PCU RN
Spokane, WA
Thrive Staffing
3x12 hrs, Nights

About the Facility

Located in Spokane Valley, WA, this facility is a Level III Trauma Center with 123 beds, serving the community with quality healthcare.

Unit Information

Minimum Years of Experience Required: 1 year of true Telemetry or Progressive Care Unit (PCU) experience.

• First-time travelers are welcome.

Patient Types and Common Diagnoses

The registered nurse will float between various areas and provide care anywhere within the hospital scope of practice.

• 3rd Floor: Medical/Surgical (44 Beds)
  • Medical Patients: COPD, CHF, Sepsis, AKI/CKD, DVT, PE, cellulitis, pancreatitis, ETOH.
  • Surgical/Ortho: total joints (knees/hips), GI (exploratory lap, hemicolectomy, bowel resection), GU (TURP, cystos, CBI), GYN (hysterectomy), podiatry, ENT.
  • Telemetry capable: tele tech in addition to bedside monitoring.
• 2nd Floor: Acute Respiratory Floor (16 Beds)
  • Conditions include COPD, pneumonia, and CHF.
  • Support for high flow oxygen and BiPap.
  • RT office adjacent to unit for quick response on declining patients.
• 1st Floor: ED/MS Overflow
  • Observation and general MedSurg.
• Progressive Care
  • PCU beds are part of the Critical Care Unit. The nurse will care only for PCU level patients.
  • Common cases: Afib RVR, routine checks, medical, and surgical progressive care patients.

Patient Ratios

• MedSurg: 1:5
• PCU: 1:3, with no CNA support.

Required Licenses and Certifications

• BLS and ACLS are mandatory.
• Cardiac rhythm interpretation exam will be required during the compliance process.

Skills Required

• High flow oxygen, chest tube management, peripheral IV starts and maintenance, wound care, and dressing changes.
• Experience with wound vacs, drains (JP, hemovacs), nephrostomy tubes, pain management, PCA, and central line management.
• Cardiac rhythm interpretation with the administration of drips including Heparin, amiodarone, Cardizem, and nitro.
• Interest in Charge RN responsibilities is beneficial but not required.

Support within the Department

• CNA support available on Med-Surg units.
• Charge RN may hold a partial patient assignment while providing resources.
• Phlebotomy services available 24/7.
• Respiratory Therapy available 24/7.
• Hospitalist services available 24/7.
• Occupational Therapy, Physical Therapy, and Speech Language Pathology during day hours.
• Rapid Response and Code Team on standby.
• Centralized telemetry monitoring with available tech support 24/7.

Technology and Equipment

• EMR: EPIC
• IV Pump: ICU Plum Medical
• Medication dispensing: Pyxis
• Unit specific equipment available to staff.

Floating Policy

Travelers will provide care for PCU and MedSurg patients throughout the hospital.

Orientation

• 1 day of classroom training plus skills check-off.
• 12 hours of unit orientation spread across 3 units with 4 hours on each unit.
• Successful completion