Registered Nurse (RN)

About the Facility

Location: Spokane, WA

Facility Type: 388 Bed Hospital, Level 3 Trauma Center

Unit Information

• Beds: Various Units including Telemetry and PCU
• Minimum Experience: 2 years of Telemetry or PCU experience
• First-time Travelers: Accepted

Floating Units

This position involves floating within multiple units across the facility, including:

• Tower 7 (34 beds) – PCU and Cardiac Telemetry
  • Patient Types: Post-cath, chest pain, NSTEMI, pacemakers, CHF, arrhythmias
  • Medication Drips: Amiodarone, Cardizem, Heparin
  • Nurse-to-Patient Ratios: 1:3-5, depending on acuity
• Tower 8 (29 beds) – Medical/Surgical Overflow
  • Patient Types: COPD, CHF, AKI/CKD, simple post-surgical cases
  • Nurse-to-Patient Ratios: 1:5
• Tower 9 (30 beds) – Ortho/Neuro
  • Patient Types: CVA, total joints, trauma ortho, sepsis
  • Nurse-to-Patient Ratios: 1:4-5
• Tower 10 (30 beds) – Surgical
  • Patient Types: Bariatric, gender affirmation, GI/GU surgeries
  • Nurse-to-Patient Ratios: 1:4-5
• Tower 11 (34 beds) – Medical Oncology
  • Patient Types: ETOH/IVDA, CHF, COPD, CKD/AKI
  • Nurse-to-Patient Ratios: 1:4-5

Required Certifications

• BLS (Basic Life Support)
• Preferred: ACLS, NIHSS

Required Skills

• Cardiac rhythm interpretation
• High flow oxygen and CPAP/Bi-PAP delivery
• Chest tube and drain management
• Ostomy care and wound vacs
• IV starts, Foley maintenance, and NG tube management
• Experience with EPIC electronic medical records is required

Support on the Unit

• CNA Ratio: 1:10-12
• Charge Nurse: Typically no patient assignment
• Health Unit Coordinator: Available in most units
• 24/7 Coverage: Hospitalists, Intensivists, Rapid Response Team

Technology

• EMR: EPIC
• IV Pumps: ICU Plum Medical
• Medication Dispensing: Pyxis

Orientation

• General Orientation Program
• Unit Orientation: 2 shifts with time spent across various units
• Required Telemetry Competency: To be completed prior to start

Scheduling

• Weekend Rotation: Every other weekend
• Holiday Expectations: 1-2 holidays per season
• Request Time Off: Up to 5 days approved
• Shift Times: 0700-1930 and 1900-0730
• Schedule Cycle: 6-week increments with 2 weeks’ notice

Additional Information</