ICU RN
Tacoma, WA
Thrive Staffing
3x12 hrs, Nights

General Information

This position involves floating across multiple units, including Intensive Care Units (ICUs), Progressive Care Units (PCUs), Cardiac Care Units (CCUs), and Emergency Department holding areas. The ideal candidate should possess a minimum of one year of ICU experience, and first-time travelers with robust ICU and float pool backgrounds will be considered.

Patient Types

Registered Nurses will be expected to care for patients with various medical conditions, including but not limited to:

• Covid Patients
• Neuro, Trauma, Medical, Surgical Cases
• Sepsis, Pneumonia, DKA, DTs, Multi-system Failure
• Spinal Injuries, Pre/Post Catheterization Patients
• General Surgery Patients
• Respiratory Compromise, CHF, COPD
• Gunshot Wounds (GSWs), Stabbings, Motor Vehicle Accidents (MVAs), Strokes
• TBI, Various Back Surgeries

In the Cardiovascular Intensive Care Unit (CVICU), nurses will handle:

• Post-operative CABG, Esophagectomy, TAVR
• AAA Repair and Thoracic/Vascular Surgeries
• Post-arrest Patients

Patient Ratios

• ICU: 1:2
• PCU/ACC/CCU: 1:4
• ER Holding: Ratio aligns with the patient's level of care

Required Certifications

• ACLS
• BLS
• NIHSS

Skills Required

Candidates should be proficient in:

• Cardiac Rhythm Interpretation
• Ventilator and BiPAP Management
• Invasive Line Management
• Ostomy Care and Management of General Drains
• Tracheostomy Care, Chest Tubes
• Lumbar Drains and IV Medication Titration

Support Structure

Nurses will receive support from:

• Charge Nurse
• Hospitalist, Respiratory Therapist, and Intensivist available 24/7
• Cardiologist on call 24/7 for CVICU and CCU

Charting System

Experience with the Epic charting system is required.

Scheduling Details

Schedules are typically organized in three-week increments, released 7-10 days in advance. Nurses will be expected to work every other weekend and may occasionally face back-to-back weekends. Note that self-scheduling is not available, and there's no guarantee of a patterned schedule. Time off exceeding five days requires managerial approval.

Floating Requirements

Staff may be floated across the following areas:

• Neuro/Trauma/Medical/Cardiac ICU
• Cardiac Care Unit (CCU)
• Progressive Care Unit/Acute Care
• Emergency Department Holding
• Medical-Surgical Units
• Other relevant open surgical areas

Occasional floating to nearby facilities may occur, with prior notification provided if needed.

Orientation

The orientation process consists of:

• 1 Day of General Hospital Orientation
• 1 Day of Unit Orientation (12 hours) on the ICU Unit
• 1 Additional Day of 12 hours on Similar Units

Telemetry Competency

Completion and passing of the Telemetry Competency is required prior to the start date.

Additional Notes

• Scrubs: Any professional color
• Parking: Free within designated areas