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
• 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 Labor & Delivery RN who can independently manage laboring patients and remain calm when maternal or fetal conditions change quickly.
Strong fetal monitoring skills, clinical judgment, communication, teamwork, and the ability to prioritize in a high-acuity environment are essential.
This role 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
