Float Pool RN PCU/ED Holding
Puyallup, WA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Job Opportunity: Registered Nurse - PCU

Location: Puyallup, Washington
Specialty: Nursing Float Pool (Primarily ED-Hold Floating)
Contract Length: 13 weeks

Job Overview

• Mainly supporting multiple units including ED Hold, 1 Dally/2 River North and South, and Float Pool Teams.
• Floating may occur for partial shifts within scope of practice.
• Primary unit assignment will be the ED Holding unit, which is fast-paced and requires flexibility and resourcefulness.

Unit Information & Patient Types

Units & Bed Counts

• MSICU: 40 beds
• CVICU: 10 beds (no specific CVICU experience needed)
• PCU: 40 beds
• 2R PCU Obs: 18 beds (can increase to 27 for overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (PCU and MS patients)
• Inpatient Rehab: 47 beds on two floors
• ER Holding Unit (patients waiting for beds)
• COVID overflow as needed

Patient Diagnoses & Conditions

• ICU: Respiratory failure, GI bleeds, DKA, sepsis, complicated post-op, CVA, flap surgeries (not accepted), post-arrest, ETOH, IVDA. Higher level therapies include rotoprone, manual prone, hypothermia protocol, CRRT, TPA. No craniotomies, major traumas, or major cardiothoracic cases.
• PCU: Respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical, CHF, COPD, pneumonia, ortho cases.
• Med-Surg: Oncology (neutropenic, post-op), psych, post-op, COPD, CHF, sepsis, DVT, AKI, dialysis, COVID (common).
• MS Ortho: Total joints, post-surgical, general medical overflow.
• MS Palliative: Pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasional surgical, COVID.
• Rehab: Neuro (stroke, spinal cord injury, TBI, multi-trauma, post-COVID, post-ICU), vents, trachs, med-surg level acuity.
• ED Holding: Mixed diagnoses, includes ICU, PCU, and MS patients; isolation and non-ambulatory patients.

Experience Requirements

• ICU: Minimum 2 years ICU experience
• PCU/PCU ER Holds: Minimum 2 years PCU experience
• MS: Minimum 2 years acute care experience
• First-time travelers accepted (no prior travel experience required)

Patient Ratios

• ICU: 1:2 (acuity dependent)
• PCU and CCU: 1:4 (acuity or discharge dependent)
• Medical and Surgical: 1:5
• PCU floated to MS: 1:5
• Rehab: 1:8 team model (RN, LPN, Tech)

Required Licenses & Certifications

• ICU: ACLS, BLS, NIHSS
• PCU: ACLS, BLS, NIHSS
• Med-Surg: BLS, NIHSS

Skills Required

• ICU: Cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drains, tracheostomy care
• PCU: Cardiac rhythm interpretation, chest tubes, lumbar drains, tracheostomies, IV medication titration (Amiodarone, Cardizem, Nitro, Dopamine, Dobutamine, non-DKA insulin, Heparin, sometimes Cardene)
• Med-Surg: IVs, PCAs, chest tubes, drains, ostomies, IV antibiotics
• Strong communication and patient teaching/education skills required

Support & Resources

• Tech support ratios: ICU 1:14, PCU 1:10, Med-Surg 1:8-10
• Respiratory Therapy available 24/7
• Hospitalist and Intensivist coverage 24/7

Technology & Equipment

• EMR: EPIC
• IV Pump: Alaris
• Medication Dispensing: Pyxis

Orientation

• 2 days hospital orientation (login access, modules, etc.)
• 1 day unit orientation
• Telemetry competency required

Scheduling

• Must call staffing office 30-45 minutes before shift for assignment or check posted assignments
• Shift start times: 0700 or 1900 (cannot clock in earlier than 0653/1853)
• Weekend shifts vary by unit needs
• Schedule provided 3 weeks in advance
• No holiday requests, self-scheduling, or on-call
• Time off approved up to 5 days; additional days require manager approval
• Time off requests may require extending assignment length

Additional Notes

• ACLS RN will transport patients hospital-wide, including ED, CT, MRI, PACU, Cath Lab, etc. Night shift ACLS RN assists ED Holds when not transporting.
• Must be flexible and resourceful due to fast-paced environment and floating requirements.