RN Labor and Delivery

vTech Solution; Seattle (WA); On-site; USD 110,000 - 150,000; Full time

Job summary

vTech Solution seeks an experienced Registered Nurse in Labor and Delivery to care for high-risk maternal and newborn patients. You will manage labor, delivery, and postpartum care, acting as Baby Nurse for newborns and coordinating with midwifery clients and private OBs.

Strong experience with electronic fetal monitoring and adherence to AWHONN guidelines is essential, with flexibility to float to related units as needed.

Qualifications

• Minimum 1 year of high-risk labor and delivery nursing experience.
• Active RN license with compact privileges accepted.
• BLS certification.
• NRP certification.
• Proficiency with electronic fetal monitoring and EPIC system.

Responsibilities

• Provide skilled nursing care to high-risk labor and delivery patients and newborns.
• Function as Baby Nurse during delivery with newborn assessments and care.
• Support midwifery clients and private OBs.
• Perform electronic fetal monitoring and adhere to EPIC protocols.
• Float to postpartum, antepartum units or sister facilities as needed.

Skills

Electronic fetal monitoring

Nursing in L&D

Team collaboration

Patient care

BLS certification

NRP certification

Education

Registered Nurse license

Tools

EPIC system

Job description

Job Summary:

The Registered Nurse in Labor and Delivery provides specialized nursing care for high-risk and high-volume maternal and newborn patients. This role includes managing care during labor, delivery, and postpartum periods, supporting midwifery clients and private OBs, and collaborating with interdisciplinary teams in a fast-paced, high acuity environment. The nurse functions as a Baby Nurse during delivery, providing newborn care until transfer to postpartum. Strong experience with electronic fetal monitoring and adherence to AWHONN guidelines is essential.

Responsibilities:

• Provide skilled nursing care to high-risk labor and delivery patients and newborns.
• Function as Baby Nurse during delivery, providing newborn assessments, eye care, Vitamin K injections, and ongoing care until transfer to postpartum.
• Support midwifery clients, private OBs, adult recovery services, and community care clinics.
• Perform electronic fetal monitoring and adhere to EPIC hardstop protocols.
• Float to postpartum and antepartum units or sister facilities as needed.
• Manage patient care in a fast-paced, high acuity environment with an average daily census of 15 patients and 500-600 deliveries per month.
• Collaborate with interdisciplinary teams to meet unit staffing and patient care needs.
• Follow AWHONN guidelines for staffing and patient care.

Required Skills & Certifications:

• Minimum 1 year of high-risk labor and delivery nursing experience.
• Active Registered Nurse license with compact privileges accepted.
• BLS (Basic Life Support) certification.
• NRP (Neonatal Resuscitation Program) certification.
• Proficiency with electronic fetal monitoring and EPIC system.
• Ability to work every other weekend and holidays as needed.

Preferred Skills & Certifications:

• ACLS (Advanced Cardiovascular Life Support) certification.
• AWHONN Advanced and Intermediate certifications.
• Experience with high-risk pregnancies and fast-paced delivery units.

Special Considerations:

• Must be able to float to postpartum, antepartum, and sister facilities providing mother/baby care.
• Pre-approved time off is considered on a case-by-case basis.
• Hard stop requirements for newborn care and circulating roles; candidates not meeting these cannot be screened.
• Work environment includes 4 operating rooms and 31 beds.

Scheduling:

• Schedule is posted every 6 weeks to meet unit needs.
• Work every other weekend and holidays as required.
• Shift assignments support a high-volume labor and delivery unit.