RN - 19479218

Good Samaritan Hospital • Puyallup, WA

4d

About The Position

The Registered Nurse primarily supports the Emergency Department (ED) holding unit and floats between multiple units as needed, including General Surgical 1, River North, River South, and Float Pool Teams. The ED holding unit is the primary focus and serves patients with a mix of diagnoses. Typical ratios are 1:2 for ICU patients, 1:4 for PCU patients, and 1:5 for medical-surgical patients. The role requires flexibility and resourcefulness in a fast-paced environment, including consideration of isolation and non-ambulatory patients.

Available units include MSICU (40 beds), CVICU (10 beds), PCU (40 beds), 2R PCU Observation (18 beds, expandable to 27 when overflow is operational), CCU (30 beds), Medical (89 beds), Surgical (55 beds), Flex Unit (9 beds, combining PCU and medical-surgical patients), Inpatient Rehabilitation (47 beds), ED Holding, and COVID Overflow as needed.

Patient populations and diagnoses vary by unit. ICU patients may include those with respiratory failure, GI bleeds, DKA, sepsis, complicated post-operative conditions, stroke, flap surgeries, post-arrest cases, alcoholism, and intravenous drug abuse. Higher-level therapies include Rotoprone, manual proning, hypothermia protocol, continuous renal replacement therapy (CRRT), tissue plasminogen activator (TPA), and flap surgeries, with some patients specifically excluded. PCU patients may have respiratory compromise, sepsis, renal failure, bleeding disorders, CHF, COPD, pneumonia, and other general medical-surgical conditions. Medical-surgical units serve oncology, post-operative, psychiatric, and general medical-surgical patients, including patients with COPD, CHF, sepsis, DVT, acute kidney injury, dialysis needs, and COVID-19. Rehabilitation units care for patients with stroke, spinal cord injury, traumatic brain injury, multi-trauma, post-COVID conditions, and post-ICU ventilation or tracheostomy needs.

Minimum experience requirements are two years in the relevant setting: critical care experience for ICU, progressive care experience for PCU/ER Holds, and acute-care experience for medical-surgical units. First-time travelers are welcome. Required certifications vary by unit: ACLS, BLS, and NIHSS for ICU and progressive care; BLS and NIHSS for medical-surgical units. Listed skills include cardiac rhythm interpretation, ventilator management, invasive line management, and patient education for ICU; and cardiac rhythm interpretation and chest tube management for PCU.

Requirements

• At least 2 years of critical care experience for ICU assignments.
• At least 2 years of progressive care experience for PCU/ER Holds assignments.
• At least 2 years of acute-care experience for medical-surgical assignments.
• ACLS, BLS, and NIHSS certifications are required for ICU and Progressive Care Units.
• BLS and NIHSS certifications are required for Medical-Surgical Units.
• ICU skills: cardiac rhythm interpretation, ventilator management, invasive line management, and patient education.
• PCU skills: cardiac rhythm interpretation and chest tube management.
• Flexibility and resourcefulness in a fast-paced environment.

Nice To Haves

• First-time travelers are welcome.

Responsibilities

• Primarily support the Emergency Department holding unit.
• Float between units as needed, including General Surgical 1, River North, River South, and Float Pool Teams.
• Provide nursing care to patients across ICU, progressive care, medical-surgical, rehabilitation, and ED holding settings as assigned.
• Adapt care to a fast-paced ED holding environment, including the needs of isolation and non-ambulatory patients.
• Manage ICU patients at a typical ratio of 1:2, PCU patients at 1:4, and medical-surgical patients at 1:5.
• Use relevant unit skills, including cardiac rhythm interpretation, ventilator management, invasive line management, patient education, and chest tube management.

What This Job Offers

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