RN - 19434179

Tacoma General Hospital • Tacoma, WA

13d • Onsite

About The Position

The Emergency Department Nurse provides comprehensive nursing care to patients of all ages, from pediatrics to geriatrics, in a fast-paced, high-acuity emergency department at a Level II Trauma Center in Tacoma, Washington. The unit has 60 beds and sees an average of 140–150 patients daily. Patient cases include trauma and gunshot wounds, sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis, mental health and respiratory issues, chest pain, and adult psychiatric cases. The typical nurse-to-patient ratio is 1:4, with the ability to flex to 1:5 for lower-acuity patients.

The role requires strong emergency department experience and competency in cardiac rhythm interpretation, IV skills, drips and medication administration, procedural sedation, blood administration, cardiac medications, and EPIC electronic medical records. Available unit support includes emergency room technicians, a charge nurse, a resource/float nurse based on staffing, respiratory therapists, an ED educator, on-site security, a house supervisor, and pharmacy support. Telemetry is monitored at the nursing station, with no telemetry technician available.

The schedule offers day, mid, and evening/night shifts, with every other weekend required. Nurses may float between locations with advance notice; mid-shift floating may occur but is not routine. Orientation includes New Employee Orientation, badge issuance, EPIC training if needed, a meeting with the educator, and three to four 12-hour shifts with a designated preceptor. Completion of the Traveler Telemetry Competency is required before starting.

Requirements

• At least 1 year of strong Emergency Department experience.
• General Emergency Department experience.
• BLS (Basic Life Support) certification.
• ACLS (Advanced Cardiovascular Life Support) certification.
• PALS (Pediatric Advanced Life Support) certification.
• TNCC (Trauma Nursing Core Course) certification.
• NIHSS (National Institutes of Health Stroke Scale) certification.
• CPI/MOAB (Crisis Prevention Institute/Mandatory Outpatient Assessment and Behavior) certification.
• Traveler Competency Exam.
• Cardiac rhythm interpretation skills.
• Intravenous (IV) skills.
• Understanding of drips and medication administration.
• Procedural sedation experience or competency.
• Blood administration skills.
• Administration of cardiac medications.
• Experience with EPIC electronic medical records; EPIC is required.
• Completion of Traveler Telemetry Competency before starting.

Responsibilities

• Provide comprehensive nursing care to patients of all ages in a fast-paced, high-acuity emergency department.
• Care for patients with trauma and gunshot wounds, sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis, mental health and respiratory issues, chest pain, and adult psychiatric cases.
• Perform emergency nursing duties involving cardiac rhythm interpretation, IV skills, drips and medication administration, procedural sedation, blood administration, and cardiac medications.
• Use EPIC electronic medical records for charting.
• Float between locations as needed, with advance notification; mid-shift floating may occur but is not routine.
• Complete the Traveler Telemetry Competency before starting.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed