Critical Care Float RN
Seattle, Washington
Virginia Mason Medical Center and Seattle Medical Center

RN (Registered Nurse): High Acuity Float Pool

Location: Seattle, Washington Contract Length: 13 weeks Shift: Nights, 12 hours per day, 36 hours per week Scrub Color: Royal blue

Required Qualifications

• Licensure: WA or Compact License
• Certifications: BLS, ACLS, NIHSS
• ICU experience: 2 years
• Prior floating experience (float pool shifts, other facilities, and/or floating to other floors or units)
• Able to titrate drips (RNs are required to titrate)

Preferred Qualifications

• High acuity experience
• Night candidates, in priority order: CRRT, Impella, ECMO, and IABP experience. Experience with PA catheters is likely with these devices. Not all of this experience is required; some is helpful.

Float Pool Scope

• Critical Care Unit, Observation, Med Surg, General Surgery, Ortho Surgery, Short Stay Surgery, Thoracic Surgery, Neurosurgery, Oncology, Telemetry, and Progressive Care

Unit Details

• Staffing ratios: Standard AACN CCU staffing. Assignments are 1–2 patients depending on acuity. Up to 1–3 patients if acuity is lower or there are transfer orders.
• Common diagnoses: Medical, surgical, neuro, and cardiac
• Titratable and set-rate drips: Epinephrine, norepinephrine, dobutamine, propofol, esmolol, hydromorphone, midazolam, CIS
• Respiratory equipment: Ventilators, high flow, BiPAP, CPAP
• Telemetry: Philips monitors, at least 1 monitor tech, RNs read strips
• Nurse aides: Usually 1–2 depending on daily census
• Charge/resource nurses: Free (not assigned patients)

Scheduling

• Self-scheduling allowed
• 3 weekend shifts per schedule
• Holiday requirements apply
• No call or standby requirement
• Charge RN creates assignments from 0645–1845; RNs choose assignments

Orientation

• General hospital orientation on Mondays (weekly)
• Facility modules
• EMR validation class
• On-unit orientation with 2 shifts in the ICU

Logistics

• Parking is at the worker's expense until 7pm and is not reimbursed. Garage parking is available with daily and monthly options. Public transit is also an option.
• Profile review first; the unit manager calls for the interview.