Clinical Skills

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

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