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Registered Nurse (RN)

General Information

Location: Tacoma, WA

Facility Type: Level II Trauma Center

NICU Level: Level IV

Beds Available: 60

• 21 Inpatient Holding
• 2 Psych Rooms
• 14 Hall Spaces

Average Daily Patient Volume: 140-150

Patient Types

• Pediatrics to Geriatrics
• Trauma
• Gunshot Wounds (GSW)
• Sepsis
• COVID-19
• ST elevation Myocardial Infarction (STEMI)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental Health Emergencies
• Respiratory Issues
• Adult Psychiatry
• Chest Pain

This facility is a high acuity receiving center.

Patient Ratios

Standard nurse-to-patient ratio: 1:4

Can flex 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 (Crisis Prevention Institute / Management of Assaultive Behavior)
• Traveler Competency Exam

Essential Skills

• Strong general ED experience
• Cardiac rhythm interpretation
• IV skills
• Knowledge of medication administration and drips
• Procedural sedation capabilities
• Blood administration
• Administration of cardiac medications
• Experience with EPIC electronic medical record system

Support on the Unit

• ER Technicians for support with glucose checks and splinting
• Charge Nurse (rarely takes patient assignments)
• Resource/Float Nurse (as needed based on staffing)
• Respiratory Therapists available 24/7
• ED Educator on-site
• Security available 24/7 for safety
• House Supervisor available 24/7
• Pharmacy on-site 24/7, assisting in codes

Charting System/Equipment

• Electronic Medical Record: Epic (required)
• IV Pumps: Alaris
• Medication Dispensing System: Pyxis
• Central and bedside telemetry monitoring available; no telemetry technician assigned

Floating Opportunities

Regular floating may occur between multiple locations within the region. Prior notification will be provided before the start of shifts. Mid-shift floating is possible but not routine.

Orientation Process

• First day: New Employee Orientation (badge issuance, EPIC training if needed), introduction to educator
• Three to four 12-hour shifts with a designated preceptor on assigned shifts
• Traveler Telemetry Competency is mandatory and must be completed and passed prior to the start of employment.

Scheduling Information

Shifts available:

• Day Shifts (0700-1900, 0900-2100)
• Mid Shifts (1100-2300, 1300-0100)
• Evening/Night Shifts (1500-0300, 1900-0700)

Shifts may switch