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Shift: Nights, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Aug 3, 2026
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Length: 26 weeks
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Openings: 2
American Traveler is seeking an experienced RN for a Labor & Delivery position at a Level 3 Perinatal/Magnet teaching hospital, requiring a minimum of 3 years of L&D experience and Epic proficiency.
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Hospital-based Labor & Delivery unit at a Magnet-designated academic teaching center
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Extreme high-risk Level 3 Perinatal center — approximately 70% of patients are complex high-risk cases
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Facility features a Level 4 NICU serving as a regional center, with approximately 150 births per month
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Patient population includes antepartum, intrapartum, postpartum, and newborn care, including high-risk obstetrical cases
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Patient ratio is 1:1
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Unit includes 2 ORs for C-sections, BTLs, and postpartum D&Cs; a second L&D RN serves as 'baby catcher' for well, non-compromised newborns
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Unit also provides outpatient services when the clinic is closed
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Night shift: 3x12-hour shifts, 19:00–07:30
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Weekend work is required
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Floating within the hospital is required; floating to sister hospitals is not required
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No on-call responsibilities
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Charting system: Epic (experience required)
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Scrubs in any color; scrubs are provided for OR personnel
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Active WA RN license or compact RN license valid in Washington — pending licenses are not accepted
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Minimum 3 years of Labor & Delivery RN experience required
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Epic EMR experience required
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Required certifications: BLS, NRP, and FHM
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Preferred certifications: AWHONN Intermediate Fetal Monitoring, EFM Certification, NCC
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Teaching hospital experience preferred; academic medical center experience may substitute for travel experience
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COVID vaccination and booster required — no exceptions
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Two professional references required, with supervisory references strongly preferred
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Core L&D skills required include: labor and delivery management, assisting with vaginal and high-risk deliveries, circulating for C-sections, hemorrhage/shock management, sterile vaginal exams, and use of external and internal fetal monitoring
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Medication administration experience required, including Pitocin, Magnesium Sulfate therapy, antihypertensives, antiseizure medications, insulin drips, and prostaglandins
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Neonatal delivery room care skills required, including APGAR scoring, baby nurse/catcher role, ID/security banding, and use of radiant warmers
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IV therapy skills required, including starting and maintaining IVs, administering blood products, and using infusion pumps and drips
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First-time travelers are welcome to apply
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Local candidates are accepted at the same rate — no radius restriction
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RTO is limited to a maximum of 1 week for the duration of the contract; no RTO may be requested during the first 2 weeks (including orientation week)
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Block scheduling cannot be accommodated
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Candidates who were previously employed by UW must have a minimum of 18 months of separation from the facility before being eligible to return as a traveler
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Non-billable online modules are required prior to the start date — approximately 6–8 hours for RN onboarding plus 2 additional hours for OBIX L&D modules; WA suicide prevention training (6 hours) may also be required
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Preferred skills include: forceps/vacuum extraction, hemorrhage/shock management, amniocentesis assistance, cervical cerclage, cardiac dysrhythmia interpretation, and care for IOL/TOP patients
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Experience with Level 3 Perinatal and Level 4 NICU environments is preferred