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

About the Role

Join a progressive healthcare environment with a diverse array of patient care units. As a Registered Nurse (RN), you will have the opportunity to work in various units, contributing to the delivery of high-quality care to patients with varied acuities and diagnoses. The facility is a Level III Trauma Center with a total of 375 licensed beds, creating a dynamic and challenging work atmosphere.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds
• PCU: 40 beds
• 2R PCU Obs: 18 beds (can increase to 27 beds when overflow is open)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (PCU and Medical Surgical patients)
• Inpatient Rehab: 47 beds across two floors
• ED Holding Unit

Minimum Experience Required

• ICU: 2 years of ICU experience
• PCU/PCU ER holds: 2 years of PCU experience
• Medical Surgical: 2 years in acute care setting

Patient Types / Common Diagnoses

• ICU: Respiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA's, Flap surgeries, Post-Arrest, ETOH, IVDA
• PCU: Respiratory compromise, Sepsis, Renal failure, Bleeding disorders, General medical/surgical patients, CHF, COPD, Pneumonia
• Medical-Surgical: Oncology, Neutropenic post-op, General Medical/Surgical, COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVID
• Rehab: Stroke, Spinal Cord Injury, TBI, Multi-Trauma, Post COVID, Post ICU

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: 2:8 team model (RN, LPN, Tech)

Required Licensure 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, Chest tubes, Lumbar drains, Required IV medication titration
• Medical-Surgical: IV management, PCA, Chest tubes, Drains, Ostomies, IV antibiotics
• Familiarity with EMR: EPIC required
• Excellent communication and patient education skills

Support within the Department

• Techs available with ratios of 1:14 in ICU, 1:10 in PCU, and 1:8-10 in Medical-Surgical units
• Respiratory Therapy available 24/7
• Hospitalist and Intensivist support available 24/7

Orientation

Orientation will consist of 2 days of hospital orientation, followed by 1 day on the assigned unit. Telemetry competency is required for travelers.

Additional Information

• No personal phones allowed on the unit. Breaks are mandatory.
• Scrubs: Any color except camo, must maintain a professional appearance.