Float RN - Telemetry/PCU
Spokane, WA
Thrive Staffing
3x12 hrs, Days

About the Facility

Located in Spokane, WA, this facility boasts 388 beds and is recognized as a Level 3 Trauma Center.

Unit Information

The positions available are part of a float pool, with opportunities to rotate among various units within the facility.

• Beds: Varies by unit
• Experience: A minimum of 2 years of true Telemetry or Progressive Care Unit (PCU) experience is required.
• First-time Travelers: Accepted

Floating Units

Candidates will have the opportunity to float to any unit with Telemetry/MedSurg patients, including:

• Tower 7 (34 beds): PCU and Cardiac Telemetry
  • Patient types include: post-cath, chest pain, NSTEMI, temporary pacemakers, CHF, and arrhythmias/dysrhythmias.
  • Drips commonly used: amiodarone, Cardizem, heparin.
  • Staffing ratios: 1:3-5, depending on acuity.
• Tower 8 (29 beds): MedSurg Overflow
  • Patient types include: COPD, CHF, AKI/CKD, DVT/PE, cellulitis, and post-surgical cases.
  • Staffing ratios: 1:5 for both days and nights.
• Tower 9 (30 beds): Ortho/Neuro
  • Patient types include: CVA, seizures, orthopedic surgeries, and medically complex cases.
  • Staffing ratios: 1:4-5 for both days and nights.
• Tower 10 (30 beds): Surgical
  • Specialties include bariatric, gender affirmation, and specialty oncology surgeries.
  • Staffing ratios: 1:4-5.
• Tower 11 (34 beds): Medical Oncology
  • Patient types include: ETOH/IVDA, CHF, COPD, pneumonia, and neutropenia.
  • Staffing ratios: 1:4-5.

Required Certifications

• BLS Certification
• Preferred: ACLS, NIHSS

Required Skills

• Cardiac rhythm interpretation
• High Flow Oxygen and CPAP/Bi-PAP delivery
• Chest tube and drain management
• Ostomy care
• Wound vac application and dressing changes
• Peripheral IV and foley catheter insertion/maintenance
• NG tube insertion/maintenance
• EPIC documentation experience is required

Support on the Unit

• CNA support ratio is approximately 1:10-12.
• Health Unit Coordinator (HUC) presence in most areas, except Tower 8.
• 24/7 support from Hospitalist and Intensivist teams.
• Access to Rapid Response and Code Teams.
• Wound Care/Ostomy Team assistance as needed.
• Centralized Telemetry for monitoring across multiple units.

Technology

• EMR utilized: EPIC (mandatory)
• IV Pumps: ICU Plum Medical
• Medication Dispensing: Pyxis

Orientation

• General Hospital Orientation along with 2 shifts of unit-specific orientation.
• Telemetry Competency assessment required to be passed before starting.