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

Unit Information

The successful candidate will be mainly supporting various units, including:

• MSICU: 40 beds
• CVICU: 10 beds (no specific CVICU experience needed)
• PCU: 40 beds
• 2R PCU Obs: 18 beds (can increase to 27 beds when open for overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (combination 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 years of experience required:

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

Patient Types / Common Diagnoses

Common patient types and diagnoses include:

• ICU: Respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, CVAs, 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 (post-op, COPD, CHF, DVT, AKI), frequently managing COVID patients
• Rehab: Patients recovering from neurological incidents, spinal cord injuries, TBIs, multi-trauma, post-COVID, and post-ICU care

Patient Ratios

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

Required Certifications

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

Skills Required

• ICU: Cardiac rhythm interpretation, vent management, invasive line management, ostomy care, general drain management, tracheostomy care
• PCU: Cardiac rhythm interpretation, chest tubes, lumbar drains, tracheostomy care, IV medication titration
• Medical-Surgical: IVs, patient-controlled analgesia (PCAs), chest tubes, drains, ostomies, IV antibiotics
• Strong communication and patient teaching/education skills are required for all clinicians.

Support and Resources

Support within the department includes:

• Tech Support:
  • ICU: 1 Tech for every 14 patients
  • PCU: 1 Tech for every 10 patients
  • Medical-Surgical: 1 Tech for every 8-10 patients
• Respiratory Therapy available 24/7
• Hospitalist coverage 24/7
• Intensivist coverage 24/7

Technology and Equipment

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