Registered Nurse (RN)

Location

Puyallup, WA

Facility Overview

• Level III Trauma Center
• 375 licensed beds

General Information

• 40 private beds with negative air pressure capability
• 4 rooms equipped with ante rooms
• 1.5 years of nursing experience, including 1 year in a Progressive Care Unit (PCU)
• First-time traveler encouraged

Patient Types

• MS Progressive Care Unit (non-specialty unit)
• Conditions treated include respiratory failure, sepsis, gastrointestinal bleeding, alcohol withdrawal, complicated surgeries, decompensating oncology patients, diabetic or renal complications, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), pneumonia (PNA), and comfort care
• Continuous telemetry monitoring for all patients

COVID Protocols & PPE

• Conventional use of personal protective equipment (PPE)
• N95 masks, CAPRs, and PAPRs available

Patient Ratios

• RN to patient ratio: 1:3-4
• Typically, 13 RNs per shift
• CNA to patient ratio: 1:10

Required Certifications

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

Required Skills

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

Common Medications

• Cardizem, heparin, insulin (non-DKA), nitroglycerin, Lasix, Dilaudid (for comfort care/PCA)
• Preferred: Dopamine and nicardipine

Support on the Unit

• Free-floating charge nurse
• Resource nurse available for days and nights
• Respiratory Therapy (RT) available 24/7
• Hospitalist available 24/7
• Occupational Therapy (OT), Physical Therapy (PT), and Speech Therapy (ST) available on day shifts only
• Phlebotomy and IV/VAT teams available

Charting System & Equipment

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

Floating Policies

• Possible floating to ICU (PCU-level patients), CCU, observation, ED holding, and overflow areas for PCU-level patients
• Travelers will float first; if floated to MS, will have a 1:5 ratio

Orientation

• Hospital orientation including classes/modules on EPIC, safe patient handling, and glucose training
• 12-hour unit orientation with a preceptor
• Traveler telemetry competency required prior to start; grading conducted by SimpliFi Compliance

Scheduling

• Shift times: Days – 7:00 AM to 7:30 PM; Nights – 7:00 PM to 7:30 AM
• Weekend schedules vary based on unit needs
• Schedule provided