ICU Float Registered Nurse
Silverdale, Washington
St Michael Medical Center

Job Opportunity: RN - ICU Nursing Float

Location: Silverdale, Washington
Contract Length: 13 weeks (approximately 3 months)
Specialty: ICU Nursing Float

Job Description

Seeking an experienced ICU Registered Nurse for a travel contract. The role involves floating across multiple units including ICU, ED Boarders (in-patients only), MedSurg units, and Observation unit. Patient acuity and nurse-to-patient ratios vary by unit.

Unit Details & Responsibilities

• Units Included: ICU, ED Boarders, MedSurg, Observation
• Nurse-to-Patient Ratios:

  • ICU: 1:1 or 1:2
  • PCU or ED: 1:3-4
  • Lower acuity MedSurg: 1:5-6
• Common Patient Types: Varies by unit assignment
• Float Requirements: Must be able to take full assignments on MedSurg and ICU, including managing Swans, IABP, and Impella devices
• Drip Titration: Required in ED, Critical Care, and PCU units (sedation, vasoactive meds, paralytics)
• Telemetry: Must be able to read tele strips; monitor techs present on each unit
• Charge Nurse/House Supervisor: Present on each unit
• Nurse Aids: Available depending on unit and staffing
• Respiratory Therapy Equipment: Ventilators, CPAP, BiPAP available

Scheduling & Orientation

• Shifts: Set schedule with potential for overtime
• Weekend Requirement: Every other weekend (every weekend considered)
• Holiday Requirement: Yes
• Call/Standby: No
• Unit Assignment: Staffing calls 30-60 minutes before shift start
• Orientation: 1 onboarding day with manager plus 2 shifts with float pool member
• Dress Code: Professional scrubs (any color) or business casual for trainings

Required Qualifications

• Active Washington RN license (pending license submissions accepted; temporary license takes ~4 weeks)
• Minimum 2 years ICU nursing experience (highest required experience)
• Certifications: BLS, ACLS, NIHSS
• Ability to advocate for own skill set and refuse tasks outside comfort/competency

Additional Notes

• Orientation/education hours not guaranteed during first 2 weeks; expect 25+ hours
• Must be comfortable managing high-acuity patients and advanced cardiac support devices
• Prior travel experience is not explicitly required

This position is ideal for ICU nurses comfortable with floating across multiple units and managing complex patient care in a fast-paced environment.