RN - 19348381

Good Samaritan Hospital•Puyallup, WA

About The Position

The Emergency Department Nurse works in a Level III Trauma Center in Puyallup, Washington, serving an average of 200 patients per day. The department treats patients from pediatrics through geriatrics and handles a broad range of conditions, including trauma, gunshot wounds, sepsis, COVID-19, high-volume STEMI, stroke, diabetic ketoacidosis, mental health concerns, respiratory issues, and other high-acuity medical cases. Day-shift ratios are typically one nurse to four or five patients, with flexibility based on acuity and staffing. The role requires recent EPIC experience, emergency department experience, and competency in telemetry. Unit support includes emergency room technicians, a resource/float nurse, 24/7 respiratory therapy, security, a house supervisor, social work assigned to the Emergency Department, and 24/7 pharmacy support. A charge nurse rarely takes a patient assignment. Orientation includes a first day of new employee orientation, EPIC training if needed, introduction to the educator, and time in the mental health and front areas. The second day is a 12-hour shift with an assigned preceptor. Traveler telemetry competency must be completed and passed before the start date. Shifts include days/mids starting at 0700 or 1100, and mids/nights starting at 1500 or 1900. Weekly scheduling is preferred but may change according to unit needs. Weekend scheduling varies based on requirements. The schedule is available three weeks in advance, with notice provided approximately 10 days before the start date. Time-off requests are approved by the Nurse Manager. Nurses are required to work two of five major holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, and New Year's Day.

Requirements

  • Minimum of 2 years of Emergency Department experience.
  • Recent EPIC 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/Management of Aggressive Behavior) certification.
  • General Emergency Department experience.
  • Cardiac rhythm interpretation skills.
  • IV skills.
  • Basic knowledge of Emergency Department drips and medication administration.
  • Procedural sedation experience or skills.
  • Blood administration experience or skills.
  • Traveler telemetry competency must be completed and passed prior to start.

Nice To Haves

  • TNK administration experience.

Responsibilities

  • Provide emergency nursing care to patients from pediatrics through geriatrics, including high-acuity medical and trauma cases.
  • Interpret cardiac rhythms and perform IV-related skills.
  • Administer medications and drips, blood products, procedural sedation, and TNK when applicable.
  • Complete and pass traveler telemetry competency before the start date.
  • Participate in orientation, including work with an assigned preceptor during a 12-hour shift.
  • Work required weekend schedules and two of the five listed major holidays.
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