RN - ER

Emergency Department Registered Nurse (RN)Location: Tacoma, WAFacility Type: Level II Trauma Center, Level IV NICUBed Capacity: 60 (including 21 Inpatient Holding Beds, 2 Psychiatric Rooms, and 14 Hall Spaces)Average Daily Patient Volume: 140-150 patientsPosition OverviewThis position requires a Registered Nurse with a minimum of one year of strong experience in the Emergency Department. The successful candidate will have experience handling high-acuity patients across a diverse age range, from pediatrics to geriatrics.Patient TypesTraumaGunshot Wounds (GSW)SepsisCOVID-19STEMIStrokeDiabetic Ketoacidosis (DKA)Mental Health EmergenciesRespiratory IssuesAdult Psychiatric PatientsChest PainPatient RatiosThe typical nurse-to-patient ratio is 1:4. This may flex to 1:5 for lower acuity patients.Required CertificationsBLS (Basic Life Support)ACLS (Advanced Cardiovascular Life Support)PALS (Pediatric Advanced Life Support)TNCC (Trauma Nursing Core Course)NIHSS (National Institutes of Health Stroke Scale)CPI/MOAB (Crisis Prevention Institute/Management of Actual or Potential Aggression)Traveler Competency ExamRequired SkillsGeneral Emergency Department experienceCardiac rhythm interpretationIV skillsKnowledge of medication administration, including dripsExperience with procedural sedationBlood administrationAdministration of cardiac medicationsSupport on the UnitEmergency Room Technicians for glucose checks and assistance with splintingCharge Nurse available (rarely takes an assignment)Resource/Float Nurses as per staffing needsRespiratory Therapy available 24/7ED Educator supportSecurity personnel present 24/7House Supervisor available 24/7Pharmacy support available around the clock, assisting in codesCharting System/EquipmentElectronic Medical Records: EpicIV Pumps: AlarisMedication Dispensing System: PyxisCentral and Bedside Telemetry Monitoring at the Nursing StationOrientationFirst day includes NEO (badge issuance, Epic training if required) and a meeting with the educator3-4, 12-hour shifts with a preceptor on assigned shiftsTraveler Telemetry Competency must be completed and passed prior to startingSchedulingShift options available:Days: 0700-1900, 0900-2100Mids: 1100-2300, 1300-0100Eve/Night: 1500-0300, 1900-0700Shift rotations may occur during the contract but will remain the same for 6-week blocksWeekend rotation is required every other weekendTime off may be approved for up to 5 daysHoliday expectations include working 3 of 5 major holidays (Thanksgiving,