ICU Float Registered Nurse
Silverdale, WA
Malone Healthcare - Nursing
3x12 hrs, Nights
Referral Bonus

Job Overview

• Unit/Department: ICU Nursing Float
• Float Pool Units: ICU (see ICU requirements), ED Boarders (in-patients only), all MedSurg units, Observation unit.
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Patient Care & Staffing

• Patient Ratios:
  • ICU: 1:1 or 1:2
  • PCU/ED: 1:3–4
  • Lower acuity MedSurg: 1:5–6
• Common Diagnoses: Any, depending on unit assignment.
• Required Experience/Skills:
  • Minimum 2 years ICU experience.
  • Ability to manage Swans, IABP, and Impella.
  • Ability to float to MedSurg and take a full assignment.
  • Must advocate for own skill set if asked to perform tasks outside comfort level.

Certifications & Licensure

• Required Certifications: BLS, ACLS, NIHSS
• License: WA RN license or Compact License

Clinical Responsibilities

• Drip Titration: Yes, in ED, Critical Care, and PCU units.
• Common Drips: Sedation, vasoactive medications, paralytics.
• Tele/Monitor: Monitor techs present, RNs read tele strips.
• Respiratory Equipment: Ventilators, CPAP, BiPAP available.
• Charge Nurse/House Supervisor: Present on each unit.
• Nurse Aids: Dependent on unit and staffing; most units have aids.

Scheduling

• Shifts & Scheduling: Potential for overtime; schedule set but flexible depending on unit needs.
• Weekend Requirement: Every other weekend (every weekend may be considered).
• Holiday Requirement: Yes.
• Call/Standby: No.
• Unit Assignment Process: Staffing office calls 30–60 minutes prior to shift start; no assignments outside facility.

Dress Code

• Scrub Color: Any professional color
• Business Casual: For trainings

Orientation

• Orientation Structure:
  • 1 onboarding day with manager
  • 2 shifts with a member of the float pool