Medical-Surgical Burn Unit RN
Seattle, Washington
Harborview Medical Center

Registered Nurse – Medical Surgical (Burn Unit)

Location: Seattle, Washington
Employment Type: Travel/Contract
Duration: 13 weeks
Shift: Night (3 shifts per week, 12 hours each, 7:00 PM – 7:30 AM)
Hours per Week: 36

Unit & Patient Population

• 15 room, 26 bed unit
• Patient population includes Adult Burn, Plastic Surgery, Pediatric Trauma, and Burn patients
• Special procedures: anesthesia-assisted painful wound care (nitrous oxide available), two tank rooms and a bath room for wound care
• Wound care RN assists primary RN in tank rooms during day shifts (7:00 AM – 3:30 PM)
• EtCO2 monitoring for specific patients
• Average daily census: 22 patients

Staffing Ratios & Scheduling

• Nurse-to-patient ratios: 3-4:1 (day), 4-5:1 (night)
• Weekend requirement: every other weekend
• Floating: Travelers will be the first to float within scope to meet facility needs
• Block scheduling: Not accommodated
• Locals accepted
• Guaranteed hours: Facility may call off 1 shift per every 2-week contract

Required Qualifications

• Valid Registered Nurse (RN) license in Washington State
• Minimum 1 year of Medical-Surgical nursing experience within the last year
• BLS certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Certifications & Competencies

• Pass Relias Medication/Pharmacology Competency Exam with minimum 80% in dosage calculations
• Pass Relias Advanced Dysrhythmia Exam (80% required; 2 attempts max) if assigned to units requiring it
• Other certifications may be required depending on unit assignment (e.g., PALS, NRP, TNCC, CCRN) – check unit-specific job descriptions
• Crisis Prevention Institute (CPI) certification as applicable
• Completion of facility-specific orientation testing (pass/fail, 80% passing score)

Background & Screening Requirements

• 7-year criminal background check including nationwide, sex offender, FACIS Level 1, and state-specific searches
• Education verification required
• Drug screen within past 12 months (instant acceptable)
• WA State WATCH search required
• Two professional references required

Health & Immunization Requirements

• Physical exam within 1 year (not required by facility but needed for credentialing)
• Mask fit test within 12 months (3M 1860R, 1860S, or 1870+ masks)
• Tdap vaccine within 10 years or documented declination
• Negative TB test (Qgold, Tspot, or 2-step PPD within 90 days) or chest X-ray if positive TB history
• Annual TB questionnaire required
• Immunity or vaccination documentation for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (titer or declination; vaccine series plus confirmatory titer required)
  • Varicella
• Seasonal flu vaccine or declination required during flu season (Sept 29 – Mar 31)
• COVID vaccination or declination required for tracking purposes

Facility & Orientation Details

• Magnet, teaching hospital, Level 1 Trauma Center
• Charting system: EPIC with hard stops
• Scrub color: Blue (provided by facility)
• Parking: Onsite daily parking fee applies; offsite parking with shuttle available on weekdays
• Orientation includes online modules (2-3 hours) to be completed before start date
• In-person orientation testing required on site

Additional Notes

• No on-call requirement
• Badge photo required (professional, waist-up, clear lighting, simple background)
• Multiple facility-specific documents must be signed prior to or at orientation (e.g., license acknowledgment, equipment safety, policies and procedures, job description, PCIS agreement)
• Suicide prevention training required for multi-state licensed nurses working in Washington
• Candidates with temporary RN licenses must complete all pending licensing requirements (including fingerprinting) before starting

This position offers an opportunity to work in a specialized burn and trauma unit with a diverse patient population in a high-acuity, Level 1 trauma setting. The role requires strong clinical skills, relevant certifications, and compliance with comprehensive health and background screening protocols.