MultiCare includes the expected start date they prefer on their job postings. Please keep this in mind when listing your start date availability! If you can start on the day they are requesting, you are more likely to be selected for an interview or offer.

Please expect someone with a 501 (Arkansas) area code or from the facility to reach out to interview you for this position.

Required Skills/Experience:
L&D RN: Will take 2 years of experience with previous travel experience.
L&D RN: High-acuity experience with labor management and delivery of high-risk OB patients; ability to triage OB patients, circulate in the OR, perform cervical checks, interpret fetal monitoring strips, and serve as a second set of hands to receive and recover normal newborns as needed.
If you have a multistate license, you will be required to complete a 1-time 6-hour suicide prevention training according to WA state regulations.

Preferred Skills/Experience:
L&D RN: 5+ years of experience preferred.

Special Requests:
Any RTO or special requests not included on your application will not be considered.
RTO requests must be submitted prior to contract approval.
Discuss incidental days off (24-48 hours) with the CANM or manager.
A block schedule cannot be guaranteed. This assignment will be used to fill gaps in the schedule.
You can only have 1 active application for the same position (same unit and shift at the same facility). For example, if you apply for day shift, you can also apply for night shift on the same unit and facility, but you cannot apply for another day shift position on the same unit and facility.

Unit Details:
This is a break relief nurse assignment.
The high-acuity patient population includes hypertension, magnesium administration, C-sections (33% C-section rate), preterm labor, rare insulin drips, vaginal deliveries, epidurals, inductions, robust antepartum cases, PROM, multiple births, and postpartum hemorrhage.
The assignment includes transitioning patients after vaginal births and C-sections (mother and baby) and fully recovering the birthing patient and baby. A second set of hands may be assigned to attend the birth and assign Apgars, but that person is not guaranteed to remain available to help care for the baby.
The unit handles up to 300 deliveries per month.
Patient ratios follow AWHONN guidelines: 1:1 for active labor, 1:2 for non-active laboring patients, and 1:2-3 for antepartum patients depending on acuity.
RNs are ultimately responsible for phlebotomy.
Uses Pyxis for medication dispensing and Centricity/Qx for fetal surveillance.
Equipment includes Alaris CareFusion IV pumps, CAD Solaris epidural pumps, Panda warmers, and Covidien SCDs.

Shift & Scheduling:
Night shift hours are 1900-0730.
Weekend rotation is every other weekend but may vary based on need.
Holiday expectations are fair and equitable.
No mandatory call requirements.
Available open shifts may be picked up as needs arise.
Night-shift orientation will take place during day shifts.
Schedules are made in 6-week increments and released 2 weeks before the schedule begins.

Floating Requirements:
Floats to antepartum within L&D and occasionally to postpartum on the 4th floor, with additional assignments within scope and experience.

Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

To help match you with the right jobs, we use AI tools (our own and some from outside partners) to review your application and see how your background lines up with what each role needs. By applying, you agree to let us use your application and personal data for this.