Travel Nurse RN - ED - Emergency Department
Puyallup, WA
Wellspring Nurse Source
3x12 hrs, Days

General Information

We are seeking a dedicated Emergency Department Registered Nurse with at least 2 years of ED experience. This is an opportunity for first-time travelers to join a dynamic and fast-paced environment.

Unit Details

• Level III Trauma Center with 375 licensed beds
• 46 ED beds, including 5 safe psychiatric rooms
• Average of 200 patients per day

Patient Demographics

The emergency department handles a diverse range of patients across all age groups, from pediatrics to geriatrics, with conditions including:

• Trauma
• Gunshot wounds (GSW)
• Sepsis
• COVID-19
• STEMI (high volume)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental health issues
• Respiratory concerns
• High-acuity medical cases

Please note that the department does not perform invasive neurological procedures, such as craniotomies, and transfers a limited number of pediatric cases to specialized facilities.

Patient Ratios

On day shifts, the patient-nurse ratio is typically 1:4-5, with the ability to adjust based on acuity and staffing needs.

Required Certifications

• BLS
• ACLS
• PALS
• TNCC
• NIHSS
• CPI/MOAB

Essential Skills

Candidates must possess:

• General emergency department experience
• Cardiac rhythm interpretation
• IV administration skills
• Basic knowledge of medication administration, including drips
• Experience with procedural sedation and blood administration
• TNK administration experience is preferred
• Recent EPIC electronic health record experience

Unit Support Structure

The emergency department features a well-equipped support system, which includes:

• ER technicians for glucose checks, iStat, and splinting assistance
• Charge nurses who rarely take patient assignments
• Resource/Float nurses
• Respiratory Therapy available 24/7
• On-site ED Educator
• Increased security measures around the clock
• 24/7 Social Work Services
• Pharmacy support available 24/7, assisting with medications and codes

Charting System and Equipment

The department utilizes the following systems:

• EPIC for electronic charting (recent experience required)
• Alaris pumps
• Pyxis medication management system
• Central and bedside telemetry monitoring

Orientation and Training

Orientation for new staff includes:

• Day 1: New Employee Orientation, EPIC training (if necessary), hours in mental health area, and administrative introduction
• Day 2: 12-hour shift with preceptor on assigned shift
• Traveler telemetry competency assessment, to be completed and passed prior to starting

Scheduling Information

Shifts are flexible with a focus on meeting the needs of the department:

• Consideration for 48-hour contracts
• Schedulers are responsive to individual scheduling needs
• Weekend shifts will vary based on unit demand
• Scheduling provided three weeks in advance, with notifications about the schedule approximately ten days prior
• Approval for time off is managed by the Nurse Manager
• Holiday expectations include working two of five major holidays

Additional Notes</