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Emergency Department Registered Nurse (RN)

General Information

Location: Puyallup, WA

• Level III Trauma Center
• 375 Licensed Beds
• 46 Dedicated Emergency Department Beds
• Average of 200 patients per day
• 2 years of Emergency Department experience required
• First-time travelers welcome

Patient Types

• Trauma
• Gunshot Wounds (GSW)
• Sepsis
• COVID-19
• STEMI
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental Health Issues
• Respiratory Issues
• Geriatric Care

Patient Ratios

• Day Shift: 1:4-5 (flexibility based on acuity and staffing)

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NIHSS (National Institutes of Health Stroke Scale)
• CPI/MOAB (Crisis Prevention Institute/Management of Aggressive Behavior)

Skills Required

• General Emergency Department experience
• Cardiac rhythm interpretation
• IV skills
• Knowledge of med administration and ED drips
• Procedural sedation
• Blood product administration
• TNK administration experience preferred
• Recent EPIC experience required

Support on the Unit

• Emergency Technicians for basic assistance
• Charge Nurse: Rarely takes patient assignments
• Resource/Float Nurse support
• Respiratory Therapist available 24/7
• ED Educator on-site
• Increased security assigned to the Emergency Department at all times
• House Supervisor available 24/7
• Social Work Services present in the Emergency Department 24/7
• Pharmacy support available 24/7

Charting System/Equipment

• EPIC Electronic Health Record
• Alaris infusion system
• Pyxis medication dispensing
• Central and bedside telemetry monitoring

Floating

No floating among units.

Orientation

• 1st day: New Employee Orientation, EPIC training (if needed), and hours in mental health area
• 2nd day: 12-hour shift with preceptor on assigned shift
• Traveler Telemetry Competency required to be completed and passed prior to start

Scheduling

• 48-hour contract availability
• Weeklong shifts with variability based on staffing needs
• Schedule provided 3 weeks in advance
• Time off requests approved by Nurse Manager
• Holiday requirements include working 2 of 5 major holidays

Additional Notes

• Scrub colors: Any professional color
• Piercings: Modest styles only; Tattoos: Must not be offensive
• Free parking available in designated areas
• Friendly culture towards travelers; many travelers choose to extend contracts

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