Registered Nurse (RN) Facility Overview 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