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 best suited for an RN with at least 2 years of recent Labor & Delivery experience who is confident caring for both routine and high-risk obstetric patients in an acute-care hospital setting.
The RN will provide comprehensive care throughout labor, delivery, and immediate postpartum recovery. Candidates should be experienced in high-risk L&D, fetal monitoring, antepartum care, inductions, augmentation of labor, 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 ongoing maternal and fetal assessments.
• Monitor fetal heart rate patterns, contractions, and labor progression.
• Identify 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.
• Care for high-risk obstetric patients.
• Provide nursing care to antepartum patients.
• Support and monitor patients undergoing VBAC/TOLAC.
• Care for patients with pre-eclampsia and other hypertensive disorders of pregnancy.
• Manage obstetric patients with diabetes.
• Care for 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 childbirth process.
• Maintain accurate and timely clinical 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 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 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 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
• 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 an experienced Labor & Delivery RN who can confidently manage high-risk patients and respond quickly when maternal or fetal conditions change.
Strong fetal monitoring skills, clinical judgment, communication, teamwork, and the ability to prioritize in a fast-paced environment are essential.
This opportunity 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
