RN - 19361252

Tacoma General Hospital • Tacoma, WA

2d • Onsite

About The Position

The Emergency Department Registered Nurse provides care in a Level II Trauma Center with a Level IV NICU, 60 total beds, and an average daily volume of 140–150 patients. The emergency department treats patients from pediatrics through geriatrics, including high-acuity cases such as trauma, gunshot wounds, sepsis, COVID-19, STEMI, stroke, DKA, mental health issues, respiratory problems, adult psychiatric conditions, and chest pain. The standard patient ratio is 1:4 and may flex to 1:5 for low-acuity patients.

The role requires strong emergency department experience and proficiency with cardiac rhythm interpretation, IV skills, drips and medication administration, procedural sedation, blood administration, and cardiac medications. Epic experience is required. The department uses Alaris IV pumps, Pyxis medication dispensing, and central and bedside telemetry monitoring. Travelers complete an initial orientation, including badge issuance and Epic training if needed, followed by three to four preceptor shifts on their assigned shift. A traveler telemetry competency is required.

Shifts include days, mids, evenings, and nights; day/mid or night/mid assignments may be adjusted during the contract, although consistent shifts are preferred. Schedules are released two weeks before the start date. The role includes an every-other-weekend rotation, occasional floating between regional locations with prior notice, and potentially mid-shift floating, though this is not routine. Time off approval is limited to up to five days. Holiday expectations are three out of five major holidays; the provided posting lists Thanksgiving, Christmas Eve, and Christmas Day before ending mid-list.

Requirements

• Minimum of 1 year of strong Emergency Department experience.
• BLS certification.
• ACLS certification.
• PALS certification.
• TNCC certification.
• NIHSS certification.
• CPI/MOAB certification.
• Traveler Competency Exam.
• General Emergency Department experience.
• Cardiac rhythm interpretation skills.
• IV skills.
• Knowledge of drips and medication administration.
• Procedural sedation skills.
• Blood administration skills.
• Ability to administer cardiac medications.
• Epic experience.
• Traveler telemetry competency.

Nice To Haves

• First-time travelers are welcome.

Responsibilities

• Provide emergency nursing care to pediatric through geriatric patients with a broad range of conditions, including trauma, sepsis, STEMI, stroke, DKA, mental health issues, respiratory problems, and chest pain.
• Interpret cardiac rhythms and provide IV therapy, administer drips and medications, perform procedural sedation, administer blood products, and administer cardiac medications.
• Use Epic for electronic medical records and work with Alaris IV pumps, Pyxis medication dispensing, and telemetry monitoring equipment.
• Complete orientation and preceptor shifts, and meet traveler telemetry competency requirements.
• Work scheduled shifts, including every-other-weekend rotation and the stated holiday expectations.
• Float occasionally between multiple locations in the region with prior notice; mid-shift floating may also occur but is not routine.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed