“`html

Registered Nurse (RN)

General Information

Join a 388-bed hospital located in Spokane, WA, and become part of a Level 3 Trauma Center team. We welcome candidates with a minimum of one year of experience, including first-time travelers.

Floating Units

• Tower 7 Cardio Tower:
  • Med/Surg assignment; no special qualifications for PCU/Cardiac patients needed.
  • Staffing Ratios: 1:4-5
• Tower 8 (COVID Ward & Med-Surg Overflow):
  • Medical/Surgical overflow unit and COVID ward.
  • Patient types include COPD, CHF, AKI/CKD, DVT/PE, cellulitis, and cardiac monitoring patients.
  • Staffing Ratios: 1:4-5 days and nights if it is COVID-related.
• Tower 9:
  • Focus on neuro/spine, ortho, and medical cases.
  • Staffing Ratios: 1:5-6
• Tower 10:
  • Surgical specialties, including bariatric and gender affirmation surgeries.
  • Staffing Ratios: 1:5-6, specialty oncology surgeries may have ratios of 4:1-5:1.
• Tower 11:
  • Medical-Oncology unit; no chemotherapy administration required.
  • Fast-paced, high-acuity patients.
  • Staffing Ratios: 1:5-6
• ED Holding:
  • Care for patients with admit orders waiting in the ED for a bed.
• Other Specialty Areas:
  • Potential floating to units requiring specialized skills, including PCU, ICU, or Mother/Baby.

Patient Ratios

• Days: 1:4-5
• Nights: 1:5-6

Required Certifications

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

Essential Skills

• Cardiac rhythm interpretation
• High-flow oxygen and CPAP/Bi-PAP delivery (predominantly for COVID patients)
• Chest tube and drain management (Hemovac, JP drains), ostomy care, and wound vac management

Support on the Unit

• CNA ratio: 1:10 to 1:12
• Charge nurse typically does not take patient assignments but assists with management.
• Flex Nurse available on all units, except Tower 8, to help with breaks and tasks.
• Health Unit Coordinator (HUC) support varies by unit.
• 24/7 availability of hospitalist and respiratory therapy services.
• Centralized telemetry for patient monitoring.

Charting System

Utilizes EPIC for electronic health records, with ICU Plum Medical for IV pump management and Pyxis for medication dispensing.

Orientation

• General hospital orientation provided.
• One 12-hour shift orientation on the home unit, including four hours of floating unit orientation.
• Traveler telemetry competency assessment required before starting.

Scheduling

• Options available for weekend scheduling (Friday/Saturday/Sunday).
• Efforts made to maintain consistent unit assignments.
• Schedule generated