Emergency Department RN
Puyallup, WA
Thrive Staffing
3x12 hrs, Days, Nights, Rotating

General Information

Location: Puyallup, WA
Facility Level: Level III Trauma Center
Total Licensed Beds: 375
Average Daily Patients: 200

Patient Types

• Trauma
• Gunshot Wounds (GSW)
• Sepsis
• COVID-19
• ST Elevation Myocardial Infarction (STEMI)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental Health Issues
• Respiratory Issues
• Geriatric Care
• Adult Psychiatry

Note: There is a high geriatric population, primarily dealing with falls and STEMI cases. A small number of pediatric patients will generally be transferred to specialized facilities.

Patient Ratios

Day shift: 1 Nurse to 4-5 Patients (flexible based on acuity and staffing).

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NIHSS (National Institute of Health Stroke Scale)
• CPI/MOAB (Crisis Prevention Institute/Management of Actual or Potential Violence)

Skills Required

• General Emergency Department experience
• Cardiac rhythm interpretation
• IV skills and good understanding of medication administration
• Procedural sedation
• Blood administration
• TNK (Tissue Plasminogen Activator) administration (preferred)
• Cardiac medications knowledge
• Recent experience with EPIC charting system

Support on the Unit

• ER Technicians for glucose checks and assistance
• Charge Nurse: rarely takes patient assignments
• Resource/Float Nurse available
• Respiratory Therapist: on-site 24/7
• Emergency Department Educator available for training
• Increased security presence for safety 24/7
• House Supervisor available 24/7
• Social Work Services assigned to the Emergency Department 24/7
• Pharmacy support available 24/7

Charting System/Equipment

• EPIC (recent experience required)
• Alaris for IV management
• Pyxis medication dispensing system
• Central and bedside telemetry monitoring at nursing station

Orientation

The orientation process includes:
Day 1: Orientation, EPIC training (if needed), hours in the mental health area, and front desk operations.
Day 2: 12-hour shift with a preceptor in the assigned shift.
Traveler Telemetry Competency is required to be completed and passed prior to start.

Scheduling

• Shifts: Days and Mids (0700, 1100), Mids and Nights (1500, 1900)
• Weekly scheduling is provided three weeks in advance
• Weekends may vary based on unit needs
• Time Off Requests approved by Nurse Manager
• Holiday Expectations: Work 2 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, New Year’s Day)

Additional Notes

• Scrub Color: Any professional color is acceptable
• Piercings: Modest/studs only; tattoos should be inoffensive