RN - ER

Emergency Department Nurse

Location: Puyallup, WA

Facility Profile:

• Level III Trauma Center
• 375 Licensed Beds
• 46 Behavioral Health and Fast Track beds
• Average of 200 patients per day

Patient Population:

• Wide range of patient types from pediatrics to geriatrics, including:
• Trauma
• Gunshot Wounds
• Sepsis
• COVID-19
• STEMI
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental health issues
• Respiratory issues
• Geriatric care, particularly falls and STEMI cases
• Adult Psych cases
• High acuity medical cases

Patient Ratios:

• Day shift: 1 nurse to 4-5 patients (may flex based on acuity and staffing)

Required Certifications:

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NIHSS (National Institutes of Health Stroke Scale)
• CPI/MOAB (Crisis Prevention and Intervention/Management of Aggressive Behavior)

Required Skills:

• General Emergency Department experience, including:
• Cardiac rhythm interpretation
• IV insertion and management
• Administration of drips and medications
• Procedural sedation
• Blood administration
• Administration of TNK (Tissue Plasminogen Activator), preferred
• Cardiac medication management
• Recent experience with the EPIC charting system is required

Unit Support:

• ER Technicians for glucose checks, iStat, and assisting with splinting
• Charge Nurse (rarely takes patient assignments)
• Resource/Float Nurse available
• Respiratory Therapists available 24/7
• ED Educator on staff
• Increased security presence 24/7
• Social Work Services available 24/7
• Pharmacy support available 24/7 for sedation medication management and code assistance

Charting System and Equipment:

• EPIC charting system experience required
• Alaris IV pumps
• Pyxis medication management system
• Central and bedside telemetry monitoring

Orientation Process:

• Day 1: New Employee Orientation, EPIC training if necessary, time spent in mental health area
• Day 2: 12-hour shift with a preceptor (assigned shift)
• Traveler Telemetry Competency required prior to starting, to be graded by SimpliFi Compliance

Scheduling:

• Shifts:
• Days/Mids: 0700, 1100
• Mids/Nights: 1500, 1900
• Weekly schedules will be provided 3 weeks in advance
• Weekend shifts will vary based on the needs of the unit
• Time off requests approved by Nurse Manager
• Holiday expectations: work 2 of the 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New