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Emergency Department Registered Nurse (RN)

General Information

Location: Puyallup, WA

Facility Type: Level III Trauma Center

Licensed Beds: 375

Total ED Beds: 46 (including 5 Safe Psych rooms)

Average Patient Volume: 200 patients per day

Experience Required: 2 years in Emergency Department (ED)

Traveler Position: First-time travelers are welcome

Patient Types

• Age Range: Pediatrics to geriatrics
• Conditions Include: Trauma, GSW, sepsis, COVID, STEMI, Stroke, DKA, mental health issues, respiratory problems, and high acuity medical cases
• High Geriatric Population: Includes falls and STEMI
• Pediatric Cases: Limited; generally transferred to a specialized facility

Patient Ratios

Day Shift Patient Ratio: 1 nurse per 4-5 patients (with flexibility based on acuity and staffing)

Certifications Required

• BLS
• ACLS
• PALS
• TNCC
• NIHSS
• CPI/MOAB

Essential Skills

• General ED experience, including cardiac rhythm interpretation
• IV skills and knowledge of medication administration
• Experience in procedural sedation and blood administration
• Familiarity with cardiac medications and TNK administration (preferred)

Unit Support

• ER Technician: Assists with glucose checks, iStat, and splinting
• Charge Nurse: Rarely handles patient assignments
• Resource/Float Nurse available
• Respiratory Therapist: On-site 24/7
• ED Educator present for ongoing support
• Increased Security: Available 24/7 for safety
• House Supervisor: On-site 24/7
• Social Work Services: Assigned to the ED 24/7
• Pharmacy Support: Available 24/7 for medication management

Charting System and Equipment

• EHR: Epic
• Medication Delivery: Alaris and Pyxis
• Monitoring: Central and bedside telemetry

Orientation

• Day 1: New Employee Orientation, Epic training (if needed), and mental health area introduction
• Day 2: 12-hour shift with assigned preceptor
• Traveler Telemetry Competency: Required prior to starting

Scheduling

• Shift Options:
  • Day: 0700-1900
  • Night: 1900-0700
  • Mid:
    • 1100-2300 (day/mids)
    • 1500-0300 (mids/night)
• Weekend Scheduling: Varies based on unit needs
• Schedule Availability: Provided 3 weeks in advance
• Time Off Requests: Approved by the Nurse Manager

Additional Information

• Scrub Colors: Professional and any color allowed
• Piercings: Modest/studs only; tattoos must be non-offensive
• Parking: Free parking in designated areas
• Team Culture: Traveler-friendly environment with a fast-paced, team-oriented focus

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