Travel Nurse RN - PCU - Progressive Care Unit
Puyallup, WA
Wellspring Nurse Source
3x12 hrs, Nights

Unit Information:

Providing care across various units, including:

• MSICU: 40 beds
• CVICU: 10 beds
• PCU: 40 beds
• 2R PCU Obs: 18 beds, expandable to 27
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (PCU and Medical Surgery patients)
• Inpatient Rehab: 47 beds across two floors
• ER holding unit for patients awaiting beds
• COVID overflow area

Experience Requirements:

Minimum years of experience required:

• ICU: 2 years of ICU experience
• PCU/PCU ER Holds: 2 years of PCU experience
• Medical-Surgical: 2 years in an acute care setting

First-time travelers are welcome.

Patient Types and Common Diagnoses:

Typical patient populations include:

• ICU: Respiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA's, Post-Arrest, ETOH issues, IV drug abuse, among others.
• PCU: Respiratory compromise, Sepsis, renal failure, bleeding disorders, CHF, COPD, Pneumonia, general medical/surgical patients.
• Medical-Surgical: Oncology (Neutropenic, post-op), Psych, general medical/surgical (COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVID).
• Rehabilitation: Stroke, Spinal Cord Injury, TBI, Multi-Trauma, Post-COVID, post-ICU patients. Ventilator and tracheostomy management included.

Patient Ratios:

• ICU: 1:2 based on acuity
• PCU and CCU: 1:4 based on acuity or patient discharges
• Medical and Surgical: 1:5
• If PCU floats to Medical-Surgical, ratio will be 1:5
• Rehab: 1:8 team model (RN, LPN, Tech)

Required Licenses, Certifications, and Skills:

Certifications required include:

• ICU and PCU: ACLS, BLS, NIHSS
• Medical-Surgical: BLS, NIHSS

Essential skills include:

• ICU: Cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drain care, tracheostomy care.
• PCU: Cardiac rhythm interpretation, chest tube management, lumbar drains, tracheostomy care, IV medication titration.
• Medical-Surgical: IV administration, PCA usage, chest tube care, ostomy management, IV antibiotics.

All clinicians should possess strong communication skills and the ability to educate and support patients.

Department Support:

• Tech support available in a ratio of 1:14 for ICU, 1:10 for PCU, and 1:8-10 for Medical-Surgical.
• Access to respiratory therapy, hospitalists, and intensivists available 24/7.

Technology and Equipment:

• EMR System: EPIC
• IV Pumps: Alaris
• Medication Dispensing: Pyxis

Orientation and Scheduling:

• Orientation consists of 2 days for hospital processes and 1 day on the assigned unit, including telemetry competency training.
• Communication with staffing office required for shift