ER RN
Puyallup, WA
Thrive Staffing
3x12 hrs, Days

General Information

Location: Puyallup, WA

Facility Type: Level III Trauma Center

Licensed Beds: 375 (46 emergency department beds including 5 Safe Psych rooms)

Average Patient Volume: 200 patients per day

Role Responsibilities

• Provide comprehensive nursing care in a fast-paced emergency department setting.
• Assess, plan, implement, and evaluate patient care for a diverse patient population ranging from pediatric to geriatric.
• Manage high acuity medical emergencies, including trauma, respiratory issues, cardiovascular events, and mental health crises.
• Administer medications and IV fluids in accordance with protocols, including blood products and sedation.
• Monitor cardiac rhythms and perform routine diagnostic tests as required.
• Collaborate with interdisciplinary teams, including social work and pharmacy, to ensure optimal patient care.
• Utilize EPIC for documentation and coordinate care effectively within the unit.

Patient Types

Experience with patients suffering from:

• Trauma and gunshot wounds
• Sepsis, COVID-19, and other infectious diseases
• STEMI and stroke interventions
• Diabetic ketoacidosis (DKA) and respiratory issues
• Behavioral health emergencies across age groups

Staffing and Support

• Patient-to-nurse ratio of 1:4-5, with flexibility based on staffing and acuity.
• Support staff includes emergency room technicians and nursing educators available around the clock.
• Dedicated mental health resources and security personnel on-site 24/7.

Qualifications

• Minimum of 2 years of emergency department nursing experience.
• Required Certifications: BLS, ACLS, PALS, TNCC, NIHSS, CPI/MOAB.
• Demonstrated proficiency in cardiac rhythm interpretation, IV therapy, and medication administration.
• Recent experience with the EPIC charting system is essential.

Orientation and Competency

New hires will undergo a structured orientation that includes:

• Introduction to the facility, policies, and procedures.
• Training on the EPIC system and mental health protocols.
• Hands-on training with a preceptor during a 12-hour shift.
• Completion of Traveler Telemetry Competency prior to start.

Scheduling and Availability

Shifts may vary based on unit needs, with a schedule provided three weeks in advance. Weekend availability and holiday coverage are expected, with time off requests subject to managerial approval.

Culture and Environment

The environment is traveler-friendly, with many staff members opting to extend their contracts. A professional appearance is supported, with flexibility in scrub colors and a modest approach to piercings and tattoos.