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

About the Facility

Level III Trauma Center with 375 licensed beds.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds (No specific CVICU experience needed)
• PCU: 40 beds
• 2R PCU Obs: 18 beds, with potential expansion to 27 beds 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 on two floors
• ER holding unit (patients waiting on a bed)
• Any COVID overflow

Experience Requirements

• Minimum of 2 years of ICU experience for ICU roles
• Minimum of 2 years of PCU experience for PCU roles
• Minimum of 2 years in an acute care setting for Med-Surg roles
• First-time travelers are welcome

Patient Types / Common Diagnoses

Experience with various patient demographics is essential. Common diagnoses include:

ICU

• Respiratory Failure
• GI Bleeds
• DKA
• Sepsis
• Complicated Post-operative Patients
• CVA's
• Flap surgeries
• Post-Arrest conditions
• ETOH, IVDA patients
• No craniotomies, major traumas, or major cardiothoracic cases

PCU

• Respiratory compromise
• Sepsis
• Renal failure
• Bleeding disorders
• General medical/surgical patients
• CHF, COPD, Pneumonia

Medical-Surgical

• General Medical Surgical: post-operative, COPD, CHF, Sepsis, DVT, AKI
• Oncology: Neutropenic, post-op
• Palliative Care: pneumonia, sepsis, CHF, COPD, DVT, PE, occasionally surgical, COVID

Rehabilitation

• Neuro: Stroke, Spinal Cord injury, TBI, Multi-Trauma, Post-COVID, Post-ICU
• Patients requiring vent and tracheostomy care
• Med-Surg level acuity patients

Patient Ratios

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

Licenses and Certifications

• ICU: ACLS, BLS, NIHSS
• PCU: ACLS, BLS, NIHSS
• Med-Surg: BLS, NIHSS

Skills Required

• ICU: Cardiac rhythm interpretation, Vent management, Invasive line management, Ostomy care
• PCU: Cardiac rhythm interpretation, Chest tubes, Lumbar drains, Tracheostomy care, IV medication titration
• Med-Surg: IV administration, PCA management, Chest Tubes, Drains, Ostomies
• EPIC experience required
• Strong communication and patient education