Registered Nurse (RN)

Location

Puyallup, WA

Position Overview

This role involves floating primarily between various units, including GSH 1, River North and South, and float pool teams. The position requires flexibility and resourcefulness as you will be working in diverse environments and patient populations.

Job Responsibilities

• Provide patient care across different units, including MSICU, CVICU, PCU, CCU, Medical, Surgical, Inpatient Rehab, and ER holding unit.
• Assess and manage patients with various conditions such as respiratory failure, sepsis, GI bleeds, and post-operative complications.
• Utilize advanced therapies and manage complex patient needs in high-acuity settings.
• Administer medications and coordinate care with interdisciplinary teams, including Hospitalists and Intensivists.
• Transport patients and assist in the ED holds area, especially during slower transport times.

Patient Ratios

• ICU: 1:2 based on patient acuity
• PCU and CCU: 1:4 based on patient acuity or discharge status
• Medical and Surgical: 1:5
• Rehab: 1:8 in a team model with RNs, LPNs, and Techs

Patient Types

• ICU: Respiratory failure, DKA, sepsis, and complicated post-operative patients.
• PCU: Patients with respiratory compromise, renal failure, and general medical/surgical conditions.
• Medical-Surgical: Includes oncology, general medical/surgical patients, and palliative care.
• Inpatient Rehab: Neuro patients including stroke, spinal cord injury, and multi-trauma cases.

Minimum Qualifications

• 1 year of experience in ICU for position in that unit.
• 1.5 years of experience in PCU or 1 year with strong references for ER holds.
• 1 year of experience in Medical or Surgical units.

Required Certifications

• ACLS, BLS, and NIHSS certifications are required for ICU and PCU roles.
• BLS and NIHSS certifications are required for Medical-Surgical roles.

Skills Required

• Strong cardiac rhythm interpretation and management skills.
• Experience with advanced ventilator management and invasive line care.
• Proficient in medication titration and IV management.
• Excellent communication and patient teaching skills.

Charting System

Experience with EPIC, Alaris, and Pyxis is preferred.

Scheduling Details

• Must work every other weekend.
• Receive schedules at least one week in advance, structured in 3-week increments.
• Must check in at least 30-45 minutes prior to assignment each shift.

Orientation

• Complete 2 days of hospital orientation, followed by 1 day on the assigned unit.
• Entitled to receive 4 hours of orientation to other units when floating.

Competency Requirements

Telemetry competency is required to be completed and passed prior to the start of the position.