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

General Information

This role involves floating within multiple units, including all ICUs, PCU/CCUs, and ED holding. A minimum of 1 year of ICU experience is required. First-time travelers with strong ICU backgrounds and previous float pool experience will be considered.

Patient Types

The traveler will provide care for a variety of patient types, including:

• COVID-19 patients
• Neuro, Trauma, Medical, Surgical patients
• Conditions such as Sepsis, Pneumonia, DKA, DTs, Multi-system failure, spinal injuries
• Pre/post catheterization patients (radial approach)
• General surgery patients
• Respiratory issues (e.g., CHF, COPD)
• Trauma patients (e.g., GSW, stabbings, MVA, strokes, TBI)
• Back surgeries
• CVICU: Post-operative CABG, Esophagectomy, TAVR, AAA repair, Thoracic and Vascular surgeries, Post arrest

Patient Ratios

• ICU: 1:2
• PCU/ACC/CCU: 1:4
• ER Holding: Same ratio 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
• General drains, traches, chest tubes, lumbar drains
• IV medication titration

Support on the Unit

The following support will be available on the unit:

• Charge Nurse
• Hospitalist, Respiratory Therapist (RT), and Intensivist available 24/7
• Cardiologist on call 24/7 for CVICU & CCU & Cardiac Short Stay

Charting System

Experience with Epic is required.

Scheduling

The schedule is typically made for 3 weeks at a time, published 7-10 days in advance. The following scheduling details apply:

• Every other weekend required
• Back-to-back weekends may occur (rare)
• No self-scheduling; no guarantee of a patterned schedule
• Longer time-off requests (more than 5 days) require manager approval

Floating Requirements

The traveler may float to various units, including:

• 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 occasionally be required to float to nearby locations.

Orientation

Orientation will consist 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

Additional Requirements

• Telemetry competency must be completed and passed prior to starting; grading handled by SimpliFi Compliance.
• Scrubs: Any professional color
• Parking: Free in designated areas
• Mandatory documentation of hourly rounding, filling out whiteboards, and giving bedside reports
• Saline Flushes are considered medications; they should not be left at the bedside or in scrubs