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Emergency Department Nurse

We are seeking a skilled Emergency Department Nurse with a strong background in high-acuity patient care. This position is focused on providing comprehensive nursing care to patients of all ages, from pediatrics to geriatrics, in a fast-paced environment.

General Information

Location: Tacoma, WA

• Type: Level II Trauma Center
• NICU: Level IV
• Total Beds: 60
• Average Daily Patients: 140-150
• Experience Required: 1 year of strong Emergency Department experience
• First-time Traveler: No

Patient Types

• Trauma and Gunshot Wounds (GSW)
• Sepsis
• COVID-19
• ST Elevation Myocardial Infarction (STEMI)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental Health Issues
• Respiratory Issues
• Chest Pain
• Adult Psychiatric Cases

Patient Ratios

The nurse-to-patient ratio is typically 1:4, with the ability to flex to 1:5 for lower 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 (Crisis Prevention Institute/Mandatory Outpatient Assessment and Behavior)
• Traveler Competency Exam

Skills Required

• General Emergency Department experience
• Cardiac rhythm interpretation
• Intravenous (IV) skills
• Understanding of drips and medication administration
• Procedural sedation
• Blood administration
• Administration of cardiac medications
• Experience with EPIC Electronic Medical Records (EMR)

Support on the Unit

• Emergency Room Technicians available for glucose checks and splint assists
• Charge Nurse: Rarely takes assignments
• Resource/Float Nurse (based on staffing)
• Respiratory Therapists available 24/7
• Education support from the ED Educator
• Security personnel on-site 24/7
• House Supervisor available 24/7
• Pharmacy support available 24/7, including assistance during codes

Charting System and Equipment

• EMR: EPIC (required)
• IV Pumps: Alaris
• Medication Dispensing System: Pyxis
• Telemetry monitoring at the nursing station; no tele tech available

Floating Policy

Nurses may float between multiple locations as needed, with advance notification provided prior to shifts. Mid-shift floating may occur but is not routine.

Orientation

• 1st Day: New Employee Orientation (NEO) including badge issuance and EPIC training if needed, along with a meeting with the educator.
• 3-4 shifts of 12 hours with a designated preceptor on assigned shifts.
• Completion of Traveler Telemetry Competency is required prior to start, with grading conducted by SimpliFi Compliance.

Scheduling Details

• Shifts include day, mid, and evening/night options.
• Weekend rotation: Every other weekend required.
• Up to 5 days of time off may be approved.

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