RN:ICU – 19508687

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Travel
  • Puyallup, WA
  • Days
  • RN

$2016.94 - $2211.00 weekly

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Thrive

Registered Nurse (RN)

About the Facility

Level III Trauma Center with a total of 375 licensed beds.

Unit Information

  • MSICU: 40 beds
  • CVICU: 10 beds
  • PCU: 40 beds
  • 2R PCU Observation: 18 beds (can increase to 27 when overflow is needed)
  • CCU: 30 beds
  • Medical: 89 beds
  • Surgical: 55 beds
  • Flex Unit: 9 beds (consists of PCU and medical-surgical patients)
  • Inpatient Rehabilitation: 47 beds across two floors
  • ER Holding Unit for patients awaiting a bed

Minimum Years of Experience Required

  • ICU: 2 years of ICU experience
  • PCU/PCU ER Holds: 2 years of PCU experience
  • Medical-Surgical: 2 years in an acute care setting

Patient Types/Common Diagnoses

Please refer to notes below if applying for a relief RN position.

  • ICU: Patients with respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, CVAs, flap surgeries, post-arrest cases, and substance abuse issues.
  • PCU: Patients with respiratory compromise, sepsis, renal failure, bleeding disorders, as well as general medical and surgical patients.
  • Medical-Surgical: Oncology patients (e.g., neutropenic), general medical-surgical post-operative patients, and common conditions such as COPD, CHF, and sepsis. COVID cases are frequent on this floor.
  • Rehabilitation: Patients with strokes, spinal cord injuries, traumatic brain injuries, and patients post-ICU.
  • ED Holding: Mixed diagnoses, including ICU patients, PCU patients, and medical-surgical patients. Requires flexibility and resourcefulness.

Patient Ratios

  • ICU: 1:2 based on patient acuity
  • PCU and CCU: 1:4 depending on acuity and discharge status
  • Medical and Surgical: 1:5
  • Rehab: Team model with a ratio of 2:8 (RN, LPN, Tech)

Required Licensure and Certifications

  • ICU: ACLS, BLS, NIHSS
  • PCU: ACLS, BLS, NIHSS
  • Medical-Surgical: BLS, NIHSS

Skills Required

  • ICU: Cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, and tracheostomy management.
  • PCU: Cardiac rhythm interpretation, management of chest tubes and lumbar drains, and titration of IV medications.
  • Medical-Surgical: Administering IVs, managing PCAs, chest tubes, drains, and ostomies.

Experience with the EPIC electronic medical record system is required. All clinicians must have strong communication and patient education skills.

Support within the Department

  • Techs available in the following ratios:
    • ICU: 1:14
    • PCU: 1:10
    • Medical-Surgical: 1:8-10
  • Respiratory Therapy available 24/7
  • Hospitalist and Intensivist services also available 24/7

Technology and Equipment

  • Electronic Medical Record: EPIC (required)
  • IV Pump: Alaris
  • Medication Dispensing: Pyxis

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