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

Unit Information

The following units are available within the organization:

• MSICU: 40 beds
• CVICU: 10 beds
• PCU: 40 beds
• 2R PCU Obs: 18 beds (may increase to 27 when open for overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (includes PCU and medical-surgical patients)
• Inpatient Rehab: 47 beds on two floors
• ED Holding Unit: Patients awaiting a bed
• COVID overflow as needed

Experience Requirements

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

Patient Types / Common Diagnoses

ICU

• Respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative patients, strokes, flap surgeries, post-arrest, ETOH, IVDA
• Higher level therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA
• No craniotomies, major traumas, or major cardiothoracic cases

PCU

• Respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, pneumonia, general, and orthopedic cases

Medical-Surgical

• Oncology: Neutropenic, post-operative
• General: post-operative, COPD, CHF, sepsis, DVT, AKI, dialysis, COVID
• Common COVID cases present on this floor

Rehab

• Neuro: Stroke, spinal cord injury, TBI, multi-trauma, post-COVID, post-ICU
• Vents and tracheostomies are present in the unit
• Med-surg level acuity patients

ED Holding

• This unit will be the primary area of work for this position
• Mixed diagnoses including ICU (1:2), PCU (1:4), and medical-surgical (1:5) patients
• May manage isolation patients and non-ambulatory patients
• Fast-paced environment requiring flexibility and resourcefulness

Patient Ratios

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

Certification and Skills Requirements

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

Required Skills

• ICU: Cardiac rhythm interpretation, vent management, invasive line management, ostomy care
• PCU: Cardiac rhythm interpretation, management of chest tubes and lumbar drains, tracheostomy, required IV medication titration
• Medical-Surgical: IVs, PCAs, Chest tubes, drains, ostomies, IV antibiotics
• Strong communication and patient education skills are essential

Support Within the Department

• Technicians: ICU 1:14