Neuro PCU Stepdown RN
Seattle, Washington
Harborview Medical Center

Registered Nurse - Stepdown Neuro

Assignment Overview

• Duration: 13 weeks
• Start date: ASAP
• Shift: Day, 4x12-hour shifts (7:00-19:30), 48 hours/week
• Ratio: 1:5
• Unit: Stepdown Neuro
• Facility: Magnet, teaching, Level 1 Trauma center with 500 staffed beds
• Scrub color: Blue
• Charting: Electronic charting system with hard stop
• Parking: Onsite and offsite options available at additional cost; offsite option includes a shuttle (weekdays only)

Patient Population

• Neurosurgery, neurology, and epilepsy patients
• Traumatic brain injury, craniotomy, craniectomy, aneurysm clipping and coiling, spinal cord injury, strokes, seizures, epilepsy, change in mental status, telemetry

Required Qualifications

• Valid RN license in Washington
• 2 years of Neuro PCU (Progressive Care Unit) experience
• Neuro PCU (Progressive Care Unit) experience within the last year
• BLS issued by American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Required skills: IV start, telemetry, and care for tracheostomy
• Proficiency in interpretation and management of dysrhythmias
• Experience with Epic

Scheduling and Travel

• Holidays: Travelers may take 1 of 3 major holidays off and must work 2 holidays (evening/day)
• Weekends: Every other weekend, with flexibility required
• Time off: No more than 6 days off per assignment period (RTO)
• Guaranteed hours: Facility may cancel 1 shift per two-week pay period
• Floating: Travelers float first, within scope, to meet facility needs
• Not accepted: On-call shifts, block scheduling, pending licenses
• Local candidates: Accepted
• First-time travelers: Considered if they have strong neuro experience

Background and Compliance

• 7-year criminal background check, completed within 45 days of start
• Federal exclusion database checks (EPLS/GSA/SAM, HHS/OIG), sex offender search, and Washington state criminal history search (WATCH)
• Washington State license complaint clearance (WA state license holders)
• Multistate license holders working in Washington must complete a 6-hour suicide prevention training and a demographic attestation before starting
• Badge photo required (professional, waist-up, plain background, no hats or face coverings)

Health and Immunizations

• Physical exam within 1 year before start
• 9-panel drug screen within the past 12 months
• Mask fit test within 12 months (acceptable masks: 3M 1860, 1860S, 1870+)
• TB: QuantiFERON, T-SPOT, or 2-step PPD within 90 days of start, plus annual TB questionnaire
• Tdap within 10 years
• Measles, mumps, rubella, and varicella: titer, 2 documented vaccines, or declination
• Hepatitis B: positive titer and full series, or declination
• Flu vaccine or declination required during flu season (documentation due by 11/13)
• COVID vaccination or declination required for tracking
• Declination of a vaccine means a mandatory furlough of at least 21 days if the candidate contracts a communicable disease covered by that vaccine

Onboarding

• 2 professional references
• Orientation modules (about 2-3 hours) due by Thursday before start
• Orientation testing on site (not pass/fail)
• Facility-specific forms, including background packet, health history, equipment safety, policies, code of conduct, job description, and personal data form
• Tele study guide provided to help prepare for the dysrhythmia exam