Travel Nurse RN - PCU - Progressive Care Unit
Puyallup, WA
TotalMed RN
3x12 hrs, Nights
Referral Bonus

Unit: PCU Nursing Float Pool 
Clinical Interviews

Will be Mainly ED Hold Floating
Unit manager needs to approve first time travelers.

Experience Required: 2 years of PCU experience; unit mgr to approve first time traverlers.

Certs Required: BLS, ACLS, NIHSS

Skills Req:  Cardiac rhythm interpretation, Chest tubes, lumbar drains, traches, IV med titration (Amiodarone, dopamine, dobutamine, insulin, heparin)
EPIC IS REQUIRED  Must have drip exp. including Nitro drips, dopamine & dobutamine drips.

Patient Types: 
-PCU: 40 beds: 2R Obs 18 beds
Respiratory compromise, Sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, Pneumonia, General, ortho cases
-Med-Surg: Medical: 89 beds Surgical: 55 beds
-MS Oncology:
Oncology: Neutropenic, post-op
Psych
General Medical Surgical: post-op, COPD, CHF, Sepsis, DVT, AKI, Dialysis, COVID
COVID is common on this floor.
-MS Ortho:
Total joints, post-surgical patients, general medical overflow
-MS Palliative:
General Medical: pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasionally surgical, COVID
-Rehab: 47 beds on two floors
Neuro: Stroke, Spinal Cord injury, TBI, Multi-Trauma, Post Covid, Post ICU
Vents, Traches are on the unit
Respiratory therapy works to give “just in time” training
Med-Surg level acuity type patients
-ED Holding
This will be the primary unit the traveler will be working (per NM 1/21/2025)
Will have mixed diagnosis
ICU patients 1:2; PCU 1:4; MS 1:5
ICU & PCU nurses will have a 1:5 assignment if MS
Will have isolation patients, non-ambulatory patients
Is a fast-paced unit
Traveler will need to be flexible and resourceful
-ACLS Transport
This RN will transport patients throughout the entire hospital. This would include all inpatient units, ED, CT, MRI, Nuc Med, PACU, Cath Lab, etc.
Night shift ACLS RN. After 2300 the transports slow down and at that time we want the ACLS RN to go down to ED Holds Area and be a resource to help assist that unit with breaks, med administration, etc when they are not transporting someone. Typically, the day shift ACLS RNs start getting busy right at 0730-0800 and never slow down the rest of the day.

Patient Ratios:
ICU 1:2 based on acuity
PCU and CCU 1:4 depending on acuity or if patient discharging
Medical and Surgical 1:5
If PCU floated to MS- will have a 1:5 ratio
Rehab: 1:8 team model (RN, LPN, Tech)

Floating: Could float for partial shifts.  Will float within scope of practice and below

Support within the Department:
Techs
ICU: 1:14
PCU: 1:10
MS: 1:8-10
RT 24/7
Hospitalist 24/7
Intensivist 24/7

Technology/Equipment:
EMR: EPIC
IV Pump: Alaris
Med dispensing: Pyxi

Orientation (facility and unit):
2 days of hospital orientation: login access, modules, etc.
1 day on assigned unit
Traveler Telemetry Competency Required

Scheduling:
Must call RMC staffing office at least 30-45 mins to get assignment each shift. (Preferred Option). Number given during orientation.
Assignment also post outside the door of the House Supervisor’s office.
Must be on time to the correct unit by 0700 or 1900
Cannot clock in before 0653/1853
Weekends will vary depending on the needs of the unit.
Schedule provided 3 weeks at a time, received around 10 days prior to schedule beginning
No holiday requests, self scheduling, on-call
Approve time off up to 5 days, additional days email NM Todd Murray
If requesting time off, must be willing to add to the end of the assignment