PCU RN
Puyallup, WA
Thrive Staffing
3x12 hrs, Nights

Position Overview

This role primarily involves supporting multiple units, including GSH 1 Daily and River North and South, along with Float Pool Teams. The position requires adaptability and resourcefulness as travel between units may be necessary.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds (no specific CVICU experience required)
• PCU: 40 beds
• 2R PCU Obs: 18 beds, can expand to 27 for overflow
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (combined PCU and MS patients)
• Inpatient Rehab: 47 beds
• ER Holding Unit: for patients waiting on a bed
• COVID Overflow: as needed

Experience Requirements

• ICU: Minimum of 2 years of ICU experience
• PCU/PCU ER Holds: Minimum of 2 years of PCU experience
• Medical-Surgical: Minimum of 2 years in an acute care setting

Patient Types and Common Diagnoses

• ICU:
  • Respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, CVAs, flap surgeries, post-arrest patients, ETOH, IVDA
  • Higher Level Therapies: Rotoprone, manual prone, hypothermia protocol, CRRT, TPA (flap surgeries not accepted)
• PCU:
  • Respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, pneumonia, general and ortho cases
• Medical-Surgical:
  • Oncology, psych, general medical/surgical including post-op, COPD, CHF, sepsis, DVT, AKI, dialysis, COVID
• Rehab:
  • Neuro cases: stroke, spinal cord injury, TBI, multi-trauma, post-COVID, post-ICU
  • Patients on vents/traches, general Med-Surg level acuity
• ED Holding:
  • Fast-paced unit with a mix of diagnoses; ratios include 1:2 for ICU patients, 1:4 for PCU, and 1:5 for MS

Patient Ratios

• ICU: 1:2 based on acuity
• PCU and CCU: 1:4 depending on acuity or patient discharges
• Medical and Surgical: 1:5
• Rehab: 1:8 team model (RN, LPN, Tech)

Licenses and Certifications Required

• ICU: ACLS, BLS, NIHSS
• PCU: ACLS, BLS, NIHSS
• Medical-Surgical: BLS, NIHSS

Required Skills

• ICU: Cardiac rhythm interpretation, vent management, invasive line management, ostomy care, general drains, tracheostomy care
• PCU: Cardiac rhythm interpretation, chest tubes, lumbar drains, tracheostomy, IV medication titration