Travel Labor & Delivery RN (L&D)

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 best suited for an RN with at least 2 years of recent Labor & Delivery experience who is confident caring for both routine and high-risk obstetric patients in an acute-care hospital setting.

The RN will provide comprehensive care throughout labor, delivery, and immediate postpartum recovery. Candidates should be experienced in high-risk L&D, fetal monitoring, antepartum care, inductions, augmentation of labor, 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 ongoing maternal and fetal assessments.

· Monitor fetal heart rate patterns, contractions, and labor progression.

· Identify 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.

· Care for high-risk obstetric patients.

· Provide nursing care to antepartum patients.

· Support and monitor patients undergoing VBAC/TOLAC.

· Care for patients with pre-eclampsia and other hypertensive disorders of pregnancy.

· Manage obstetric patients with diabetes.

· Care for patients with multiple gestation pregnancies.

· Assist physicians and other providers during vaginal deliveries and obstetric procedures.

· Prepare patients for cesarean delivery when required.

· 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 clinical documentation using Epic.

· Participate in shift handoffs and interdisciplinary communication.

· Follow hospital safety, infection-control, and clinical-care standards.

· Float to appropriate units when required 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

· Strong high-risk Labor & Delivery experience

· Experience independently caring for 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 managing diabetes during pregnancy

· 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 by the facility

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 department

· Experience with high-risk maternal-fetal cases

· Epic charting experience

· Experience working 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 an experienced Labor & Delivery RN who can confidently manage high-risk patients and respond quickly when maternal or fetal conditions change.

Strong fetal monitoring skills, clinical judgment, communication, teamwork, and the ability to prioritize in a fast-paced environment are essential.

This opportunity 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

Equal Opportunity

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