Neuro ICU RN
Seattle, Washington
Harborview Medical Center

Registered Nurse: Neuro ICU

Unit: 2W Neuro ICU (Neuroscience ICU, a TJC comprehensive accredited stroke unit) Start Date: 11/30 Contract Length: 13 weeks Employment Type: Travel/Contract

Schedule and Logistics

• Shift: Nights, 3x12-hour shifts, 19:00 to 07:30 (12 hours per day, 36 hours per week)
• Ratios: Days 1:2 and Nights 1:2
• Weekends: Every other weekend
• On-call: Not required
• Block schedule: Not accommodated
• Float: Clinician may float within scope to other ICUs or boarders as needed
• Local candidates: Accepted, with no local radius rule
• Pending licenses: Not accepted
• First-time travelers: Accepted; auto-offer to seasoned travelers, with first-time travelers screened for prior Level 1 trauma experience and strong work history
• Scrubs: Any solid color; light blue provided on unit
• Parking: Onsite parking available, plus an offsite garage option with shuttle service (weekdays only, 5 am to 10 pm, no nights, weekends, or holidays)

Unit and Patient Population

• Primarily neuroscience patients, with some medical and surgical overflow
• Neurosurgical conditions: hemorrhagic stroke, SAH, aneurysms and other vascular malformations requiring open or endovascular intervention, planned tumor removal
• Primary neurological conditions: ischemic stroke requiring tPA and/or thrombectomy, seizure disorders, neuro infections, mild to severe TBI, and SCI

Required Qualifications

• Valid RN license in Washington
• Associate of Science in Nursing / Associate Degree in Nursing
• Neuro ICU experience (2 years)
• Neuro ICU experience within the last year
• Experience with external ventricular drains (EVD)
• Experience with craniotomy
• Experience with burr holes
• Experience with Epic
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification

Certifications and Competency Exams

• Advanced dysrhythmia exam: score of 80% or higher, completed and on file 10 days before start, with a maximum of 2 attempts
• Medication/pharmacology exam: score breakdown required, with 80% or higher in the dosage calculations category
• Competency exam
• Color blindness test, updated annually starting 5/4/2026

Background Checks

• 7-year criminal background check, completed within 45 days of start
• EPLS/GSA/SAM, HHS/OIG, sex offender search, and Washington WATCH search, each run on all current and former legal names and aliases
• Education verification, with diploma or transcript if the degree cannot be verified
• WA license complaint clearance (for Washington state licenses only)
• Suicide prevention training (6 hours, approved course list) required if working in Washington on a multistate compact license from another state

Health and Immunizations

• TB test (QuantiFERON, T-SPOT, or 2-step PPD) within 90 days of start, or TB questionnaire annually
• Tdap within 10 years of start
• Measles, mumps, rubella, and varicella: titer, 2 documented vaccines, or declination
• Hepatitis B: positive titer and full vaccine series, or declination
• Flu vaccine or declination during flu season, with documentation due 11/13
• COVID vaccine or declination (tracking only)
• Physical within 1 year before start
• 9-panel drug screen within 12 months
• N95 mask fit test within 12 months (documentation must include size, make/model, and date)
• Declinations of communicable disease vaccines carry a mandatory furlough of at least 21 days if the candidate contracts that disease

Orientation and Onboarding

• Basic knowledge test (ICU), adult medication test, and facility modules (about 2 to 3 hours, due by the Thursday before start); tests are not pass/fail
• Annual stroke education modules required for Neuro ICU (review only, with confirmation provided to managers)
• Badge photo meeting professional photo criteria
• Facility documents to sign, including license acknowledgment, equipment safety, health history, policies, code of conduct, job description, and personal data form
• Two professional references

Facility Highlights

• Magnet, teaching, and Level I trauma center
• 500 total staffed beds