ICU RN
Puyallup, WA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced ICU RN for a Level III Trauma Center, requiring float capability across multiple units including PCU, Med-Surg, and ICU, with a WA or compact RN license.

Details

• 12-hour night shift schedule, 36 hours per week
• Nursing Float Pool position based primarily in the ED Holding unit
• Floats to MSICU, CVICU, PCU, CCU, Medical, Surgical, Flex Unit, and Inpatient Rehab as needed
• Patient ratios: ICU 1:2, PCU/CCU 1:4, Medical/Surgical 1:5, Rehab 1:8 team model
• ICU patient population includes respiratory failure, GI bleeds, DKA, sepsis, complicated post-op patients, CVAs, post-arrest, and ETOH/IVDA cases
• Higher level ICU therapies include Rotoprone, manual prone, hypothermia protocol, CRRT, and TPA
• No craniotomies, major traumas, or major cardiothoracic patients assigned in ICU
• PCU population includes respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, and pneumonia
• Med-Surg population includes oncology, ortho, palliative, and general medical/surgical cases including COVID
• ED Holding unit has mixed diagnoses, isolation and non-ambulatory patients, and is fast-paced
• ACLS Transport role available on night shift, transporting patients hospital-wide and assisting ED Holds after 2300
• Uses Epic EMR, Alaris pumps, and Pyxis medication system
• Required to work every other weekend
• No on-call, self-scheduling, or holiday requests permitted
• Schedule provided at least 1 week in advance in 3-week increments

Requirements

• Active WA state or compact RN license required
• BLS and NIHSS certification required for all units; ACLS also required for ICU and PCU
• Minimum 1 year ICU experience required
• Minimum 1.5 years PCU experience required (1 year accepted with strong PCU background and excellent references for ER holds)
• Minimum 1 year Med-Surg experience required
• Skilled in cardiac rhythm interpretation, vent management, and invasive line management for ICU
• Skilled in chest tube, lumbar drain, trach care, and IV medication titration (Amiodarone, Dopamine, Dobutamine, insulin, heparin) for PCU
• Skilled in IV therapy, PCA management, chest tubes, drains, ostomies, and IV antibiotics for Med-Surg
• Strong communication and patient education skills required
• Must complete and pass Traveler Telemetry Competency exam prior to start

Additional Information

• Facility is a Level III Trauma Center with 375 licensed beds
• Primary assignment will be in the ED Holding unit per nurse manager direction
• Must call staffing office 30-45 minutes prior to each shift to receive unit assignment
• Must arrive on time to assigned unit by 0700 or 1900; cannot clock in before 0653/1853
• Support staff includes techs, 24/7 respiratory therapy, hospitalist, and intensivist coverage
• Orientation includes 2 days of hospital orientation and 1 day on assigned unit
• Receives 4 hours of orientation when floating to a new unit
• Time off requests up to 5 days may be approved; additional days require added time at end of assignment
• First-time travelers are welcome to apply
• COVID vaccine mandate in effect; only medical and religious exemptions currently accepted