High Acuity Float Pool ICU RN
Seattle, WA
Care Career
3x12 hrs, Nights
Referral Bonus

Responsibilities

• Provide high-acuity nursing care as part of a High Acuity Float Pool.
• Float across multiple departments, including:
  • Critical Care/ICU
  • Observation
  • Medical-Surgical
  • General Surgery
  • Orthopedic Surgery
  • Short Stay Surgery
  • Thoracic Surgery
  • Neurosurgery
  • Oncology
  • Telemetry
  • Progressive Care
• Manage critically ill medical, surgical, neurological, and cardiac patients.
• Maintain AACN-based critical-care staffing ratios, generally 1:1–1:2, with assignments up to 1:3 depending on patient acuity and transfer status.
• Perform comprehensive assessments and continuously monitor patients for changes in condition.
• Safely administer and titrate vasoactive, sedative, analgesic, and other critical-care infusions, including:
  • Epinephrine
  • Norepinephrine
  • Dobutamine
  • Propofol
  • Esmolol
  • Hydromorphone
  • Midazolam
  • Cisatracurium (CIS)
• Care for patients requiring ventilators, high-flow oxygen, BiPAP, and CPAP.
• Monitor and interpret cardiac rhythms using Philips monitoring systems and collaborate with monitor technicians.
• Manage patients with advanced cardiac support devices when appropriately trained and recently experienced, including CRRT, Impella, ECMO, and IABP.
• Care for patients with or without PA catheters, based on experience and competency.
• Collaborate with physicians, charge nurses, respiratory therapists, nursing assistants, and other interdisciplinary team members.
• Respond appropriately to rapid changes in patient condition and escalate concerns promptly.
• Accurately document assessments, interventions, medications, and patient responses in EPIC.
• Adapt quickly to different units, patient populations, workflows, and staffing assignments.
• Participate in floating assignments throughout the hospital according to operational needs.
• Work collaboratively with charge/resource nurses, who remain free of patient assignments.
• Provide safe patient care while maintaining infection-control and hospital safety standards.
• Participate in required orientation, competency validation, and unit-specific training.