Critical Care Float RN
Puyallup, WA
Thrive Staffing
3x12 hrs, Nights

Position Overview

The role involves primarily supporting the Emergency Department (ED) holding unit and floating between multiple units as needed. The main units include General Surgical 1, River North, River South, and Float Pool Teams.

Unit Information

• MSICU: 40 beds
• CVICU: 10 beds
• PCU: 40 beds
• 2R PCU Observation: 18 beds, can increase to 27 beds when overflow is operational
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (combining PCU and medical-surgical patients)
• Inpatient Rehabilitation: 47 beds
• ED Holding: Patients waiting for bed assignments
• COVID Overflow: As needed

Experience Requirements

Minimum of 2 years of experience in the following:

• ICU: Critical Care experience
• PCU/ER Holds: Progressive Care experience
• Medical-Surgical: Acute care setting

First-time travelers are welcome.

Patient Population and Common Diagnoses

ICU

• Respiratory Failure
• GI Bleeds
• DKA
• Sepsis
• Complicated Post-operative Patients
• Stroke (CVA)
• Flap Surgeries
• Post-Arrest Cases
• Alcoholism (ETOH) and Intravenous Drug Abuse (IVDA)

Higher level therapies include Rotoprone, Manual Prone, Hypothermia Protocol, Continuous Renal Replacement Therapy (CRRT), Tissue Plasminogen Activator (TPA), and Flap Surgeries (specific patients excluded).

Progressive Care Unit (PCU)

• Respiratory Compromise
• Sepsis
• Renal Failure
• Bleeding Disorders
• General Medical/Surgical Patients
• CHF
• COPD
• Pneumonia

Medical-Surgical Units

• Oncology: Neutropenic, Post-operative
• Psychiatric Conditions
• General Medical/Surgical: Post-operative, COPD, CHF, Sepsis, DVT, Acute Kidney Injury (AKI), Dialysis, COVID-19

Rehabilitation Units

• Neuro Patients: Stroke, Spinal Cord Injury, Traumatic Brain Injury (TBI), Multi-Trauma, Post-COVID, Post-ICU
• Ventilation and Tracheostomy Care

ED Holding Unit

This unit will be the primary focus for the traveler. The area includes a mix of patient diagnoses and typically manages:

• ICU patients at a ratio of 1:2
• PCU patients at a ratio of 1:4
• Medical-Surgical patients at a ratio of 1:5

Consideration will be given to isolation patients and non-ambulatory patients, requiring flexibility and resourcefulness in the fast-paced environment.

Required Certifications

• ACLS, BLS, and NIHSS certifications are required for ICU and Progressive Care Units.
• BLS and NIHSS certifications are required for Medical-Surgical Units.

Skills Required

• ICU: Cardiac rhythm interpretation, Ventilator management, Invasive line management, Patient education.
• PCU: Cardiac rhythm interpretation, Chest tube management,