Float Pool RN (PCU/ICU/Med-Surg)
Puyallup, Washington
Multicare Good Samaritan Hospital

Job Opportunity: Registered Nurse - PCU (Float Pool)

Location: Puyallup, Washington
Specialty: Nursing Float Pool
Contract Length: 13 weeks

Job Overview

• Primarily supporting Emergency Department (ED) Holding Float Pool teams.
• Floating mainly within multiple units including PCU, ICU, Med-Surg, Rehab, and ED Holding.
• Flexible and resourceful nurse needed for a fast-paced environment.
• First-time travelers are accepted.

Units & Bed Counts

• MSICU: 40 beds
• CVICU: 10 beds (no specific CVICU experience required)
• PCU: 40 beds
• 2R PCU Obs: 18 beds (up to 27 beds when open for overflow)
• CCU: 30 beds
• Medical: 89 beds
• Surgical: 55 beds
• Flex Unit: 9 beds (PCU and MS patients)
• Inpatient Rehab: 47 beds on two floors
• ED Holding Unit (primary unit for this role)
• COVID overflow as needed

Required Experience

• ICU: Minimum 2 years ICU experience
• PCU/PCU ER Holds: Minimum 2 years PCU experience
• Medical-Surgical (MS): Minimum 2 years acute care experience
• Note: Use the highest required years of experience (2 years) for specialty.

Prior Travel Experience

• Not required; first-time travelers are welcome.

Patient Types / Common Diagnoses

• ICU: Respiratory failure, GI bleeds, DKA, sepsis, post-op complications, CVA, flap surgeries (no craniotomies or major trauma).
• PCU: Respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, pneumonia, ortho cases.
• Med-Surg: Oncology (neutropenic, post-op), psych, post-op, COPD, CHF, sepsis, DVT, AKI, dialysis, COVID (common).
• Med-Surg Ortho: Total joints, post-surgical, general medical overflow.
• Med-Surg Palliative: Pneumonia, sepsis, CHF, COPD, AKI, DVT, PE, occasional surgical, COVID.
• Rehab: Stroke, spinal cord injury, TBI, multi-trauma, post-COVID, post-ICU; vent and trach care.
• ED Holding: Mixed diagnoses; ICU, PCU, and Med-Surg patients; isolation and non-ambulatory patients.

Patient Ratios

• ICU: 1:2 (acuity dependent)
• PCU and CCU: 1:4 (acuity dependent)
• Medical and Surgical: 1:5
• PCU floated to Med-Surg: 1:5
• Rehab: 1:8 (team model with RN, LPN, Tech)

Required Licenses & Certifications

• ICU & PCU: ACLS, BLS, NIH Stroke Scale (NIHSS)
• Med-Surg: BLS, NIHSS

Skills Required

• ICU: Cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, drains, tracheostomy care.
• PCU: Cardiac rhythm interpretation, chest tubes, lumbar drains, tracheostomy care, IV medication titration (Amiodarone, Cardizem, Nitro, Dopamine, Dobutamine, non-DKA insulin, Heparin, sometimes Cardene).
• Med-Surg: IVs, PCAs, chest tubes, drains, ostomies, IV antibiotics.
• Strong communication and patient education skills required for all clinicians.

Support & Resources

• Tech support ratios: ICU 1:14, PCU 1:10, Med-Surg 1:8-10
• Respiratory Therapy available 24/7
• Hospitalist and Intensivist coverage 24/7

Technology & Equipment

• EMR: EPIC
• IV Pumps: Alaris
• Medication Dispensing: Pyxis

Floating

• May float for partial shifts within scope of practice.

Orientation

• 2 days hospital orientation (login, modules, etc.)
• 1 day unit orientation
• 4 hours orientation for other units when floating
• Telemetry competency required

Scheduling

• Must call staffing office 30-45 minutes before shift for assignment or check posted assignments.
• Shift start times: 0700 or 1900 (cannot clock in earlier than 0653/1853).
• Weekend shifts vary by unit needs.
• Schedule provided 3 weeks in advance.
• No holiday requests, self-scheduling, or on-call.
• Time off approved up to 5 days; additional days require manager approval.
• Time off requests may require extending assignment length.

This position offers a dynamic float pool nursing opportunity with a variety of patient populations and units, ideal for nurses with at least 2 years of acute care experience seeking a flexible and engaging assignment.