RN - 19434199

Tacoma General Hospital • Tacoma, WA

13d

About The Position

The Emergency Department Registered Nurse works in a Level II Trauma Center with a Level IV NICU. The facility has 60 beds, including 21 inpatient holding beds and two psychiatric rooms, and averages 140–150 patients per day. It treats patients from pediatric through geriatric age groups and handles high-acuity cases, including trauma, gunshot wounds, sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis, mental health crises, respiratory issues, psychiatric emergencies, and chest pain.

The standard nurse-to-patient ratio is 1:4, with flexibility to adjust to 1:5 for lower-acuity patients. The nurse may be required to float between multiple regional locations, approximately eight minutes apart; notification is provided before the start of shifts. Orientation includes new employee onboarding, badge issuance, EPIC training if needed, a meeting with an educator, three to four preceptor shifts, and completion of a Traveler Telemetry Competency that must be passed before starting.

Available shifts include 0700–1900, 0900–2100, 1100–2300, 1300–0100, 1500–0300, and 1900–0700. Block scheduling is not guaranteed, though efforts are made to provide a staff-friendly schedule. Schedules are released two weeks before they begin. Weekend rotation is required every other week, up to five days off may be approved, and holiday coverage is required for three of five major holidays. The posting does not identify which holiday is listed after New Year’s Eve.

Requirements

• Strong general emergency department experience.
• BLS certification.
• ACLS certification.
• PALS certification.
• TNCC certification.
• NIHSS certification.
• CPI/MOAB certification.
• Pass the Traveler Competency Exam.
• Cardiac rhythm interpretation skills.
• Intravenous (IV) skills.
• Medication administration experience, including drips.
• Procedural sedation experience.
• Blood administration experience.
• Cardiac medication management experience.
• Experience with EPIC is mandatory.
• Pass the Traveler Telemetry Competency before starting.

Responsibilities

• Provide emergency nursing care to pediatric through geriatric patients, including high-acuity cases.
• Interpret cardiac rhythms and provide cardiac medication management.
• Perform intravenous procedures and administer medications, including drips.
• Provide procedural sedation and blood administration.
• Use the EPIC electronic medical record system.
• Float between regional locations when required.
• Work the required every-other-weekend rotation and three of five major holidays.

What This Job Offers

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