Critical Care Float RN
Tacoma, WA
Thrive Staffing
4x12 hrs, Nights

About the Facility

Location: Tacoma, WA

Type: Level II Trauma Center, Level IV NICU

Total Beds: 437

Unit Information

• Beds: Dependent on unit
• Minimum Experience Required: 1 year of ICU experience
• First-time Travelers Accepted: Yes, with strong ICU experience and previous float pool experience

Patient Types and Common Diagnoses

This is a Float Pool position where candidates will float within multiple units to care for ICU, PCU, CCU, and ED holding area patients. Common patient types and diagnoses include:

• Neuro, Trauma, Medical, Surgical: Sepsis, pneumonia, DKA, delirium tremens, multi-system failure, spinal injuries, pre/post catheterization patients, respiratory compromise, CHF, COPD, gunshot wounds, stabbings, motor vehicle accidents, strokes, TBI, spinal surgeries, COVID-19.
• CVICU: 24-hour post-CABG, esophagectomy, TAVR, AAA repair, thoracic and vascular surgeries, post-arrest patients.

Travelers are not expected to care for fresh post-CABG/TAVR, EVDs, post-TPA, or any complex devices such as ECMO, IABP, Impella, or hypothermia protocol.

Patient Ratios

• ICU: 1:2
• PCU/ACC/CCU: 1:4
• ED Holding: Same ratios depending on level of care

Required Licenses and Certifications

• BLS
• ACLS
• NIHSS

Skills Required

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Invasive line management
• Ostomy, general drains, tracheostomy care, chest tubes, lumbar drains
• IV medication titration
• EPIC electronic medical record experience required

Department Support

• Charge Nurse
• 24/7 Hospitalist
• 24/7 Respiratory Therapy
• 24/7 Intensivist
• 24/7 On-call Cardiologist
• Phlebotomy Services
• Rapid Response/Code Team

Technology and Equipment

• Electronic Medical Record: EPIC (required)
• IV Pump: Alaris
• Medication Dispensing: Pyxis

Floating Requirements

The Float Pool RN will float to various units including Neuro, Trauma, Medical, Cardiac ICU, CCU (cardiac step-down), PCU/ACC, ED Holding, and potentially to other areas within the hospital. Floating to other facilities within the region may occur, though infrequently, with prior notice given to travelers.

Orientation Details

• NEO: 1 day
• 1 shift of unit orientation in ICU
• 1 shift of orientation on similar units
• Traveler telemetry competency exam to be completed as part of compliance before arrival

Scheduling and Additional Information

• Weekend Rotation: Every other weekend, with rare back-to-back weekends
• Holiday Expectations: Approval for up to 5 days off
• Shift Times: 0700-1930 and 1900-0730
• Schedule Cycle: Created in 3-week increments and shared 7-10 days prior to the start of the schedule
• No self-scheduling or guaranteed patterned schedule
• Scrub Color: Any solid professional