RN - 19434316

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, 2 psychiatric rooms, and 14 hall spaces, and averages 140–150 patients per day. Nurses care for patients ranging from pediatrics to geriatrics, with conditions including trauma, gunshot wounds, sepsis, COVID-19, STEMI, stroke, diabetic ketoacidosis, mental health crises, respiratory issues, adult psychiatric emergencies, and chest pain. The typical patient-to-nurse ratio is 1:4 and may flex to 1:5 for lower-acuity patients.

The unit has Emergency Room Technicians, a charge nurse who rarely takes assignments, a resource/float nurse depending on staffing, an ED Educator, and 24/7 availability of respiratory therapy, security, a House Supervisor, and pharmacy support. Staff may float between locations with prior notice; mid-shift floating may occur but is not routine. Orientation includes first-day onboarding, badge issuance, and Epic training if applicable, followed by 3–4 hands-on preceptor shifts. Traveler Telemetry Competency must be completed and passed before starting.

Shift options include 0700–1900, 0900–2100, 1100–2300, 1300–0100, 1500–0300, and 1900–0700. Shifts may change during the contract but remain consistent for each six-week block. The schedule is released two weeks before the start date. Weekend rotation is every other weekend, and time-off requests are limited to a maximum of five days. Nurses are expected to work 3 of 5 major holidays.

Requirements

• General emergency department experience.
• Basic Life Support (BLS) certification.
• Advanced Cardiovascular Life Support (ACLS) certification.
• Pediatric Advanced Life Support (PALS) certification.
• Trauma Nursing Core Course (TNCC) certification.
• National Institutes of Health Stroke Scale (NIHSS) certification.
• Crisis Prevention Institute/Management of Aggressive Behavior (CPI/MOAB) certification.
• Traveler Competency Exam.
• Cardiac rhythm interpretation skills.
• IV skills.
• Knowledge of medication administration, drips, and procedural sedation.
• Blood administration techniques.
• Experience with cardiac medications.
• Proficiency in Epic EMR.
• Traveler Telemetry Competency must be completed and passed prior to starting.

Responsibilities

• Provide emergency nursing care to pediatric through geriatric patients with a broad range of emergency conditions.
• Interpret cardiac rhythms and perform IV-related skills.
• Administer medications and drips and support procedural sedation.
• Perform blood administration and care for patients receiving cardiac medications.
• Use the Epic electronic medical record system.
• Float between locations as needed, with prior notice; mid-shift floating may occur but is not routine.
• Complete and pass Traveler Telemetry Competency before starting.
• Work the assigned shift schedule, every other weekend rotation, and 3 of 5 major holidays.

What This Job Offers

• Education Level: No Education Listed