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

General Information

This position involves floating within multiple locations, including all ICUs, PCU/CCUs, and ED holding units. Applicants must have a minimum of one year of ICU experience. First-time travelers with strong ICU skills and previous float pool experience are welcome to apply.

Patient Types

Travelers will be expected to care for the following patient populations:

• COVID-19 Patients
• Neuro, Trauma, Medical, Surgical patients
• Sepsis, pneumonia, DKA, DTs, multi-system failure, spinal injuries
• Pre/post catheterization patients (radial approach)
• General surgery patients
• Respiratory compromise, CHF, COPD
• Gunshot wounds (GSW), stabbings, motor vehicle accidents (MVA)
• Strokes, traumatic brain injuries (TBI), various back surgeries
• CVICU patients post-operatively (including CABG, TAVR, AAA repair)

Patient Ratios

• ICU: 1 nurse to 2 patients
• PCU/ACC/CCU: 1 nurse to 4 patients
• ER Holding: Ratio based on patient level of care

Certifications Required

• ACLS (Advanced Cardiovascular Life Support)
• BLS (Basic Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Required Skills

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Invasive line management
• Ostomy care, general drains, tracheostomy care
• Chest tubes and lumbar drains management
• IV medication titration

Support on the Unit

Support will be provided by:

• Charge Nurse
• Hospitalist, Respiratory Therapist, and Intensivist – available 24/7
• Cardiologist on call 24/7 for specific units

Charting System

Experience with the Epic charting system is required.

Scheduling

The schedule is typically organized three weeks in advance, with patterns determined by management. Expectations include:

• Every other weekend shifts
• Occasional back-to-back weekend shifts (rare)
• No self-scheduling or guarantee of a consistent schedule
• Time off requires manager approval for any requests exceeding five days

Floating Requirements

Travelers may be required to float to:

• Neuro/Trauma/Medical/Cardiac ICU
• CCU (Cardiac Step Down)
• PCU/ACC
• ED Holding
• Med/Surg Units
• Any open surge areas for the above units

Travelers may also float to nearby locations as needed, with advance notice provided.

Orientation

• 1 day of general hospital orientation
• 1 day of unit orientation (12 hours) on the ICU unit
• 1 day (12 hours) on similar units

Additional Requirements

• Telemetry competency must be completed and passed prior to starting.
• Professional scrubs of any color are permitted.
• Parking is free within designated areas.
• Documentation of hourly rounding and bedside report is mandatory.

Medication Management

• Saline flushes are considered medication and should not be left at the bedside or in scrubs.
• Medications should not be left