ICU RN
Seattle, Washington
Swedish Medical Center - First Hill Campus

Registered Nurse - ICU

Location: Seattle, Washington Employment Type: Travel/Contract Contract Length: 13 weeks Unit/Department: Critical Care Department (MICU, SICU)

Schedule and Hours

• Shift: Night, 3x12 hours (19:00 to 7:30)
• Hours: 12 per day, 36 per week
• Block scheduling of 3 days is allowed, but a 6-on/8-off pattern cannot be guaranteed.
• Weekends: at least every other weekend, possibly more to meet unit needs.
• Every 6 weeks: a mix of self-scheduling and travelers, flexible to meet unit needs.
• Holiday RTO OK.

Experience and Eligibility

• Required: 2 years of experience.
• 1st-time travelers accepted with experience.
• Clinicians need experience in more than 2 specialized areas (for example, SICU and Neuro ICU).
• Permanent candidates from other (non-Swedish) facilities in the system are eligible for a travel contract if separated for at least 3 months.
• Honors active compact license.

Required Qualifications

• Valid RN license in Washington
• ICU - Intensive Care Unit (1 year of experience), with experience within the last year
• ACLS - Advanced Cardiac Life Support issued by American Heart Association or Canadian Heart & Stroke Foundation
• BLS issued by American Heart Association or Canadian Heart & Stroke Foundation
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with Epic
• Preferred: CCRN

Clinical Scope

• Patient ratio: 1:4
• Patient populations: Sepsis, respiratory failure, thoracic surgery, vascular surgery, GI bleed, liver transplant. About 50% of patients have specialized liver cases or multi-system organ failure.
• Exclusion: Care for all patient populations except CV and Neuro.
• Common procedures: Chest tube set-up and care, CPAP/BiPAP, RSI, trach care and vents, blood product administration, cardioversion/defibrillation, CRRT/dialysis, CVP and PA lines, rapid infuser, sheath removal, PCA, PICC/central lines, port access, syringe pumps, triple-lumen catheters, wound VAC, drains, epidural pumps, feeding tubes, Arctic Sun cooling/warming.
• Common medications: Amiodarone, antiarrhythmics, antipsychotics, antiseizure drugs, atropine, beta blockers, Cardizem, dobutamine, dopamine, epinephrine, heparin, hydralazine, insulin, ketamine, Lasix, Levophed, magnesium sulfate, milrinone, Neo-Synephrine, nicardipine, nitroglycerin, nitroprusside, norepinephrine, TPA, vasopressin.

Float Scope

• Float to IMC/Telemetry and other campuses in the system.
• Floats to other campuses are rare, with some going to Issaquah.
• Must sign a float policy acknowledgement. Travelers may be required to float to another facility within a reasonable distance.

Onboarding Requirements

• Background check: Completed within 90 days of start, covering the past 7 years, and updated annually. Includes SSN trace, national and county searches, national sex offender registry, FACIS Level 3, and education verification. Open hits, any felony, more than one DUI, or any sex offender hit will result in cancellation.
• Washington State Patrol (WATCH) search: Required within 90 days of start.
• EPLS/GSA/SAM and HHS/OIG: Required within 30 days of start, updated monthly.
• Drug screen: 9-panel drug screen within 12 months of start. Instant tests are acceptable.
• Physical exam: Within 1 year of start, signed by an MD, NP, PA, or DO.
• TB: IGRA/QuantiFERON or 2 PPDs within 12 months of start.
• Measles, mumps, rubella: 2 MMR vaccines at least 28 days apart, or a positive titer.
• Hepatitis B: Signed declination, or documentation of both a positive titer and vaccination.
• Tdap: Within 10 years. Declination accepted.
• Flu: Vaccine during flu season or declination.
• COVID: Vaccination record preferred. Declination not required.
• Fit test: Required for travel. Any mask type is acceptable.
• RespSafety clearance: Required for travel, updated annually.
• Annual regulatory modules: About 3.5 hours.
• Badge photo: Not required for this facility.