RN - 19433981

Multicare Capital Medical Center • Olympia, WA

12d • Onsite

About The Position

The ICU Registered Nurse works in a combined 10-bed ICU and 22-bed PCU in Olympia, Washington. The ICU’s average census is around five patients, and ICU nurses also care for PCU patients; most of the contract may involve PCU-level care. Travelers float in rotation with the unit, including to MedSurg, and may also be assigned to the ER or, occasionally, Mother-Baby for post-GYN surgical patients. Taking a PCU assignment is not considered floating.

Patient care includes common conditions such as sepsis, pneumonia, COPD, CHF, GI bleeds, ETOH/IVDA, SI, psychiatric conditions, and COVID-19; stable CVA and TBI; cardiac patients with pacemakers, angiograms, post-catheterization care, and fem-pop bypass; and orthopedic and general surgery patients. Procedures include manual proning and temporary pacemakers. The unit does not perform open-heart surgeries, neuro interventions, or CRRT treatments. COVID patients may be present at PCU, MedSurg, and ICU levels of care.

Staffing ratios are 1:2 in ICU, 1:4 in PCU, and 1:3 in PCU or MedSurg for COVID protocol, potentially increasing to 1:4 during peak periods. Support includes a freely floating charge nurse who takes a partial patient assignment, CNA staffing at 1:12, phlebotomy support for peripheral draws, 24/7 centralized telemetry monitoring, 24/7 in-house respiratory therapy and hospitalist coverage, and intensivists on call 24/7.

The unit uses EPIC (preferred), ICU Medical Plum Duo and Plum Single IV pumps, Pyxis medication dispensing, and Philips monitors. Orientation includes four hours with a clinical educator for badge and login information, a unit tour, and policies and procedures, followed by three shifts of practical unit training. Telemetry competency must be passed before starting. Scheduling is self-scheduled with management balancing staffing needs, and the schedule is expected to include two weekends each month, which may vary based on staffing.

Requirements

• Minimum of 2 years of experience in an ICU setting.
• BLS certification.
• ACLS certification.
• NIHSS certification.
• Telemetry competency must be passed before starting.
• Strong peripheral IV skills are preferred.
• Skill in cardiac rhythm interpretation.
• Experience managing invasive lines, including CVP and A-lines.
• Skill in IV medication titration.
• Knowledge of ventilation, tracheostomy, and high-flow BiPAP management; respiratory therapy manages these devices.
• Applicants for a Charge Nurse position must have extensive experience.

Nice To Haves

• EPIC experience is preferred.
• Strong peripheral IV skills are preferred.
• First-time travelers may be considered based on experience.

Responsibilities

• Provide nursing care to ICU and PCU patients, with most of the contract potentially involving PCU-level patients.
• Float in rotation with the unit, including to MedSurg, and potentially to the ER or occasionally Mother-Baby for post-GYN surgical patients.
• Care for patients with the conditions and patient types described, including COVID-19 patients at various levels of care.
• Perform manual proning and manage temporary pacemakers.
• Interpret cardiac rhythms, manage invasive lines, and titrate IV medications.
• Work according to the stated patient ratios and participate in the unit’s self-scheduling process.

What This Job Offers

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