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The Emergency Department Nurse provides nursing care in a Level III Trauma Center in Puyallup, Washington. The facility has 375 licensed beds and a 46-bed emergency department, including five safe psychiatric rooms, and sees an average of 200 patients per day. Patients include all age groups, from pediatrics to geriatrics, with a predominantly geriatric population. Cases include trauma, gunshot wounds, sepsis, COVID, STEMI, stroke, diabetic ketoacidosis, mental health issues, respiratory conditions, and other high-acuity medical needs. Pediatric cases are limited and are generally transferred to specialized facilities. Day-shift ratios are typically one nurse to every four or five patients, with flexibility based on acuity and staffing. Unit support includes emergency room technicians, a charge nurse who rarely takes an assignment, a resource/float nurse, respiratory therapists available around the clock, an ED educator, 24/7 security, a house supervisor, social work services assigned to the ED, and pharmacists available around the clock. The department uses EPIC, Alaris IV pumps, Pyxis medication dispensing, and central and bedside telemetry monitoring. Orientation includes new employee orientation, EPIC training if needed, exposure to the mental health area, and a 12-hour shift with a preceptor. A traveler telemetry competency must be completed and passed before starting. Shifts are available at 0700, 1100, 1500, and 1900, with schedules provided three weeks in advance and time off subject to approval. Holiday work includes two of the five major holidays. Scrubs may be any professional color; piercings must be modest or studs, and tattoos must be non-offensive. Free parking is available in designated areas.
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Job Type
Full-time
Education Level
No Education Listed

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