ED RN
Tacoma, WA
Thrive Staffing
3x12 hrs, Days

General Information

This position is located in a Level II Trauma Center with a Level IV NICU. The facility has a total of 60 beds, including 21 inpatient holding, 2 psychiatric rooms, and 14 hall spaces, with an average daily patient volume of 140-150.

Patient Types

Caring for a diverse range of patients including pediatrics to geriatrics, with conditions such as:

• Trauma
• Gunshot Wounds (GSW)
• Sepsis
• COVID-19
• ST-Elevation Myocardial Infarction (STEMI)
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental health crises
• Respiratory issues
• Adult psychiatric emergencies
• Chest pain

Patient Ratios

The patient-to-nurse ratio is typically 1:4 and can flex to 1:5 for lower acuity patients.

Required Certifications

• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Trauma Nursing Core Course (TNCC)
• National Institutes of Health Stroke Scale (NIHSS)
• Crisis Prevention Institute/Management of Aggressive Behavior (CPI/MOAB)
• Traveler Competency Exam

Skills Required

• General emergency department experience
• Cardiac rhythm interpretation
• IV skills
• Knowledge of medication administration, drips, and procedural sedation
• Blood administration techniques
• Experience with cardiac medications
• Proficiency in Epic EMR

Support on the Unit

The team includes:

• Emergency Room Technicians for glucose checks and assisting with splints
• A charge nurse who rarely takes assignments
• A resource/float nurse based on staffing
• Respiratory Therapy available 24/7
• An ED Educator
• Security for safety, available 24/7
• A House Supervisor available 24/7
• Pharmacy support 24/7, assisting during codes

Charting System/Equipment

• Electronic Medical Record (EMR): Epic - required
• IV Pumps: Alaris
• Medication dispensing system: Pyxis
• Central and bedside telemetry monitoring; no telemetry technician

Floating

Staff may float between multiple locations as needed, with prior notice provided before shifts. Mid-shift floating may occur but is not routine.

Orientation

Orientation includes:

• First-day onboarding (badge issuance and Epic training if applicable)
• 3-4 shifts of hands-on training with a preceptor
• Traveler Telemetry Competency must be completed and passed prior to starting

Scheduling

Shifts may include:

• Days: 0700-1900, 0900-2100
• Mids: 1100-2300, 1300-0100
• Eve/Night: 1500-0300, 1900-0700

Shifts may switch during the contract but will remain consistent for a 6-week block. The schedule is released two weeks prior to the start date, with a weekend rotation of every other weekend and a maximum of 5 days for time-off requests. Holiday expectations include working 3 of 5 major holidays.

Other Notes