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

Location

Multiple locations within the region

Unit Information

• ICU: 14 beds, with higher-level therapies including respiratory failure, sepsis, and post-operative care.
• PCU: 40 beds focusing on respiratory compromise, renal failure, and general medical/surgical patients.
• Medical: 89 beds including oncology, palliative, and general medical/surgical patients.
• Surgical: 55 beds for post-operative and general medical overflow.
• Rehab: 47 beds treating neuro patients and those requiring transitional care.
• ED Holding Unit: Fast-paced environment with a mix of diagnoses and various patient assignments.

Minimum Experience Required

• ICU: 2 years of ICU experience.
• PCU: 2 years of PCU experience.
• Medical-Surgical: 2 years in an acute care setting.

Patient Types and Common Diagnoses

The following conditions are commonly treated in the units:

• ICU: Respiratory failure, sepsis, complicated post-operative patients.
• PCU: Respiratory compromise, general medical/surgical patients.
• Medical-Surgical: Neutropenic patients, post-operative care, COPD, CHF, and COVID-19 cases.
• Rehab: Stroke, spinal cord injury, and post-ICU care needs.

Patient Ratios

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

Required Licenses and Certifications

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

Skills Required

• ICU: Cardiac rhythm interpretation, vent management, invasive line management.
• PCU: Cardiac rhythm interpretation, required IV medication titration.
• Medical-Surgical: IVs, PCAs, chest tubes, drains.
• All clinicians must possess strong communication and patient education skills.

Support Within the Department

• Tech-to-nurse ratios are as follows:
• ICU: 1:14
• PCU: 1:10
• Medical-Surgical: 1:8-10
• Available support includes respiratory therapy and hospitalist services 24/7.

Technology and Equipment

• EMR: EPIC
• IV Pump: Alaris
• Medication Dispensing: Pyxis

Orientation and Scheduling

• 2 days of hospital orientation followed by 1 day on the assigned unit.
• Must contact staffing office before each shift for assignment confirmation.
• Must adhere to scheduled shifts with specific arrival times.
• No holiday requests or self-scheduling; up to 5 days off may be approved.

Floating

Flexibility is required as nurses may float between units according to the needs of the department.