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.

Key Responsibilities

·        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 escalate 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.

Required Experience

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

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 competency as required by the facility

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 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

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

·        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

Schedule Requirements

·        Night Shift

·        7:00 PM – 7:00 AM

·        Four 12-hour shifts per week

·        48 hours per week

·        Some weekend shifts are required.

·        Holiday coverage may be required based on department needs.

·        Candidates must be willing to float between appropriate units.

Ideal Candidate

The ideal candidate is a clinically strong and experienced Labor & Delivery RN who is comfortable managing high-risk patients and responding quickly when maternal or fetal conditions change.

Strong communication, critical thinking, teamwork, prioritization, and fetal monitoring skills are essential for success in this role.

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

·        Labor & Delivery RN

·        L&D RN

·        Travel L&D RN

·        High-Risk OB RN

·        Obstetrics RN

·        Women's Services RN

·        Maternal Child Health RN

Equal Opportunity

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