RN - ICU
Good Samaritan Hospital
Registered Nurse (RN)
Location: Puyallup, WA
Unit Information
- ICU: 40 beds
- CVICU: 10 beds (no specific experience needed)
- PCU: 40 beds
- PCU Observation: 18 beds with capability to expand to 27 beds during overflow
- CCU: 30 beds
- Medical: 89 beds
- Surgical: 55 beds
- Flex Unit: 9 beds (combination of PCU and MS patients)
- Inpatient Rehabilitation: 47 beds
- Emergency Room Holding Unit: for patients awaiting a bed
Experience Requirements
- ICU: 2 years of ICU experience
- PCU: 2 years of PCU experience
- Medical-Surgical: 2 years in an acute care setting
- First-time travelers are welcome
Patient Types/Common Diagnoses
The following conditions and patient types may be encountered:
- ICU: Respiratory failure, GI bleeds, DKA, sepsis, post-operative patients, strokes (CVA), flap surgeries, post-arrest patients, ETOH, IVDA. Note: No craniotomies, major traumas, or significant cardiothoracic cases.
- PCU: Respiratory compromise, sepsis, renal failure, bleeding disorders, general medical/surgical patients, CHF, COPD, pneumonia, orthopedic cases.
- Medical-Surgical: Patients with oncology needs, post-operative care, COPD, CHF, sepsis, DVT, and COVID.
- Inpatient Rehabilitation: Stroke, spinal cord injuries, TBI, post-COVID, and patients transitioning from ICU.
Patient Ratios
- ICU: 1:2 based on acuity
- PCU and CCU: 1:4 depending on acuity or patient discharge
- Medical and Surgical: 1:5
- Rehabilitation: Team model with 2:8 (RN, LPN, Tech)
Required Licenses and Certifications
- ICU: ACLS, BLS, NIHSS
- PCU: ACLS, BLS, NIHSS
- Medical-Surgical: BLS, NIHSS
Required Skills
- ICU: Cardiac rhythm interpretation, ventilation management, invasive line management, tracheostomy care, and management of general drains.
- PCU: Cardiac rhythm interpretation, chest tube management, lumbar drains, tracheostomy care, and IV medication titration (e.g., Amiodarone, Cardizem, Nitro, Dopamine).
- Medical-Surgical: IV management, PCA administration, chest tube management, drainage, ostomy care, and IV antibiotics.
Technology and Equipment
Familiarity with Epic EMR is required. Additional equipment includes:
- IV Pumps: Alaris
- Medication dispensing: Pyxis
Support Within the Department
- ICU Techs: 1 tech per 14 nurses
- PCU Techs: 1 tech per 10 nurses
- Medical-Surgical Techs: 1 tech per 8-10 nurses
- Respiratory Therapy
Vacancy posted 3 days ago
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