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

Job Description

This position is primarily focused on supporting multiple patient units, including the Emergency Department (ED) holding unit, General Surgical Hospital (GSH) 1 Dally, River North, River South, and Float Pool Teams. The role requires a skilled and flexible nurse to provide high-quality patient care across various departments.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds (No specific CVICU experience required)
• PCU: 40 beds
• 2R PCU Observation: 18 beds (can increase to 27 during overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (consists of PCU and Medical-Surgical patients)
• Inpatient Rehabilitation: 47 beds across two floors
• ER Holding Unit: For patients waiting on a bed
• COVID Overflow: Unit for managing COVID-19 patients

Experience Requirements

• ICU: 2 years of ICU experience
• PCU/PCU ER Holds: 2 years of PCU experience
• Medical-Surgical: 2 years in an acute care setting
• First-time travelers are welcome

Patient Types and Common Diagnoses

ICU: Patients experiencing respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative cases, cerebrovascular accidents (CVAs), post-arrest situations, ETOH, and IVDA. Higher-level therapies include Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, and TPA.

PCU: Patients with respiratory compromise, sepsis, renal failure, and bleeding disorders, as well as general medical and surgical patients, including those with CHF, COPD, and pneumonia.

Medical-Surgical: General medical and surgical patients, oncology cases, and post-operative patients. COVID-19 cases are common within this unit.

Rehabilitation: Patients recovering from strokes, spinal cord injuries, traumatic brain injuries (TBI), multi-trauma incidents, and post-ICU recovery.

ED Holding Unit: This will be the primary focus for the traveler, with mixed diagnoses and a fast-paced environment. Ratios will be managed according to patient acuity.

Patient Ratios

• ICU: 1 nurse to 2 patients
• PCU and CCU: 1 nurse to 4 patients
• Medical and Surgical: 1 nurse to 5 patients
• Rehab: Team model with 1 nurse to 8 patients (includes LPNs and Techs)

Required Certifications

• ACLS, BLS, NIHSS for ICU and PCU
• BLS and NIHSS for Medical-Surgical

Essential Skills

The ideal candidate should possess:

• ICU: Expertise in cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drains, and tracheostomy care.
• PCU: Proficiency in cardiac rhythm interpretation, management of chest tubes, lumbar drains, tracheostomy care, and IV medication titration (including Amiodarone, Cardizem, Nitro, and Heparin).
• Medical-Surgical: Skills in IVs, patient-controlled analgesia (PCAs), chest tubes, drains, ostomy care, and IV antibiotics.

Department Support

• Tech support ratios: ICU 1:14, PCU 1:10, Medical-Surgical 1:8-10