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ICU Registered Nurse (RN)

Location

Puyallup, WA

Unit Information

This is a Level III Trauma Center with a mix of approximately 15 ICU beds and 40 Progressive Care Unit (PCU) beds. The ICU is a high-acuity adaptable Medical Surgical unit, designated as the COVID unit for the health system. The facility currently has a combination of COVID ICU patients and Medical ICU patients throughout the unit.

Patient Types

Travelers Can Expect to Care For:

• Respiratory Failure
• GI Bleeds
• Diabetic Ketoacidosis (DKA)
• Sepsis
• Complicated Post-operative Patients
• Cerebrovascular Accidents (CVA)
• Post-Arrest Cases
• Withdrawal from Alcohol (ETOH)
• Intravenous Drug Abuse (IVDA)

Patients Not Intended for Care:

• Hypothermia Treatment
• Extracorporeal Membrane Oxygenation (ECMO)
• Advanced Therapies like CRRT, Arctic Sun, Rotoprone

Required Skills

• Cardiac Rhythm Interpretation
• Management of Ventilators, Tracheostomies, and BiPAP
• Invasive Line Management
• Care for Ostomies, General Drains, Chest Tubes, and Lumbar Drains
• IV Medication Titration

Patient Ratios

• ICU: 1:1 or 1:2 based on acuity
• PCU: 1:3 or 1:4 based on acuity

Floating

Regular floating is expected; staff may also care for PCU and lower acuity patients.

Support on Unit

• 4 Patient Care Assistants (CNA with specialized certification)
• Free Charge RN & Free Flex RN to assist with breaks
• Health Unit Coordinator available 24/7
• Centralized Telemetry Monitoring
• Available RN, RT, Hospitalist, and Intensivist on site 24/7
• ICU-specific Pharmacist on the floor from 0700-2200
• IV Therapy Support
• Clinical Coach (Educator)

Certifications Required

• ACLS
• BLS
• NIHSS
• CCRN (preferred)

Charting System & Equipment

• EPIC
• Alaris (IV Pumps)
• Pyxis (Medication Dispensing)
• Phillips Monitors
• Hill-Rom Beds

Scheduling

The facility offers a flexible scheduling approach, with a focus on block scheduling for night shifts when possible. Staffing may include working 6 consecutive days, and schedules are provided three weeks in advance with notifications sent 10 days prior to the start of a new schedule. Weekend shifts will vary depending on unit needs, and overtime opportunities may be available if shifts are posted.

Shift Times

• Day Shift: 0700-1930
• Night Shift: 1900-0730

Holiday Schedule

Holidays will be assigned based on the needs of the unit.

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