Labor & Delivery RN - High-Risk L&D

Socket.dev; Seattle (WA); On-site; USD 95,000 - 140,000; Full time

Job summary

Socket.dev is seeking an experienced Labor & Delivery Registered Nurse for a 26-week travel assignment in Seattle, Washington. The role requires a nurse comfortable in a high-acuity L&D environment, with strong fetal monitoring skills and the ability to manage complex obstetric patients.

Minimum 2 years of L&D experience is required; 3–5+ years high-risk L&D is preferred. The RN may float to Postpartum, Antepartum, Mother/Baby, and related facilities based on staffing needs.

Qualifications

• Minimum 2 years of Labor & Delivery RN experience.
• Recent experience in a high-acuity L&D environment.
• High-risk obstetric nursing experience.
• Strong fetal monitoring skills.
• Ability to float to Postpartum, Antepartum, and Mother/Baby units.

Responsibilities

• Provide comprehensive nursing care during labor, delivery, and immediate postpartum recovery.
• Independently manage actively laboring patients in a high-acuity environment.
• Perform ongoing maternal and fetal assessments.
• Monitor and interpret electronic fetal heart rate patterns.
• Administer and monitor high-risk medications.
• Assist during vaginal deliveries and cesarean sections.
• Provide newborn care and routine medications as ordered.
• Document accurately in Epic.

Skills

Labor & Delivery RN

Fetal monitoring

High-risk obstetrics

Electronic fetal monitoring

Float to other units

Education

Active RN license (WA)

BLS

NRP

ACLS (preferred)

Tools

Epic

Job description

Job Summary
We are seeking an experienced Labor & Delivery Registered Nurse (L&D RN) for a 26-week travel assignment in Seattle, Washington.

This position requires a nurse who is comfortable working in a high-acuity, fast-paced Labor & Delivery environment and managing complex, high-risk obstetric patients. Candidates should have strong fetal monitoring skills, experience with high-risk medications, and the ability to independently manage laboring patients while responding quickly to maternal and fetal emergencies.
A minimum of 2 years of Labor & Delivery experience is required, but candidates with 3–5+ years of recent high-risk L&D experience are strongly preferred.
The RN must also be willing to float to Postpartum, Antepartum, Mother/Baby, and potentially related sister facilities based on staffing and patient-care needs.

Key Responsibilities

• Provide comprehensive nursing care to patients throughout labor, delivery, and immediate postpartum recovery.
• Independently manage actively laboring patients in a high-acuity environment.
• Perform ongoing maternal and fetal assessments.
• Monitor and interpret electronic fetal heart rate patterns.
• Identify changes in maternal or fetal condition and elevate concerns promptly.
• Manage patients undergoing induction and augmentation of labor.
• Administer and monitor high-risk medications including: o Magnesium sulfate o Insulin o Heparin
• Provide nursing care for high-risk pregnancies and complex obstetric conditions.
• Assist physicians and providers during vaginal deliveries and obstetric procedures.
• Circulate during cesarean deliveries and other applicable procedures.
• Prepare patients for operative deliveries when required.
• Provide immediate newborn care after delivery.
• Perform newborn assessments within scope and facility policy.
• Administer routine newborn medications such as Vitamin K and ophthalmic prophylaxis as ordered.
• Support safe transitions between Labor & Delivery, Postpartum, Antepartum, and Mother/Baby units.
• Provide patient and family education throughout labor, delivery, recovery, and postpartum care.
• Maintain accurate and timely documentation in Epic.
• Follow evidence-based obstetric practices and AWHONN staffing and safety standards.
• Collaborate with obstetricians, midwives, anesthesia providers, neonatal teams, and other nursing staff.
• Respond appropriately to maternal and neonatal emergencies.
• Float to other appropriate units or related facilities when required.
• Required Experience

Candidates must have

• Minimum 2 years of Labor & Delivery RN experience
• Recent experience in a high-acuity, fast-paced L&D environment
• High-risk obstetric nursing experience
• Strong electronic fetal monitoring skills
• Experience independently managing actively laboring patients
• Experience with high-risk medication administration
• Experience circulating during cesarean deliveries
• Experience providing immediate newborn care
• Ability to float to Postpartum, Antepartum, and Mother/Baby units
• Ability to work effectively in a high-volume environment with rapidly changing patient conditions
• Preferred Experience
• Strong preference will be given to candidates with:
• 3+ years of recent high-risk Labor & Delivery experience
• 5+ years of high-risk L&D experience
• Experience in a large tertiary-care or high-volume maternity center
• Complex maternal-fetal cases
• High-risk antepartum experience
• Mother/Baby nursing experience
• Postpartum nursing experiencePrevious travel nursing experience
• Experience floating between related maternal-child health units
• Required Certifications — Active Registered Nurse license meeting Washington State practice requirements
• BLS – Basic Life Support
• NRP – Neonatal Resuscitation Program
• Preferred Certifications

Highly preferred credentials include

• ACLS – Advanced Cardiovascular Life Support
• AWHONN Advanced Fetal Monitoring
• AWHONN Intermediate Fetal Monitoring
• Candidates should ensure all required credentials remain current throughout the assignment.
• Epic Experience – Required
• Recent hands-on Epic experience is required for this assignment.

Candidates should be comfortable with

• Electronic nursing documentation
• Medication administration documentation
• Fetal monitoring documentation
• Patient assessments
• Care plans
• Orders and results review
• Interdisciplinary communication within the electronic health record
• Key Clinical Skills

Strong candidates should be comfortable with

• High-risk Labor & Delivery
• Electronic fetal monitoring
• Fetal heart rate interpretation
• Active labor management
• Maternal assessment
• Induction of labor
• Labor augmentation
• Magnesium sulfate administration
• Insulin administration
• Heparin administration
• Cesarean-section circulation
• Antepartum nursing
• Postpartum nursing
• Mother/Baby care
• Immediate newborn assessment
• Newborn Vitamin K administration
• Newborn eye prophylaxis
• Maternal emergency response
• Fetal distress recognition
• Patient and family education
• Float Requirements — Floating is required for this position.
• Candidates must be willing and clinically capable of floating to:
• Postpartum
• Antepartum
• Mother/Baby
• Related maternal-child units
• Sister facilities when required
• Floating assignments will depend on staffing and patient-care needs.
• Schedule Requirements
• Night Shift
• 7:00 PM – 7:30 AM
• Four 12-hour shifts per week
• 48 hours per week
• Weekend and holiday coverage may be required based on department scheduling.
• Candidates must maintain flexibility regarding floating and unit assignments.
• Ideal Candidate — The ideal candidate is a highly experienced high-risk Labor & Delivery RN who is confident managing complex obstetric patients in a fast-paced environment.
• You should be comfortable with high-acuity maternal care, advanced fetal monitoring, cesarean-section circulation, newborn care, and floating across maternal-child health units.
• This opportunity may be a strong fit for professionals currently working as a:
• Labor & Delivery RN
• High-Risk L&D RN
• Travel L&D RN
• Obstetrics RN
• High-Risk OB RN
• Maternal Child Health RN
• Women's Services RN
• L&D / Mother-Baby RN

Equal Opportunity

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