RN - 19326674

Tacoma General Hospital•Tacoma, WA

About The Position

The Emergency Department Nurse provides high-quality emergency care to pediatric through geriatric patients with a variety of medical conditions, with an emphasis on trauma patients and high-acuity cases. The facility is a Level II Trauma Center with a Level IV Neonatal Intensive Care Unit (NICU), 60 total beds, and an average daily patient volume of 140–150. The beds include 21 inpatient holding beds, 2 psychiatric rooms, and 14 hall spaces. The standard nurse-to-patient ratio is 1:4, with flexibility to 1:5 for low-acuity patients. Patient types include trauma, including gunshot wounds (GSW), sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis (DKA), mental health issues, respiratory issues, and chest pain. Support includes emergency room technicians, a charge nurse who rarely takes an assignment, a resource/float nurse pending staffing, and 24/7 respiratory therapy, security, house supervisor, and pharmacy services. There is no telemetry technician. The nurse uses Epic electronic medical records, Alaris IV pumps, Pyxis medication dispensing, and central and bedside telemetry monitoring. Orientation includes first-day onboarding and Epic training if needed, a meeting with the educator, and 3–4 shifts of direct training with a preceptor on assigned shifts. Telemetry competency must be completed and passed before starting. Shift options are days, mids, and evenings/nights. Weekend rotation is every other weekend, and the holiday expectation is to work 3 of 5 major holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, and New Year’s Day. Time-off requests can be approved for up to 5 days. Scrubs may be any professional color; piercings must be modest or studs only, and tattoos must not have offensive designs.