# Labor & Delivery RN - High-Risk L&D

**Company:** [FutureSoft Consulting Inc](http://jobs.workable.com/companies/gvt8Qc8m2hoewFiLnGGzZi.md)
**Location:** Seattle, United States
**Workplace:** on site
**Employment type:** Contract

[Apply for this job](http://jobs.workable.com/view/e2ce27ae-eeb4-4016-8069-0f5f97d81c71)

## 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 escalate 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 experience

·        Previous 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.