RN - 19348411

Good Samaritan Hospital • Puyallup, WA

3d • Onsite

About The Position

The Progressive Care Unit Registered Nurse provides nursing care in a 40-room PCU at a Level III Trauma Center in Puyallup, Washington. All rooms are private and capable of negative air pressure. The unit cares for patients with respiratory failure, sepsis, gastrointestinal bleeding, alcohol withdrawal, complicated surgeries, decompensating oncology conditions, diabetic or renal complications, congestive heart failure, COPD, pneumonia, and comfort-care needs. All patients receive continuous telemetry monitoring.

The RN-to-patient ratio is 1:3–4, with typically 13 RNs per shift. Nurses may be required to float to other areas for patients within their scope and at the PCU level or below, including the ICU, CCU, Observation Unit, ED Holding, and overflow areas. Unit support includes a free-floating Charge Nurse, a Resource Nurse on day and night shifts, 24/7 Respiratory Therapy and hospitalist services, and an IV/VAT Team. Occupational, physical, and speech therapy are available on day shift, and phlebotomy services are provided.

Conventional PPE protocols are in effect, including N95 masks, CAPRs, and PAPRs as needed. The charting system is EPIC, listed as preferred. Equipment and systems include Alaris infusion devices, Pyxis medication dispensing, and MP50 Philips wireless bedside monitors. COVID vaccination is required for all employees.

Requirements

• At least 1.5 years of experience, including at least 1 year of PCU experience.
• Basic Life Support (BLS) certification.
• Advanced Cardiovascular Life Support (ACLS) certification.
• National Institutes of Health Stroke Scale (NIHSS) certification.
• Telemetry experience.
• Tracheostomy care experience.
• CIWA scale knowledge.
• BiPAP management experience.
• Central line maintenance and management skills.
• Tube and drain management skills.
• Cardiac rhythm interpretation skills.
• Familiarity with Cardizem, heparin, non-DKA insulin, nitroglycerin, Lasix, and Dilaudid for comfort care/PCA.
• COVID vaccination is required for all employees.

Nice To Haves

• First-time travelers are welcome.
• EPIC charting experience is preferred.
• Chest tube management.
• Familiarity with dopamine and nicardipine.

Responsibilities

• Provide nursing care to PCU patients with a range of medical, surgical, and comfort-care needs.
• Monitor patients continuously using telemetry.
• Perform or manage tracheostomy care, central lines, and tubes and drains.
• Use CIWA scales and manage BiPAP.
• Interpret cardiac rhythms.
• Float to other designated units or overflow areas for patients within the nurse’s scope and at the PCU level or below.

What This Job Offers

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