RN - 19434208

Mary Bridge Childrens Hospital•Tacoma, WA

About The Position

The Pediatric Intensive Care Unit Nurse (PICU/PCICU) provides specialized nursing care to critically ill pediatric patients, primarily in cardiovascular and thoracic care. The position serves a mixed PICU and PCICU population, including patients with congenital heart defects, CHF, cardiomyopathy, myocarditis, and patients recovering from open-heart surgery, cardiac catheterization, and other procedures. The patient population also includes respiratory, trauma, surgical, and oncology cases, as well as complex cases during COVID surges. The role is based in a Level II Trauma Center with 152 beds, including 22 dedicated PICU beds, and an average daily patient census of 10–11. The schedule uses shifts of 0700–1930 and 1900–0730, requires rotating weekends every other weekend, and may involve floating to Med-Surg, the ED, or NICU as needed. Staff must wear solid-colored, professional scrubs without graphics or logos, keep long sleeves above the elbow, and secure long hair during shifts. Appropriate team-spirit attire is permitted on Fridays during football season.

Requirements

  • At least 2 years of Pediatric Intensive Care (PICU) experience, including at least 1 year in Pediatric Cardiac Intensive Care (PCICU).
  • Current BLS and PALS certifications.
  • Experience handling cardiac patients, including a variety of surgeries and diagnoses.
  • Proficiency in aseptic and sterile technique, basic dressing changes, and additional clinical skills.
  • Ventilator and tracheostomy management; suctioning; and G/GJ/J-tube management.
  • Management of NG tubes, chest tubes, epidurals, PCA pumps, and drips.
  • Foley insertion and management; central-line dressing changes and care; central-line blood draws; and peripheral lab draws.
  • Ability to discharge patients.
  • Ability to learn quickly, think critically, manage time well, and remain engaged in patient care.

Nice To Haves

  • Experience with ECMO and peritoneal dialysis.
  • Familiarity with EMR systems, preferably EPIC.

Responsibilities

  • Provide specialized care to critically ill pediatric patients in PICU and PCICU, primarily in cardiovascular and thoracic contexts.
  • Manage ventilators, tracheostomies, suctioning, and G/GJ/J-tubes.
  • Manage NG tubes, chest tubes, epidurals, PCA pumps, and drips.
  • Insert and manage Foley catheters; perform central-line dressing changes and care, central-line blood draws, and peripheral lab draws.
  • Discharge patients.
  • Float to Med-Surg, the ED, or NICU as needed.
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