RN - 19434100

Tacoma General Hospital•Tacoma, WA

10d

About The Position

The Float Pool Registered Nurse provides patient care across PCU, Telemetry, Medical-Surgical, and ER Holding departments within the nurse’s scope of practice. The primary unit is ED Holding. Nurses may also be asked to provide patient care at a nearby facility within the region as needed. The role involves caring for patients with neuro and trauma conditions, surgical and medical needs, respiratory compromise, sepsis, renal failure, CHF, COPD, pneumonia, orthopedic issues, strokes, and cardiac patients following procedures. Typical patient ratios are 1:4 in PCU and 1:5–6 in Medical-Surgical. Department support includes CNA staff, a charge RN without a patient assignment, hospitalists, respiratory therapists, and specialty physicians on call, with the latter three available 24/7. Orientation includes one day of general hospital orientation and one day of PCU-specific unit orientation. Traveler Telemetry Competency is required. Schedules are built in three-week increments, with advance notice provided. Available shifts are 0700–1930 and 1900–0730. Nurses typically work every other weekend; holidays follow standard expectations. There are no on-call duties. Time-off requests may be approved for up to five days. Self-scheduling is not allowed, and a patterned schedule cannot be guaranteed. Scrubs must be solid-colored and professional in appearance. Free garage parking is available. Hourly rounding and pain levels before and after medication administration must be documented; medication waste requires verification by two nurses, and breaks are mandatory.

Requirements

At least 1 year of relevant nursing experience.
BLS certification.
ACLS certification.
NIHSS certification.
Skills in IV medication titration and cardiac rhythm interpretation.
Bipap management skills.
Expertise with drains, tracheostomies, chest tubes, and lumbar drains.
Traveler Telemetry Competency.
Willingness to float among PCU, Telemetry, Medical-Surgical, ER Holding, and potentially nearby regional facilities.

Nice To Haves

First-time travelers are welcome if they have strong PCU/Telemetry experience and previous float pool experience.
TR Bands experience.
EPIC electronic medical record experience.

Responsibilities

Provide nursing care across PCU, Telemetry, Medical-Surgical, and ER Holding units within scope of practice.
Float to a nearby facility within the region for patient care as needed.
Care for patients with neuro and trauma conditions, surgical and medical cases, respiratory compromise, sepsis, renal failure, CHF, COPD, pneumonia, orthopedic issues, strokes, and post-procedure cardiac needs.
Document hourly rounding and pain levels before and after medication administration.
Follow two-nurse verification procedures for medication waste and take mandatory breaks.