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

General Information

Position involves floating within multiple intensive care units (ICUs), progressive care units (PCUs), cardiac care units (CCUs), and emergency department (ED) holding areas. Candidates must possess a minimum of one year of ICU experience. First-time travelers with strong ICU skills and prior float pool experience are welcome to apply.

Patient Types

Travelers are expected to care for a diverse range of patients, including:

• COVID-19 patients
• Neuro, Trauma, Medical, and Surgical cases
• Sepsis, pneumonia, diabetic ketoacidosis (DKA), delirium tremens (DTs)
• Multi-system failure, spinal injuries
• Pre/post catheterization patients (radial approach)
• General surgery patients
• Respiratory compromise, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD)
• Gunshot wounds (GSW), stabbings, motor vehicle accidents (MVA)
• Strokes, traumatic brain injuries (TBI), and various back surgeries

CVICU Responsibilities

In the CVICU, travelers will primarily handle:

• Post-operative care for coronary artery bypass grafting (CABG), esophagectomy, transcatheter aortic valve replacement (TAVR), and abdominal aortic aneurysm (AAA) repair
• Thoracic and vascular surgeries
• Post-arrest patients

Travelers are not expected to care for fresh CABG/TAVR patients, those requiring external ventricular drains (EVDs), post-tissue plasminogen activator (TPA) administration, or any advanced cardiac devices.

Patient Ratios

• ICU: 1:2
• PCU/ACC/CCU: 1:4
• ED Holding: Similar ratios based on patient acuity

Certifications Required

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

Required Skills

All candidates should possess proficiency in the following areas:

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Management of invasive lines
• Ostomy care
• Management of general drains, tracheostomies, chest tubes, lumbar drains
• IV medication titration

Unit Support

The unit will provide a supportive environment with access to:

• Charge nurse
• Hospitalists, Respiratory Therapists, and Intensivists available 24/7
• On-call Cardiologist for CVICU & CCU

Charting System

Experience with the Epic charting system is required.

Scheduling

Schedules are typically created three weeks in advance and are released 7-10 days prior to the start date. The following scheduling practices apply:

• Every other weekend commitment
• Occasional back-to-back weekends (rare)
• No self-scheduling option, and no guaranteed pattern in the schedule
• Time off requests for more than five days require manager approval

Floating Requirements

Travelers may float to various units, including:

• Neuro/Trauma/Medical/Cardiac ICUs
• CCU (cardiac step-down)
• PCU/ACC
• ED Holding
• Medical-Surgical Units
• Additional surge areas as needed

Occasional floating to nearby facilities may occur, with prior