RN - 19175507

Tacoma General Hospital•Tacoma, WA

4d•Onsite

About The Position

This Float Pool Registered Nurse position provides patient care across the PCU, Telemetry, MedSurg, and ER Holding units. The traveler may also float to another facility approximately 2.5 miles away. The primary unit is ED Holding, where the nurse should expect to spend most of the contract. Common patient populations and diagnoses include neuro, trauma, surgical and general medical conditions, respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, pneumonia, orthopedics, strokes, and CCU and cardiac short-stay observations. Patient ratios are 1:4 in PCU and 1:5–6 in MedSurg. The role requires BLS, ACLS, and NIHSS certifications, EPIC experience, telemetry competency, and skills in IV medication titration, cardiac rhythm interpretation, BiPap management, ostomy care, and management of general drains, tracheostomies, chest tubes, and lumbar drains. CNA support is available; a charge RN without a patient assignment is present. Hospitalist coverage, respiratory therapists, and cardiac and specialty physicians on call are available 24/7. Orientation includes one day of general hospital orientation, one day of unit orientation (12 hours on PCU), and one day of light unit orientation. Shifts are 0700–1930 or 1900–0730. Weekend rotation is required every other weekend, with occasional back-to-back weekends. Scheduling is done in three-week increments, with notification 7–10 days before the schedule begins; self-scheduling and a fixed schedule are not guaranteed. Up to five days of approved time off is permissible. Scrubs must be any solid, professional color. Free parking is available in the parking garage.

Requirements

At least 1 year of nursing experience.
BLS, ACLS, and NIHSS certifications.
EPIC experience.
Telemetry competency for travelers.
Skills in IV medication titration, cardiac rhythm interpretation, BiPap management, ostomy care, and management of general drains, tracheostomies, chest tubes, and lumbar drains.
Ability to work the stated shifts and required weekend rotation.

Nice To Haves

Strong PCU/Telemetry experience for first-time travelers.
Previous float pool experience for first-time travelers.
Experience with TR Bands.

Responsibilities

Provide patient care across PCU, Telemetry, MedSurg, and ER Holding, and potentially at another facility approximately 2.5 miles away.
Provide care primarily in ED Holding, where the traveler is expected to spend most of the contract.
Perform patient care for the listed medical, surgical, cardiac, respiratory, neurological, and other patient conditions.
Perform IV medication titration and cardiac rhythm interpretation.
Manage BiPap, ostomies, general drains, tracheostomies, chest tubes, and lumbar drains.
Complete whiteboards, perform hourly rounding, and provide bedside report.
Follow medication management practices, including two-nurse verification when wasting medications such as narcotics and benzodiazepines.
Accurately document patient pain levels before and after medication administration.
Participate in the required every-other-weekend rotation.