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

Position Overview

This role primarily involves providing support across various units, including those that cater to patients in critical care, progressive care, and rehabilitation settings. The nurse will float between locations, including GSH 1 Daily, 2 River North and South, and the Float Pool Teams as needed. The focus will be on delivering high-quality patient care and support in a fast-paced environment.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds (no specific CVICU experience needed)
• PCU: 40 beds
• 2R PCU Observation: 18 beds (can increase to 27 when open for overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (consists of PCU and MS patients)
• Inpatient Rehab: 47 beds
• ED Holding: Patients awaiting a bed
• COVID Overflow: As needed

Experience Requirements

• 2 years of ICU experience for ICU assignments
• 2 years of PCU experience for PCU assignments
• 2 years in an acute care setting for MS assignments
• First-time travelers are welcomed

Common Patient Types and Diagnoses

• ICU: Respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, strokes, post-arrest, substance use issues. High-level therapies include rotoprone positioning and manual prone positioning (not taking craniotomies or major traumas).
• PCU: Respiratory compromise, sepsis, renal failure, general medical/surgical patients, heart failure, chronic obstructive pulmonary disease (COPD), pneumonia, orthopedic cases.
• Med-Surg: Post-operative patients, oncology, psychiatric care, general medical/surgical, including COVID cases.
• Rehabilitation: Neuro patients recovering from strokes, spinal cord injuries, traumatic brain injuries, post-COVID, and 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
• Rehabilitation: 1:8 team model (RN, LPN, Tech)

Certifications and Skills Required

• ICU: ACLS, BLS, NIHSS
• PCU: ACLS, BLS, NIHSS
• Med-Surg: BLS, NIHSS
• Competency in cardiac rhythm interpretation, ventilator management, and management of invasive lines, trachs, and drains.
• Strong communication and patient education skills are essential.

Support Within the Department

Support is available from technicians, respiratory therapists, hospitalists, and intensivists, ensuring a collaborative and helpful work environment.

Technology and Equipment

• Electronic Medical Record (EMR): EPIC
• IV Pump: Alaris
• Medication Dispensing: Pyxis

Orientation and Scheduling

• 2 days of hospital orientation, followed by 1 day on the assigned unit.
• Telemetry competency is required for all travelers.
• Shift assignments are communicated through the staffing office and posted outside the House Supervisor's office.
• Attendance is expected on time,