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Emergency Department Nurse

General Information

Location: Tacoma, WA

• Level II Trauma Center
• Level IV NICU
• Total Beds: 60 (21 Inpatient Holding; 2 Psych Rooms, 14 Hall Spaces)
• Average Patient Volume: 140-150 patients per day
• Minimum Required Experience: 1 year of strong Emergency Department experience
• Not available for first-time travelers

Patient Types

• Pediatric to geriatric patients
• Trauma, GSW, sepsis, COVID, STEMI, stroke, DKA, mental health, respiratory issues, adult psych, chest pain
• High acuity receiving facility

Patient Ratios

• Standard patient-to-nurse ratio: 1:4
• Flexibility to 1:5 for low acuity patients

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 certification
• Traveler Competency Exam

Skills Required

• General Emergency Department experience, including cardiac rhythm interpretation
• IV skills and basic knowledge of medication administration, drips, procedural sedation, blood administration, and cardiac medications
• Experience with EPIC is required

Unit Support

• ER Technicians available for glucose checks and assistance with splinting
• Charge Nurse available, rarely takes an assignment
• Resource/Float Nurse may be assigned as needed
• Respiratory Therapy services available 24/7
• ED Educator for clinical support
• Security presence for safety 24/7
• House Supervisor available 24/7
• Pharmacy support available 24/7 for assistance during codes

Charting System and Equipment

• Electronic Medical Records (EMR): EPIC
• IV Pumps: Alaris
• Medication Dispensing System: Pyxis
• Telemetry monitoring available at the nursing station; no dedicated telemetry technician

Floating and Orientation

Nursing staff may float between locations within the region, with advance notice prior to shifts. Mid-shift floating is not routine but may occur.

• Orientation includes initial NEO training (badge, EPIC training if needed) and meeting with the educator.
• 3-4 twelve-hour shifts with a preceptor in the assigned shift.
• Traveler Telemetry Competency is required to be completed and passed prior to starting.

Scheduling

• Shifts are available in the following schedules:
  • Day: 0700-1900, 0900-2100
  • Mids: 1100-2300, 1300-0100
  • Evening/Night: 1500-0300, 1900-0700
• Shifts may switch on a day/mid or night/mid rotation during the contract, but will remain consistent within a 6-week block.
• Schedule released 2 weeks prior to the start of the scheduling period.
• Weekend rotation required every other weekend.
• Time off is permitted for up to 5 days.
• 3 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day) are