RN - 19434097

Tacoma General Hospital • Tacoma, WA

13d • Onsite

About The Position

The Emergency Department Nurse works in a high-acuity, Level II Trauma Center and Level IV NICU in Tacoma, Washington. The emergency department has 60 total beds, including 21 inpatient holding spaces, 2 psychiatric rooms, and 14 hall spaces, and sees an average of 140–150 patients per day. Nurses care for pediatric through geriatric patients with conditions and needs including trauma, gunshot wounds, sepsis, COVID, STEMI, stroke, DKA, mental health concerns, adult psychiatry, chest pain, and respiratory issues. The standard patient-to-nurse ratio is 1:4, with flexibility to 1:5 for low-acuity patients.

The role requires strong Emergency Department experience and is not available to first-time travelers. The department uses EPIC for electronic medical records, Alaris IV pumps, and Pyxis medication dispensing. Staff may float between locations in the region with advance notice; mid-shift floating is not routine but may occur. Orientation includes initial NEO training, badge and EPIC training if needed, a meeting with the educator, and 3–4 twelve-hour shifts with a preceptor on the assigned shift. Traveler Telemetry Competency must be completed and passed before starting.

Available schedules include day, mid, and evening/night shifts. Shift rotations may change between day/mid or night/mid during the contract, but schedules remain consistent within each six-week block. The schedule is released two weeks before the scheduling period begins. Every-other-weekend rotation is required. Up to five days of time off are permitted. The posting states that nurses work 3 of 5 major holidays, but the sentence listing this requirement is incomplete.

Requirements

• At least 1 year of strong Emergency Department experience.
• Not available to first-time travelers.
• 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 certification.
• Traveler Competency Exam.
• General Emergency Department experience, including cardiac rhythm interpretation.
• IV skills and basic knowledge of medication administration, drips, procedural sedation, blood administration, and cardiac medications.
• EPIC experience.
• Traveler Telemetry Competency must be completed and passed before starting.

Responsibilities

• Provide emergency nursing care to pediatric through geriatric patients with a broad range of high-acuity conditions.
• Use general Emergency Department nursing skills, including cardiac rhythm interpretation, IV skills, medication administration, drips, procedural sedation, blood administration, and cardiac medications.
• Float between locations in the region when assigned, with advance notice; mid-shift floating may occur but is not routine.
• Complete Traveler Telemetry Competency and the required orientation before starting.
• Work the required every-other-weekend rotation and assigned schedule.

What This Job Offers

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