RN - 19508687

Good Samaritan Hospital•Puyallup, WA

About The Position

The Registered Nurse works at a Level III Trauma Center with 375 licensed beds. Available units include the MSICU, CVICU, PCU, observation, CCU, medical-surgical, flex, inpatient rehabilitation, and an ER holding unit. Patient populations and common diagnoses vary by unit and include respiratory failure, GI bleeds, DKA, sepsis, post-operative patients, CVAs, respiratory compromise, renal failure, oncology patients, COPD, CHF, strokes, spinal cord injuries, traumatic brain injuries, and patients awaiting an inpatient bed. COVID cases are frequent on the medical-surgical floor. Patient ratios vary by unit and acuity: ICU is generally 1:2; PCU and CCU are up to 1:4 depending on acuity and discharge status; medical and surgical units are 1:5; and rehabilitation uses a team model with a ratio of 2:8 (RN, LPN, and tech). The ER holding unit includes mixed ICU, PCU, and medical-surgical diagnoses and requires flexibility and resourcefulness. The role requires unit-specific nursing experience, licensure and certifications, and clinical skills. Experience with the EPIC electronic medical record system is required. All clinicians must have strong communication and patient education skills. Departmental resources include technicians, 24/7 respiratory therapy, and 24/7 hospitalist and intensivist services.

Requirements

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

Responsibilities

  • Provide nursing care to patients in the assigned unit and patient population.
  • Interpret cardiac rhythms and manage ventilators and invasive lines in the ICU.
  • Provide ostomy and tracheostomy care in the ICU.
  • Manage chest tubes and lumbar drains and titrate IV medications in the PCU.
  • Administer IVs and manage PCAs, chest tubes, drains, and ostomies in medical-surgical units.
  • Communicate effectively with patients and provide patient education.
  • Adapt to mixed diagnoses and changing patient needs in the ER holding unit.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service