Travel Nurse RN - ICU - Intensive Care Unit
Puyallup, WA
TotalMed RN
3x12 hrs, Days, Flexible
Referral Bonus

Unit: ICU Nursing Float Pool  - will work ED hold, PCU and TELE/MS as needed.
Clinical Interviews

Experience Required: 2 years recent ICU experience - just floating to ICU does NOT count towards ICU exp. - must be in an ICU unit. EPIC  IS REQUIRED! Travel is preferred. 
-Unit manager needs to approve first time traveler.

Certs Required: BLS, ACLS, NIHSS

Skills Required: Cardiac rhythm interpretation, Vent management, invasive line management, ostomy, general drains, trachs. PCU-Cardiac rhythm interpretation, Chest tubes, lumbar drains, traches, IV med titration (Amiodarone, dopamine, dobutamine, insulin, heparin)
Med-Surg: IVs, PCAs, Chest Tubes, drains, ostomies, IV ABX 
All clinicians must also have good communication and patient teaching/education skills. Will work mostly in ED Holding and float to PCU -limited ICU here.

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

Patient Types: 
·ICU: 14 beds
·Respiratory Failure, GI Bleeds, DKA, Sepsis, Complicated Post-operative Patients, CVA’s, Flap surgeries, Post-Arrest, ETOH, IVDA
·Higher Level Therapies: Rotoprone, Manual Prone, Hypothermia Protocol, CRRT, TPA, Flap Surgeries (will not take these patients)
·No craniotomies, major traumas, or major cardiothoracic
·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