Emergency Department Nurse

General Information

Location: Puyallup, WA

Department: Emergency Department (ED)

Facility Type: Level III Trauma Center

Licensed Beds: 375

Average Patient Load: 200 patients per day

Patient Population

The Emergency Department serves a diverse patient demographic, including:

• Pediatrics to geriatrics
• Trauma cases
• Gunshot wounds (GSW)
• Sepsis
• COVID-19
• STEMI (Significant cases)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental health issues
• Respiratory problems
• Geriatric cases, including falls and STEMI
• Adult psychiatric cases

Patient Ratios

Day shift staffing ratios: 1 nurse to 4-5 patients, with flexibility based on acuity and staffing levels.

Required Certifications

Candidates must hold the following 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)

Essential Skills

The ideal candidate will possess the following skills and experience:

• General Emergency Department experience
• Cardiac rhythm interpretation
• IV skills and knowledge of medication administration
• Experience with procedural sedation
• Blood administration
• TNK administration (preferred)
• Knowledge of cardiac medications
• Recent experience with the EPIC charting system

Support on the Unit

The Emergency Department includes a variety of support roles such as:

• ER Technicians for glucose checks and assistance with splinting
• Resource/Float Nurse
• Respiratory Therapists available 24/7
• ED Educator
• Increased security presence for safety 24/7
• House Supervisor on-site 24/7
• Social Work Services available in the ED 24/7
• Pharmacy support available 24/7 during codes

Charting System and Equipment

The following systems and equipment are utilized:

• EPIC (recent experience required)
• Alaris infusion pumps
• Pyxis medication management system
• Central and bedside telemetry monitoring

Orientation Process

Orientation includes the following:

• Day 1: NEO (New Employee Orientation), EPIC training (if needed), mental health area rotation
• Day 2: 12-hour shift with a preceptor
• Completion of Traveler Telemetry Competency required before starting

Scheduling Information

The position offers varied scheduling options:

• Possible 48-hour contract
• Shifts: Days/Mids (0700, 1100), Mids/Nights (1500, 1900)
• Shifts are assigned on a weekly basis and may change as needed
• Schedule provided 3 weeks in advance
• Weekend shifts will vary based on departmental needs
• 2 of 5 major holidays required

Additional Information

Dress Code: Any professional scrub color is acceptable. Mod