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

Unit: ICU TG Nursing Float Pool - MUST have strong neuro and trauma skills. 
Clinical Interviews - Manager Final Approval

*Floating within TG to all ICUs, PCU/CCUs, ED holding - EPIC Required*

Experience Required: 1 year minimum ICU experience; will take first time traveler with strong ICU and previous float pool experience. Must have experience with 24 hour post CABG/TAVR's.

Certs Required: ACLS, BLS, NIHSS

Skills Required: Cardiac rhythm interpretation, vent and bipap management, invasive line management, ostomy, general drains, traches, chest tubes, lumbar drains, IV medication titration.

Patient Types Travelers Expected to Care For: 
Covid Patients
Neuro, Trauma, Medical, Surgical
Sepsis, pneumonia, DKA, DTs, Multi-system failure, spinal injuries, pre/post cath patients (radial approach), general surgery patients, respiratory compromise, CHF, COPD, GSW, stabbings, MVA, strokes, TBI, various back surgeries
CVICU
24h - Post-op CABG(10/wk.), Esophagectomy, TAVR (3/wk.), AAA repair, Thoracic and Vascular surgeries, Post arrest

Floating:
Neuro/Trauma/Medical/Cardiac ICU
CCU (cardiac step down)
PCU/ACC
ED Holding
Med Surg Units
Any open surge areas for above units
Traveler could float to Allenmore Hospital as needed, around 2.5 miles away. This is not common but is a possibility. Travelers should be notified in advance if they are needed at Allenmore.

Patient Ratios:
ICU: 1:2
PCU/ACC/CCU: 1: 4
ER Holding – Same ratio based on patient’s level of care

Support on the Unit:
Charge Nurse
Hospitalist, RT and Intensivist 24/7
Cardiologist on call 24/7 for CVICU & CCU & Cardiac Short Stay

Scheduling:
Schedule is typically made for 3-weeks at a time, which comes out 7-10 days prior 
Every other weekend
Could work back to back weekends (rare)
No self- scheduling, no guarantee of patterned schedule
Time off: Manager Approval for more than 5 days.

Orientation:
1 day general hospital orientation
1 day of unit orientation (12 hours) on ICU unit
1 day of 12 hours on like units
Traveler Telemetry Competency Required
Required to be completed and passed prior to start. SimpliFi Compliance is responsible for grading this exam.

Other notes:
Scrubs: Any color, professional
Parking: Free within designated areas
Must fill out whiteboards, do and document hourly rounding, give bedside report
Saline Flushes considered medication. Do not leave at the bedside or in your scrub pocket
Do not leave medications in unlocked cart.
When wasting medications, two-nurse verification is required. (Narcotics, Benzodiazepine, etc.)
Documenting pain before and after giving pain medication (30 minutes for IV, 1 hour for oral
Breaks are required