ICU Float Pool RN
Puyallup, WA
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for an ICU/Float Pool position primarily supporting the ED Holding unit, requiring WA or compact RN license and 2+ years of ICU experience.

Details

• Nursing Float Pool position primarily supporting the ED Holding area, with potential assignments across MSICU, CVICU, PCU, CCU, Medical, Surgical, Flex Unit, and Inpatient Rehab
• 12-hour day shifts, 36 hours per week
• ED Holding unit handles mixed diagnoses in a fast-paced environment with ratios of ICU 1:2, PCU 1:4, and MS 1:5
• ICU patient ratio is 1:2 based on acuity; PCU/CCU 1:4; Medical/Surgical 1:5; Rehab uses a 1:8 team model (RN, LPN, Tech)
• ICU patient population includes respiratory failure, GI bleeds, DKA, sepsis, complex post-op patients, CVAs, post-arrest, and ETOH/IVDA cases
• Higher level ICU therapies include rotoprone, manual prone, hypothermia protocol, CRRT, and TPA; does not accept craniotomy, major trauma, or major cardiothoracic patients
• PCU population includes respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, pneumonia, and general ortho cases
• Med-Surg units cover oncology, ortho, and palliative populations with diagnoses including sepsis, CHF, COPD, AKI, DVT, PE, and COVID
• Rehab unit cares for neuro patients including stroke, spinal cord injury, TBI, multi-trauma, and post-ICU/post-COVID patients, including ventilator and tracheostomy care
• Uses Epic EMR, Alaris IV pumps, and Pyxis medication dispensing system
• Floating required, potentially for partial shifts, within scope of practice
• No on-call requirements

Requirements

• Active WA or compact RN license required
• Current certifications: BLS, ACLS, and NIHSS required for ICU and PCU; BLS and NIHSS required for Med-Surg
• Minimum 2 years of ICU experience required for ICU assignments
• Minimum 2 years of PCU experience required for PCU or PCU ER hold assignments
• Minimum 2 years of acute care experience required for Med-Surg assignments
• ICU skills required: cardiac rhythm interpretation, ventilator management, invasive line management, ostomy and drain care, and tracheostomy care
• PCU skills required: cardiac rhythm interpretation, chest tube and lumbar drain management, tracheostomy care, and IV medication titration (e.g., Amiodarone, Cardizem, nitro, dopamine, dobutamine, heparin)
• Med-Surg skills required: IV therapy, PCA management, chest tube and drain care, ostomy care, and IV antibiotic administration
• Strong communication and patient education skills required
• Telemetry competency assessment required during orientation

Additional Information

• Primary responsibilities include direct patient care in the ED Holding unit with flexibility to support other float pool units as needed
• ACLS Transport role may be included, responsible for transporting patients throughout the hospital including inpatient units, ED, CT, MRI, Nuclear Medicine, PACU, and Cath Lab
• Night shift ACLS RNs assist the ED Holding unit with breaks and medication administration after 2300 when transports slow down
• Support staff includes techs, 24/7 respiratory therapy, hospitalist, and intensivist coverage
• Orientation includes 2 days of hospital orientation followed by 1 day on the assigned unit
• Must call the staffing office 30-45 minutes prior to each shift to confirm assignment
• Must arrive on time to the assigned unit by 0700 or 1900; early clock-in not permitted
• Weekend requirements vary based on unit needs
• Schedules are provided 3 weeks in advance, typically shared about 10 days prior to the start date
• No holiday requests, self-scheduling, or on-call shifts permitted
• Time off requests up to 5 days may be approved; additional days require manager approval and may require extending the assignment
• First-time travelers are welcome to apply