RN - 19434071

Tacoma General Hospital•Tacoma, WA

11d

About The Position

This Float Pool Registered Nurse position involves floating within the nurse’s scope of practice among hospital units, including PCU, Tele, MedSurg, and ER Holding, among others. Travelers may also be assigned to a nearby facility in Allenmore, approximately 2.5 miles away, as needed. ED Holding is expected to be the most common assignment and is not the home unit; travelers will likely spend most of their contract there. Assignments may also include inpatient PCU patients with a range of medical, surgical, cardiac, respiratory, neurological, and trauma-related conditions. Patient ratios are 1:4 in PCU and 1:5–6 in MedSurg. Departmental support includes CNA assistance, a charge RN without a patient assignment, hospitalist coverage 24/7, 24/7 respiratory therapy services, and access to cardiac and specialty physicians on call 24/7. The electronic medical record is EPIC; equipment and systems include Alaris IV pumps and Pyxis medication dispensing. Travelers receive one day of general hospital orientation and one 12-hour PCU unit orientation. Telemetry competency is required. The role rotates weekends every other weekend, with the possibility of back-to-back weekends on rare occasions. Shifts are 0700–1930 or 1900–0730. Schedules are created in three-week increments and provided 7–10 days before the schedule start date. Self-scheduling is unavailable, and a patterned schedule is not guaranteed. Nurses may wear solid-color scrubs, and free parking is available in the parking garage. Completion of whiteboards and documentation of hourly rounding are required, and bedside reporting must be followed. Saline flushes are considered medication and should not be left at the bedside or in personal scrubs.

Requirements

At least 1 year of experience.
BLS (Basic Life Support) certification.
ACLS (Advanced Cardiovascular Life Support) certification.
NIHSS (National Institutes of Health Stroke Scale) certification.
Skills in IV medication titration, cardiac rhythm interpretation, BiPAP management, ostomy care, and management of general drains, tracheostomies, chest tubes, and lumbar drains.
Proficiency with the EPIC EMR system.
Telemetry competency.
First-time travelers are acceptable with strong PCU/Tele experience and previous float pool experience.

Nice To Haves

Experience with TR Bands.

Responsibilities

Float to hospital units within scope of practice, including PCU, Tele, MedSurg, and ER Holding, and potentially to the nearby Allenmore facility as needed.
Provide nursing care to patients with conditions that may include neuro cases, trauma, surgical and medical cases, respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, pneumonia, orthopedic conditions, strokes, cardiac stepdown cases, cardiac short-stay cases, STEMIs, and chest-pain observations.
Meet the specified patient ratios: PCU 1:4 and MedSurg 1:5–6.
Complete whiteboards and document hourly rounding.
Adhere to bedside report practices.
Handle saline flushes as medication and avoid leaving them at the bedside or in personal scrubs.
Maintain required telemetry competency.