RN - 19479210

Good Samaritan Hospital•Puyallup, WA

About The Position

The Registered Nurse will provide care in a Level III Trauma Center with 375 licensed beds and a range of inpatient units, including intensive care, progressive care, observation, coronary care, medical-surgical, rehabilitation, emergency department holding, and COVID overflow. Unit assignments may include the Medical-Surgical Intensive Care Unit (40 beds), Cardiovascular Intensive Care Unit (10 beds), Progressive Care Unit (40 beds), Observation Unit (18 beds, expandable during overflow), Coronary Care Unit (30 beds), Medical Unit (89 beds), Surgical Unit (55 beds), Flex Unit (9 beds), and Inpatient Rehabilitation (47 beds across two floors). Patient populations and common conditions vary by unit. ICU patients may include patients with respiratory failure, gastrointestinal bleeds, diabetic ketoacidosis, sepsis, complicated postoperative conditions, or cerebrovascular accidents. PCU patients may have respiratory compromise, sepsis, renal failure, bleeding disorders, or general medical-surgical conditions, including CHF, COPD, and pneumonia. Medical-surgical patients may include oncology, postoperative, COPD, and COVID-19 patients. Patient ratios are 1:2 in ICU based on acuity; 1:4 in PCU and CCU depending on acuity; 1:5 on medical and surgical units; and a 2:8 team model in rehabilitation involving an RN, LPN, and Tech. Continuous departmental support is provided by technicians, respiratory therapists, hospitalists, and intensivists, all available 24/7.

Requirements

  • ICU: Minimum of 2 years of ICU experience.
  • PCU and PCU ER Holds: Minimum of 2 years of PCU experience.
  • Medical-surgical: Minimum of 2 years of experience in an acute care setting.
  • ICU: ACLS, BLS, and NIHSS certifications.
  • PCU: ACLS, BLS, and NIHSS certifications.
  • Medical-surgical: BLS and NIHSS certifications.
  • Experience with the EPIC electronic medical record system.
  • Strong communication and patient education skills.
  • ICU skills: cardiac rhythm interpretation, ventilator management, invasive line management, and tracheostomy care.
  • PCU skills: cardiac rhythm interpretation, management of chest tubes and drains, and intravenous medication titration.
  • Medical-surgical skills: IV administration, PCA management, chest tube care, and wound management.

Nice To Haves

  • First-time travelers are accepted.

Responsibilities

  • Provide nursing care to patients assigned to the relevant unit.
  • Interpret cardiac rhythms and manage ventilators and invasive lines in ICU.
  • Provide tracheostomy care in ICU.
  • Manage chest tubes and drains and titrate intravenous medications such as Amiodarone and Cardizem in PCU.
  • Administer IV medications and manage PCA, chest tubes, and wounds in medical-surgical settings.
  • Communicate effectively with patients and provide patient education.
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