RN - 19434054

Good Samaritan Hospital • Puyallup, WA

12d • Onsite

About The Position

The Emergency Department Nurse works in a Level III Trauma Center in Puyallup, Washington. The department has 46 beds, including five safe psychiatric rooms and a Fast Track area with four hallway beds and one room, and averages 200 patients per day. Nurses care for patients of all ages, from pediatric to geriatric, with a predominantly geriatric population. Pediatric patients are generally transferred to a specialized facility, and the department does not perform invasive neurological procedures such as craniotomies.

The patient population includes trauma, gunshot wounds, sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis, mental health conditions, respiratory issues, geriatric care, adult psychology, and other high-acuity medical cases. Day-shift ratios are typically 1:4–5, with flexibility up to five patients based on acuity and staffing.

Unit support includes ER technicians, a charge nurse who rarely takes an assignment, a resource/float nurse, respiratory therapy, an ED educator, security, a house supervisor, social work, and pharmacy support, all available 24/7. The department uses Epic for charting, Alaris IV pumps, Pyxis medication dispensing, and central and bedside telemetry monitoring. A telemetry technician is not assigned. Orientation includes first-day onboarding and training, followed by a 12-hour shift with a preceptor on the second day. Travelers must complete and pass a telemetry competency before starting.

Available shifts include day (0700–1900), night (1900–0700), and mid shifts (1100–2300 for day/mid or 1500–0300 for mid/night). Day/mid or night/mid shifts may switch during the contract with prior notice. Weekend assignments vary based on unit needs. 48-hour contract options may be available.

Requirements

• At least 2 years of Emergency Department experience.
• BLS (Basic Life Support) certification.
• ACLS (Advanced Cardiac Life Support) certification.
• PALS (Pediatric Advanced Life Support) certification.
• TNCC (Trauma Nursing Core Curriculum) certification.
• NIHSS (National Institutes of Health Stroke Scale) certification.
• CPI/MOAB (Crisis Prevention Institute/Management of Aggressive Behavior) certification.
• General Emergency Department experience.
• Cardiac rhythm interpretation skills.
• IV skills and basic knowledge of medication administration and drips.
• Procedural sedation and blood administration skills.
• Understanding of emergency cardiac medications.
• Telemetry competency must be completed and passed before starting.

Nice To Haves

• TNK (Tissue Plasminogen Activator) administration experience.

Responsibilities

• Provide emergency nursing care to patients across the lifespan and with a range of high-acuity conditions.
• Interpret cardiac rhythms and provide care involving IVs, medications, and drips.
• Perform procedural sedation and blood administration.
• Use emergency cardiac medications appropriately.
• Complete required telemetry competency before starting.
• Work assigned day, night, or mid shifts; shift combinations may change with prior notice.
• Work weekends as required by unit needs.

What This Job Offers

• Education Level: No Education Listed