Registered Nurse (RN)

General Information

We are seeking skilled Registered Nurses for various units in a 388-bed hospital located in Spokane, WA. This facility is a Level 3 Trauma Center and is open to both first-time travelers and experienced professionals with a minimum of one year of nursing experience.

Floating Units

• Tower 7 Cardio Tower:
  • Med/Surg assignment without the need for qualifications in PCU/Cardiac patients.
  • Patient Ratios: 1:4-5
• Tower 8 COVID Ward & Med-Surg Overflow:
  • Med/Surg Overflow unit when COVID numbers are low, handling conditions like COPD, CHF, AKI/CKD, and DVT/PE.
  • COVID Ward for patients requiring cardiac monitoring, awaiting joint surgeries, and those detoxing.
  • Patient Ratios: 1:4-5 for days and nights if COVID patients are present.
• Tower 9 Neuro/Spine & Ortho:
  • Conditions include CVA, seizures, laminectomies, total joint replacements, and trauma ortho.
  • Patient Ratios: 1:5-6
• Tower 10 Surgical:
  • Bariatric, gender affirmation, plastics, and other surgical cases.
  • Patient Ratios: 1:5-6, with specialty surgeries sometimes at 4:1.
• Tower 11 Medical-Oncology:
  • This unit does not require chemotherapy administration.
  • Patient Ratios: 1:5-6
• ED Holding:
  • Responsible for patients with admit orders awaiting a bed.

Patient Ratios

• Day: 1:4-5
• Night: 1:5-6

Required Certifications

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

Required Skills

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

Support on the Unit

• CNA staff ratio: 1:10 (up to 1:12)
• Charge nurse typically does not take on patient assignments.
• A Flex Nurse is available on all units except those requiring COVID care.
• Health Unit Coordinator (HUC) staffing varies across units.
• Hospitalist and Respiratory Therapy available 24/7.
• Centralized telemetry services provided.

Charting System

We utilize an EPIC charting system, with ICU pumps managed by Plum Medical and a Pyxis medication dispensing system.

Orientation

• General hospital orientation.
• One 12-hour shift orientation on the assigned unit.
• Four-hour orientation on floating units.
• Traveler telemetry competency training required prior to start, with assessment managed by compliance teams.

Scheduling

• Shifts are available on weekends (Friday/Saturday/Sunday) with confirmation from the unit manager.
• Every other weekend rotation, which may include back-to-back weekends.
• Scheduling operates on a 6-week cycle, provided approximately 2 weeks