ICU RN
Tacoma, WA
Thrive Staffing
4x12 hrs, Nights

General Information

This position involves floating within various intensive care units (ICUs) and progressive care units (PCUs) including emergency department holding. A minimum of one year of ICU experience is required. First-time travelers with strong ICU and previous float pool experience are also welcome to apply.

Patient Types

Travelers will provide care for diverse patient populations, including:

• COVID-19 patients
• Neuro, Trauma, Medical, and Surgical cases
• Sepsis, pneumonia, DKA, DTs
• Multi-system failure, spinal injuries
• Pre/post catheterization patients (radial approach)
• General surgery, respiratory compromise, heart failure, COPD
• Gunshot wounds, stabbings, motor vehicle accidents, strokes, TBI
• Various back surgeries

CVICU Responsibilities

In the Cardiovascular Intensive Care Unit (CVICU), responsibilities will include:

• 24-hour post-operative care for CABG (up to 10 per week), esophagectomy, TAVR (up to 3 per week), AAA repair, and thoracic and vascular surgeries
• Care for post-arrest patients

Exclusions

Travelers will not be assigned to care for:

• Fresh CABG/TAVR patients
• Patients with EVDs, post TPA cases, or any specialty devices (e.g., ECMO, IABP, Impella, hypothermia protocol)

Patient Ratios

• ICU: 1:2
• PCU/CCU: 1:4
• ER Holding: Ratios based on patient's level of care

Certifications Required

• ACLS
• BLS
• NIHSS

Skills Required

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Invasive line management
• Ostomy care and general drains
• Tracheostomy care and chest tube management
• Lumbar drain procedures
• IV medication titration

Support on the Unit

Support staff includes:

• Charge Nurse
• Hospitalists, Respiratory Therapists, and Intensivists available 24/7
• Cardiologists on call 24/7 for CVICU and CCU

Charting System

The electronic health record system used is Epic. Experience with this system is required.

Scheduling

The scheduling process is typically organized three weeks in advance, with schedules released 7-10 days prior. Key scheduling details include:

• Every other weekend required
• Back-to-back weekends may occur, but are rare
• No self-scheduling or guarantee of a patterned schedule
• Time off exceeding 5 days requires manager approval

Floating Responsibilities

Travelers may float among various units, including:

• Neuro, Trauma, Medical, and Cardiac ICUs
• CCU (cardiac step-down)
• PCU/ACC
• ED Holding
• Medical-Surgical Units
• Any open surgical areas relevant to the above units

Occasional floating to locations within the region may be required, and travelers will be notified in advance if this occurs.

Orientation

Orientation consists of the following:

• 1-day general hospital orientation