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Shift: Nights, 4x10hrs
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Hours: 40 hrs/wk
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Start Date: Sep 8, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Labor & Delivery Break Nurse position requiring WA or compact RN licensure and prior high-acuity L&D experience.
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Work in the Birth Center unit of a Level II Trauma Center with a Level IV NICU
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34 L&D beds including 15 labor rooms, 12 antepartum, 4 OB ED, and 3 OR
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18-bed Postpartum unit
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This is a Break Nurse position, scheduled 2 per shift
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High acuity patient population including hypertension, Mg administration, C-sections (33% rate), preterm labor, insulin drips, vaginal deliveries, epidurals, inductions, antepartum, PROM, multiple births, and postpartum hemorrhage
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Up to 300 deliveries per month
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Patient ratios follow AWHONN guidelines: 1:1 active labor, 1:2 non-active laboring, 1:2-3 antepartum depending on acuity
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10-hour night shifts, 40 hours per week
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Shift times 1900-0730
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Weekend rotation required every other weekend, though schedule may vary based on need
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No mandatory call requirements, though may pick up available open shifts as needed
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Floating required to Antepartum (within L&D) and occasionally Postpartum (4th floor), within scope and experience
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Schedules are made in 6-week increments and released 2 weeks prior to the schedule starting
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Block schedules cannot be guaranteed
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Active WA or compact RN license required
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Current certifications: BLS, NRP, and Intermediate Fetal Heart Monitoring (AWHONN)
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Minimum 2 years of L&D RN experience required; candidates with previous travel experience preferred, 5+ years ideal
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First-time travelers considered upon review
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High acuity L&D experience required, including labor management and delivery of high-risk OB patients
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Ability to triage OB patients and circulate in OR
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Skilled in cervical checks and reading/interpreting fetal monitoring strips
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Ability to serve as second set of hands to receive and recover normal newborns as needed
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EPIC EMR experience required
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Provide labor and delivery nursing care as a scheduled Break Nurse, relieving unit staff during shifts
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Support includes CNAs, LPN scrub techs (NRP certified), receptionist/HUC, free-floating charge nurse, and resource RN pending staffing needs
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RT support available 24/7, including NICU RTs for high-risk deliveries
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Laborist coverage available 24/7 with residents, fellows, and additional physicians/midwives on call
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Anesthesia coverage scheduled during day shift and shared after 1700
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Uses Alaris CareFusion IV pumps, Pyxis medication dispensing, Centricity/Qx fetal monitors, CAD Solaris epidural pumps, Panda warmers, and Coviden SCDs
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Orientation includes hospital NEO (1 day) and 2 days on the unit, with orientation occurring during day shift even though the position is for nights
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Cardiac rhythm test not required for this unit
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Holiday coverage expected on a fair and equitable basis
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RTO requests must be submitted and approved prior to contract approval
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Scrub color provided by facility; scrubs must not be worn outside the facility
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Free badge-access parking available in designated areas
