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

About the Facility

Level II Trauma Center with a Level IV NICU and a total of 437 beds.

Unit Information

• Beds: Dependent on unit
• Minimum Years of Experience Required: 1 year of ICU experience
• Accepting First-Time Travelers: Yes, if they have strong ICU experience and previous float pool experience

Patient Types / Common Diagnoses

This position is within a Float Pool; candidates will float to all ICU, PCU, CCU, and ED holding areas with ICU/PCU 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 (radial approach)
• General surgery patients
• Respiratory compromise
• CHF
• COPD
• Gunshot wounds
• Stabbings
• Motor Vehicle Accidents (MVA)
• Strokes
• Traumatic Brain Injuries (TBI)
• Spinal surgeries
• COVID-19
• CVICU:
• 24-hour post-CABG
• Esophagectomy
• TAVR
• AAA repair
• Thoracic and vascular surgeries
• Post-arrest care

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

Required Skills

• Cardiac rhythm interpretation
• Ventilator and BiPAP management
• Invasive line management
• Ostomy care
• Managing general drains
• Tracheostomy care
• Chest tube management
• Managing lumbar drains
• IV medication titration
• EPIC experience is required

Department Support

• Charge Nurse
• Hospitalist available 24/7
• Respiratory Therapist available 24/7
• Intensivist on duty 24/7
• Cardiologist on call 24/7
• Phlebotomy services
• Rapid Response/Code Team

Technology and Equipment

• EMR: EPIC (required)
• IV Pump: Alaris
• Medication dispensing: Pyxis
• Monitors: Unit specific equipment

Floating Requirements

Candidates may float to various areas including:

• Neuro/Trauma/Medical/Cardiac ICU
• CCU (Cardiac Stepdown)
• PCU/ACC