RN - 19321740

Allenmore Hospital•Tacoma, WA

9h•Onsite

About The Position

This position is for a 29-bed mixed acuity MS/PCU non-specialty unit providing care to patients with conditions such as respiratory failure, sepsis, gastrointestinal bleed, and others. The ideal candidate will have at least 1 year of progressive care unit experience. Patient Types include Respiratory Failure, Sepsis, Gastrointestinal Bleed, Bariatric Post-Op, Diabetes Management, Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), Pneumonia (PNA), Acute Skilled Nursing Facility (SNF) Patients, Transient Ischemic Attack (TIA)/Stroke, and Rule Out COVID-19. PPE usage is conventional with N95 masks, CAPRs, and PAPRs available as needed. Patient Ratios are RN: 1:4 in PCU and 1:5 in Medical-Surgical (MS), and CNA: 1:10 for BS checks, vitals, toileting, bathing, and feeding. Required Certifications include BLS, ACLS, and NIHSS. Skills required include Telemetry experience, CIWA (Clinical Institute Withdrawal Assessment), BiPAP management, Central line maintenance/management, Tube/drain management, Cardiac rhythm interpretation, and IV skills. Preferred skills include Chest tube management, trach care, and home ventilator experience. Common Medications include Cardizem, Dopamine, Heparin, Nitroglycerin, and Dilaudid for comfort care/PCA. Support on the Unit includes a Charge Nurse (free-floating), Educator present during the day, SWAT Nurse for PICCs and procedures, Respiratory Therapy available 24/7, Hospitalist coverage 24/7, Occupational, Physical, and Speech Therapy available (day shift only), and Phlebotomy services. The charting system is EPIC (preferred). Equipment includes Alaris and Pyxis. Travelers may be assigned to float in ED Holding and overflow areas as needed. Orientation includes comprehensive hospital orientation (NEO, modules, EPIC class, safe patient handling, and glucose training) and 12-hour unit orientation with a preceptor. Telemetry competency is required prior to starting. Scheduling is for 12-hour shifts (Days 7:00 AM - 7:30 PM; Nights 7:00 PM - 7:30 AM) with an every other weekend rotation. There is no self-scheduling; work with management. Request time off (RTO) must be submitted up to 7 days in advance. There is a 6-week scheduling period. Holiday expectations include one summer and one winter minimum. Additional Information: Scrub Color can be any professional color. Free parking is available in designated areas. Bedside handoff is a requirement.

Requirements

1 year of progressive care unit experience.
BLS certification
ACLS certification
NIHSS certification
Telemetry experience
CIWA (Clinical Institute Withdrawal Assessment)
BiPAP management
Central line maintenance/management
Tube/drain management
Cardiac rhythm interpretation
IV skills
Telemetry competency required prior to starting
Bedside handoff is a requirement

Nice To Haves

Chest tube management
Trach care
Home ventilator experience
EPIC charting system experience

Responsibilities

Provide care to patients with conditions such as respiratory failure, sepsis, gastrointestinal bleed, and others.
Float in ED Holding and overflow areas as needed.