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

About the Facility

Level II Trauma Center
Level IV NICU
Total Beds: 437

Unit Information

This position is within a Float Pool, requiring the ability to float to various units such as ICU, PCU, CCU, and ED holding areas.

• Minimum Experience Required: 1 year of ICU experience
• First-Time Travelers: Accepted if they possess strong ICU and previous float pool experience

Patient Types and Common Diagnoses

As a Float Pool nurse, you will care for patients across various disciplines, including:

• Neuro, Trauma, Medical, Surgical cases such as:
• Sepsis
• Pneumonia
• DKA
• DT
• Multi-system failure
• Spinal injuries
• Pre/post-cath patients
• General surgery patients
• Respiratory compromise
• CHF
• COPD
• GSW
• Stabbings
• MVA
• Strokes
• TBI
• Spinal surgeries
• COVID
• CVICU cases including:
• 24-hour post-CABG (10/week)
• Esophagectomy
• TAVR (3/week)
• AAA repair
• Thoracic and vascular surgeries
• Post-arrest patients

Travelers are not expected to care for fresh post-CABG/TAVR patients, EVDs, post-TPA patients, or patients requiring any advanced support devices.

Patient Ratios

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

Licenses and Certifications Required

• BLS
• ACLS
• NIHSS

Required Skills

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Invasive line management
• Ostomy care
• General drains, trachs, chest tubes, lumbar drains
• IV medication titration
• Experience with EPIC EMR is mandatory

Support within the Department

• Charge nurse
• Hospitalist available 24/7
• Respiratory Therapists available 24/7
• Intensivists available 24/7
• Cardiologists on call 24/7
• Phlebotomy services
• Rapid Response/Code Team available

Technology and Equipment

• EMR: EPIC (required)
• IV Pump: Alaris
• Medication Dispensing: Pyxis
• Unit-specific equipment

Floating Across Units

Responsibilities may include floating to the following areas:

• Neuro/Trauma/Medical/Cardiac ICU
• CCU (cardiac step-down)
• PCU/ACC
• ED Holding
• Other areas within the hospital as necessary

There may be occasions where you are required to float to nearby facilities.