RN:PCU 19326675

Registered Nurse (RN)

Location: Puyallup, WA

Type: Level III Trauma Center

Licensed Beds: 375

COVID vaccination is required.

Unit Information

Patient Capacity: 40 private beds (all rooms capable of negative air pressure; 4 beds with ante rooms)

Experience Level: Minimum of 1.5 years (including 1 year of Progressive Care Unit experience).

This position is suitable for first-time travelers.

Patient Types

Progressive Care Unit (PCU) non-specialty unit

Common conditions: respiratory failure, sepsis, gastrointestinal bleeding, alcohol withdrawal, complicated surgeries, decompensating oncology patients, diabetic or renal issues, CHF, COPD, pneumonia, and comfort care.

Continuous telemetry monitoring for all patients.

COVID Protocols

Conventional use of Personal Protective Equipment (PPE) required, including N95s, CAPRs, and PAPRs available.

Patient Ratios

RN Ratio: 1:3-4

CNA Ratio: 1:10 (responsibilities: blood sugar checks, vital signs, toileting, bathing, feeding, and removal of foleys and PIVs).

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Skills Required

• Telemetry experience
• Tracheostomy care
• CIWA (Clinical Institute Withdrawal Assessment)
• BiPAP (Bilevel Positive Airway Pressure)
• Central line maintenance/management
• Tube/drain management
• Cardiac rhythm interpretation
• Preferred skills: Chest tube management

Common Medications

• Cardizem
• Heparin
• Insulin (non-DKA)
• Nitroglycerin
• Lasix
• Dilaudid (for comfort care/PCA)
• Preferred medications: Dopamine, nicardipine

Support on the Unit

• Free-floating Charge Nurse
• Resource Nurse available during days and nights
• Respiratory Therapy available 24/7
• Hospitalist available 24/7
• Occupational, Physical, and Speech Therapy available during day shifts only
• Phlebotomy services
• Intravenous/Vascular Access Team

Charting System and Equipment

• EPIC (preferred)
• Alaris
• Pyxis
• MP50 Philips bedside monitors (wireless)

Floating Requirements

• May float to ICU (Progressive Care Unit level patients), CCU, Observation, and Emergency Department Holding.
• Travelers will float first; if floated to Medical-Surgical units, a 1:5 ratio will be maintained.

Orientation

• Includes hospital orientation, modules, EPIC training, safe patient handling, glucose training, and an education welcome.
• 12-hour unit orientation with a preceptor.
• Telemetry Competency required to be completed and passed prior to start (graded by SimpliFi Compliance).

Scheduling

Shift Times:

• Day Shift: 7:00 AM 7:30 PM
• Night Shift: 7:00 PM 7:30 AM