Registered Nurse (RN)

General Information

Location: Spokane, WA

This facility is a 388-bed hospital and a Level 3 Trauma Center. Candidates with a minimum of 1 year of experience are preferred, but first-time travelers are welcome to apply.

Floating Units

• Tower 7 – Cardio Tower: Med/Surg assignment on this unit. No qualification required for PCU/Cardiac patients. Ratios: 1:4-5.
• Tower 8 – COVID Ward & Med-Surg Overflow:
  • Medical/Surgical overflow for COPD, CHF, AKI/CKD, DVT/PE, and Cellulitis.
  • COVID Ward: Patients with various conditions but tested positive for COVID. Ratios: 1:4-5 for COVID patients.
• Tower 9:
  • Neuro/Spine: CVA, Seizures/Epilepsy, Laminectomies, fusions, burr holes, shunts.
  • Ortho: Total Joints (Knees/Hips), Trauma Ortho (ORIF, External Fixation).
  • Medical: Sepsis, COPD, DVT, AKI. Ratios: 1:5-6.
• Tower 10:
  • Surgical: Bariatric (Sleeve, Roux-en-Y), Gender Affirmation surgeries, Plastics, GI/GU, ENT.
  • Oncology specialty surgeries with typically lower patient ratios (4:1 or 5:1).
  • Ratios: 1:5-6.
• Tower 11 – Medical-Oncology: Fast-paced, high acuity unit for various medical conditions, including ETOH/IVDA and long-term antibiotics. Ratios: 1:5-6.
• ED Holding: Responsible for patients holding in the ED while awaiting admission.
• Specialty Areas: May float to specialized units if the candidate is comfortable and has the necessary skills.

Patient Ratios

• Day: 1:4-5
• Night: 1:5-6

Required Certifications

• BLS
• ACLS (preferred)
• NIHSS (preferred)

Skills Required

• Cardiac rhythm interpretation
• High Flow Oxygen, CPAP/Bi-PAP delivery
• Chest tube management
• Drain management (Hemovac, JP drains)
• Ostomy and wound vac management

Support on the Unit

• CNA Ratio: 1:10 (1:12)
• Charge Nurse typically does not take a patient assignment.
• A Flex Nurse is available on all units, except the COVID Unit, to assist with breaks and tasks.
• Health Unit Coordinator (HUC) varies by unit.
• Hospitalist and Respiratory Therapists are available 24/7.
• Centralized telemetry services are provided.

Charting System

EPIC for electronic records; IV Pumps used include ICU Plum Medical; medication dispensing via Pyxis.

Orientation

• General Hospital Orientation
• 1x 12-hour shift orientation on home unit followed by 4 hours of orientation on floating units.
• Traveler Telemetry Competency required prior to starting, graded by compliance team.

Scheduling

• Weekend-only options are available (Friday/Saturday/Sunday).
• Efforts will be made to maintain consistent unit assignments throughout the schedule cycle.</li