RN - 19510571

Tacoma General Hospital • Tacoma, WA

14h

About The Position

The ICU Registered Nurse works in a float pool at a 437-bed Level II Trauma Center with a Level IV NICU. Nurses may float to ICU, PCU, CCU, and ED holding areas caring for ICU- and PCU-level patients. The float pool includes Neuro, Trauma, Medical, and Cardiac ICU, as well as CCU (Cardiac Stepdown) and PCU/ACC. The facility accepts first-time travelers who have strong ICU experience and previous float pool experience.

Patient populations and diagnoses include sepsis, pneumonia, DKA, delirium tremens, multi-system failure, spinal injuries and surgeries, pre- and post-catheterization patients using a radial approach, general surgery patients, respiratory compromise, CHF, COPD, gunshot wounds, stabbings, motor vehicle accidents, strokes, traumatic brain injuries, COVID-19, and CVICU patients following procedures such as esophagectomy, TAVR, AAA repair, and thoracic or vascular surgery, as well as post-arrest care. Travelers are not expected to care for fresh post-CABG or TAVR patients, EVDs, post-TPA patients, or specialized devices such as ECMO, IABP, Impella, or hypothermia protocols.

Patient ratios are 1:2 in the ICU and 1:4 in PCU/ACC/CCU. ED holding ratios depend on the level of care. Department support includes a charge nurse, hospitalist and respiratory therapist available 24/7, an intensivist on duty 24/7, a cardiologist on call 24/7, phlebotomy services, and a Rapid Response/Code Team. The electronic medical record is EPIC, which is required. Equipment includes Alaris IV pumps, Pyxis medication dispensing, and unit-specific monitors.

Requirements

• At least 1 year of ICU experience.
• BLS certification.
• ACLS certification.
• NIHSS certification.
• Cardiac rhythm interpretation skills.
• Ventilator and BiPAP management skills.
• Invasive line management skills.
• Ostomy care skills.
• Experience managing general drains and lumbar drains.
• Tracheostomy care skills.
• Chest tube management skills.
• IV medication titration skills.
• EPIC experience is required.

Nice To Haves

• For first-time travelers: strong ICU experience and previous float pool experience.

Responsibilities

• Float among ICU, PCU, CCU, and ED holding areas with ICU/PCU patients.
• Provide care for patients with neuro, trauma, medical, surgical, and cardiac conditions.
• Interpret cardiac rhythms.
• Manage ventilators and BiPAP.
• Manage invasive lines, general drains, lumbar drains, tracheostomies, chest tubes, and ostomies.
• Titrate IV medications.

What This Job Offers

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