Registered Nurse (RN)

Facility Overview

Location: Puyallup, WA

Type: Level III Trauma Center

Licensed Beds: 375

COVID vaccination is required.

Unit Information

Patient Capacity: 40 private beds (all rooms capable of negative air pressure; 4 beds with ante rooms)

Experience Level: Minimum of 1.5 years (including 1 year of Progressive Care Unit experience).

This position is suitable for first-time travelers.

Patient Types

• Progressive Care Unit (PCU) non-specialty unit
• Common conditions: respiratory failure, sepsis, gastrointestinal bleeding, alcohol withdrawal, complicated surgeries, decompensating oncology patients, diabetic or renal issues, CHF, COPD, pneumonia, and comfort care.
• Continuous telemetry monitoring for all patients.

COVID Protocols

Conventional use of Personal Protective Equipment (PPE) required, including N95s, CAPRs, and PAPRs available.

Patient Ratios

• RN Ratio: 1:3-4
• CNA Ratio: 1:10 (responsibilities: blood sugar checks, vital signs, toileting, bathing, feeding, and removal of foleys and PIVs).

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Skills Required

• Telemetry experience
• Tracheostomy care
• CIWA (Clinical Institute Withdrawal Assessment)
• BiPAP (Bilevel Positive Airway Pressure)
• Central line maintenance/management
• Tube/drain management
• Cardiac rhythm interpretation
• Preferred skills: Chest tube management

Common Medications

• Cardizem
• Heparin
• Insulin (non-DKA)
• Nitroglycerin
• Lasix
• Dilaudid (for comfort care/PCA)
• Preferred medications: Dopamine, nicardipine

Support on the Unit

• Free-floating Charge Nurse
• Resource Nurse available during days and nights
• Respiratory Therapy available 24/7
• Hospitalist available 24/7
• Occupational, Physical, and Speech Therapy available during day shifts only
• Phlebotomy services
• Intravenous/Vascular Access Team

Charting System and Equipment

• EPIC (preferred)
• Alaris
• Pyxis
• MP50 Philips bedside monitors (wireless)

Floating Requirements

• May float to ICU (Progressive Care Unit level patients), CCU, Observation, and Emergency Department Holding.
• Travelers will float first; if floated to Medical-Surgical units, a 1:5 ratio will be maintained.

Orientation

• Includes hospital orientation, modules, EPIC training, safe patient handling, glucose training, and an education welcome.
• 12-hour unit orientation with a preceptor.
• Telemetry Competency required to be completed and passed prior to start (graded by SimpliFi Compliance).

Scheduling

Shift Times:

• Day Shift: 7:00 AM – 7:30 PM
• Night Shift: 7:00 PM – 7:30 AM