RN - 19348427

Good Samaritan Hospital•Puyallup, WA

About The Position

This Registered Nurse position primarily supports multiple patient units, including the Emergency Department (ED) holding unit, General Surgical Hospital (GSH) 1 Dally, River North, River South, and Float Pool Teams. The nurse provides high-quality patient care across varied departments and must be skilled and flexible. The ED Holding Unit is the primary focus for the traveler; it has a fast-paced environment and mixed diagnoses, with patient ratios managed according to acuity. Supported units include MSICU (40 beds), CVICU (10 beds; specific CVICU experience is not required), PCU (40 beds), 2R PCU Observation (18 beds, with capacity to increase to 27 during overflow), CCU (30 beds), Medical (89 beds), Surgical (55 beds), Flex Unit (9 beds, serving PCU and Medical-Surgical patients), Inpatient Rehabilitation (47 beds across two floors), ER Holding, and COVID Overflow. Patient populations include critically ill patients with respiratory failure, GI bleeds, DKA, sepsis, complicated postoperative cases, CVAs, post-arrest situations, ETOH, and IVDA; PCU patients with respiratory compromise, sepsis, renal failure, bleeding disorders, and general medical or surgical conditions such as CHF, COPD, and pneumonia; and medical-surgical patients, including oncology, postoperative, and COVID-19 cases. Rehabilitation patients may be recovering from strokes, spinal cord injuries, traumatic brain injuries, multi-trauma incidents, or ICU stays. Patient ratios are 1:2 in ICU, 1:4 in PCU and CCU, 1:5 in Medical and Surgical, and a team-model ratio of 1:8 in Rehabilitation, including LPNs and technicians. Department support technician ratios are 1:14 in ICU, 1:10 in PCU, and 1:8–10 in Medical-Surgical.

Requirements

  • For ICU assignments, 2 years of ICU experience.
  • For PCU or PCU ER Holds assignments, 2 years of PCU experience.
  • For Medical-Surgical assignments, 2 years in an acute care setting.
  • ACLS and BLS certifications for ICU and PCU.
  • NIHSS certification for ICU, PCU, and Medical-Surgical.
  • BLS certification for Medical-Surgical.
  • ICU skills: cardiac rhythm interpretation, ventilator management, invasive line management, ostomy care, general drains, and tracheostomy care.
  • PCU skills: cardiac rhythm interpretation, chest tube management, lumbar drains, tracheostomy care, and IV medication titration, including Amiodarone, Cardizem, Nitro, and Heparin.
  • Medical-Surgical skills: IVs, patient-controlled analgesia (PCAs), chest tubes, drains, ostomy care, and IV antibiotics.

Nice To Haves

  • First-time travelers are welcome.

Responsibilities

  • Provide high-quality patient care across multiple supported units and departments.
  • Support the ED Holding Unit as the primary focus, caring for patients with mixed diagnoses in a fast-paced environment.
  • Care for patients according to unit-specific patient ratios and patient acuity.
  • Apply relevant clinical skills to patient populations in ICU, PCU, Medical-Surgical, and rehabilitation settings.
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